Common Procedures

Adhesive Restoration


What is an Adhesive Restoration?

An adhesive restoration is a tooth coloured filling that is placed in a primary or permanent tooth. It may cover one or more surfaces of the tooth.

Why does my child need Adhesive Restorations?

Adhesive restorations are required when a tooth has formed a cavity or where the tooth may not have formed properly. The decay or soft part of the tooth is removed, the tooth thoroughly cleaned and an adhesive restoration placed to restore the shape and contour of the tooth.

What else do I need to know?

An adhesive restoration is another name for a ?filling?. An adhesive restoration is colour matched to the tooth surface.

Fissure Sealant


What is a Fissure Sealant?

A fissure sealant is a strong, resin based material which is applied to the deep grooves or fissures.  A fissure sealant provides a protective barrier against tooth decay.

Why does my child need a Fissure Sealant?

Many teeth have deep fissures which cannot be cleaned sufficiently with a tooth brush bristle. Bacteria in the mouth can penetrate the fissures and eventually cause decay.  By sealing the fissures with a protective sealant, the tooth is protected from tooth decay and the teeth are easier to clean.

What else do I need to know?

A fissure sealant may require modification from time to time due to wear and tear on the biting surfaces of the teeth. 

Tooth preparation is often not necessary before a fissure sealant is placed. 

Fissure sealants keep teeth healthy and can prevent the need for fillings.

Stainless Steel Crown


What is a Stainless Steel Crown?

A stainless steel crown is a preformed metal covering in the shape of a natural tooth placed over a primary or permanent molar tooth. Stainless steel crowns are very strong and durable and act to protect the entire tooth from future decay.

Why use a Stainless Steel Crown?

A stainless steel crown is recommended when the natural tooth surface has broken down from decay, malformation or injury, and a normal tooth filling is not strong enough to support the remaining tooth structure.

What else do I need to know?

Fitting a stainless steel crown involves cementing it to the tooth with a special long lasting adhesive material. A well fitting stainless steel crown should stay in place until the tooth falls out naturally (if it is a primary tooth). If it is on a permanent tooth, it may require replacement with a tooth coloured crown when the tooth has fully matured.

While the stainless steel surfaces are more visible than a white tooth, all stainless steel crowns are at the back of the mouth so not easily spotted. In our experience, parents are more worried than their children about crown appearance and they quickly adapt to their ?special? tooth.

The benefits of a stainless steel crown are that they are long lasting, easy to keep clean, maintenance free and maintain tooth strength.


What is a Pulpotomy?

The living centre of a tooth contains nerves and blood vessels and is called the dental pulp. A pulpotomy is a procedure where all of the crown's dental pulp is removed and the remaining pulpal tissue is covered with a special dressing which promotes healing. The tooth is then usually restored with a crown.

Why does my child need a Pulpotomy?

A pulpotomy is recommended when the tooth decay breaches the pulp of the tooth. When this occurs and a pulpotomy is not performed, it may result in tooth abscess, pain and swelling. A pulpotomy will prevent this from happening and extends the life of a tooth.

What else do I need to know?

When the pulp of a primary tooth becomes infected, the only course of action to treat the tooth is by removing it from the mouth. If the pulp of a permanent tooth becomes infected, it may require a root canal treatment or removal of the tooth.

A primary tooth that has had a pulpotomy procedure will fall out at the usual age appropriate time. Permanent teeth that have had pulpotomies usually require no further intervention, except for replacement of the overlying crown when the tooth has fully matured. (Some permanent teeth that have had a pulpotomy may require a root canal treatment at a later time).

Composite Resin Crown


What is a Composite Resin Crown?

A composite resin crown is a tooth coloured covering which wraps around the entire crown of a front tooth, making it look like a healthy tooth again. The term ?composite resin? refers to the material that is used; a combination of plastic type materials that form a strong and durable surface.

Why use a Composite Resin Crown?

A composite resin crown is used to repair front teeth that have been damaged by decay, malformation, discolouration or injury. Because the tooth-coloured material wraps around the entire tooth surface it is much stronger and longer lasting than normal fillings which only cover part of a tooth.

What else do I need to know?

Composite resin crowns are carefully colour matched to the other teeth in the mouth and look like a real tooth. Composite resin crowns can be performed on primary and permanent teeth. When a composite resin crown is performed on a primary tooth, in most cases it will stay in place until the tooth falls out naturally.

Extraction of a Tooth

What is an Extraction of a Tooth?

Extraction of a tooth means removing it from the mouth permanently.

Why does my child need an Extraction?

An extraction of a tooth is recommended when the tooth is unable to be restored with normal filling materials or crowns due to advanced tooth decay, dental trauma or as a result of infection.

Extracting a tooth is the last resort after all other treatment has been considered.

Extraction of teeth may also be required as part of an orthodontic problem where there is insufficient space in the jaws to accommodate all of the teeth.

What else do I need to know?

After an extraction, pressure is applied to the area with a soft sterile gauze pack to stop the bleeding.

In some cases a small dissolvable stitch is placed to apply pressure to the socket and reduce the potential for further bleeding. The area should have healed within a few days. Soft foods and gentle tooth brushing are recommended until the area has healed. Mild pain relief can be given after the procedure to manage any discomfort. You will be given instructions on how to care for your child after an extraction by the Prime Childrens Dental Care team member.

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Contact Us

 (08) 9300 0600

Facsimile:   (08) 9301 0984 (Joondalup) Facsimile:   (08) 9387 7613 (Wembley)        Email: This email address is being protected from spambots. You need JavaScript enabled to view it.


Prime Childrens Dental Care
Unit 3, 17 Davidson Terrace
Joondalup Western Australia 6027


Prime Childrens Dental Care
151-153 Herdsman Parade (Foyer B), Level 2
Wembley Western Australia 6014

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