Smiles That Last A Lifetime

Restorative Dentistry For Kids

Although Avenue Pediatric Dentistry focuses on preventative oral care to avoid issues, sometimes teeth break, or emergencies happen, and pediatric restorative dentistry is necessary.

Our Restorative Dentistry Services

At Avenue Pediatric Dentistry, we offer a full suite of restorative treatments for your child. We offer a caring and child-friendly approach to dentistry that is available with nitrous oxide sedation or general anesthesia. This setup makes the whole experience comfortable for both you and your child.

Composite Fillings

Composite fillings can be used to restore decayed or broken teeth. The composite filling material closely resembles your child’s natural tooth color, making them a good alternative when esthetics is important. Composite fillings can be time consuming, and do not typically last as long as other filling materials. They may have to be replaced if they begin to deteriorate. Composite fillings work best in permanent teeth, but can be used in baby teeth as well, appreciating their limitations.

Amalgam Fillings

Having been around for hundreds of years, traditional amalgam fillings are still a very safe and reliable option for restoring decayed teeth. They are strong and long lasting, and can be placed quickly, which are important factors to consider if your child’s cooperation in the chair is limited. They work well in both baby and permanent teeth and have much less sensitivity after placement.

Stainless Steel Crowns

If your child’s tooth has been significantly broken or decayed, a crown may be necessary to protect the remaining tooth structure and rebuild your child’s tooth. Stainless steel crowns are the strongest filling material and provide the greatest protection from future cavities. The crown covers and protects the whole tooth, providing a very durable biting surface. We typically restore baby teeth with stainless steel crowns, but some in some cases we can restore adult molars with stainless steel crowns as a temporary measure, until a child reaches adulthood when they can have a more permanent custom crown fit.


Pulpotomies are often confused with “baby root canals”, but they are not. If a cavity is very deep and hits the nerve of the tooth, a portion of the nerve must be cleaned out and a special medication placed in order to help soothe the tooth. This partial removal of the nerve tissue is referred to as a pulpotomy. After a pulpotomy is done, a stainless steel crown must be placed to properly seal and protect the rest of your child’s tooth. Pulpotomies only work on healthy teeth however. If there are signs of infection, that indicates that the tooth is no longer healthy an extraction may be indicated.

Other Restorative Dentistry Services


Teeth are extracted or removed when they are not savable by any other treatment. This may be due to decay, infection, or trauma. Teeth are also extracted for orthodontic reasons when there is inadequate space in the jaws to accommodate all teeth. Over-retained teeth on growing children can cause impaction, pain and crowding.

Space Maintainers

If a tooth needs to be removed we will assess whether your child needs space maintainers to maintain the space for the adult teeth that will be erupting in the future. Space maintainers are needed to maintain the space of a baby tooth when it has been lost or needs to be removed prematurely. They will help prevent the teeth from drifting and causing orthodontic issues, such as crowding.


Below are common questions and our answers about the best way to care for children’s teeth.

Why Restore Baby Teeth?

We want kids to be able to eat, speak, and smile with confidence and without pain. The last thing we want for any child is to experience infection, pain, and preventable dental treatment especially extractions - especially if something could have been done sooner to treat and fix the tooth more comfortably.

Do You Provide Restorative Care for Children With Special Needs?

As a pediatric dentist, we specialize in the comprehensive care of all kiddos, no matter the level of special needs. We are committed to getting to know your child and their personality, needs, and attitudes and to making all children feel comfortable, safe, and well taken care of.

If My Child Gets a Cavity in a Baby Tooth, Does It Need a Filling?

Primary, or “baby,” teeth are important for many reasons. Not only do they help children speak clearly and chew naturally, they also aid in forming a path that permanent teeth can follow when they are ready to erupt.

Pain, infection of the gums and jaws, impairment of general health and premature loss of teeth are just a few of the problems that can arise when baby teeth are neglected. In these cases, a dental filling may be required to protect the oral health of your child.

Dr. Perusini will discuss all treatment options with you to help you decide if a filling is the best option for your child 

Why Choose Us

We are committed to providing a warm, caring, and relaxing environment where our patients are given the highest quality of dental care tailored to their unique needs.

Customized Care

We are committed to delivering high-quality pediatric dental care that’s tailored to each child and parent’s unique desires and concerns.

Dental Exams

We will thoroughly examine your child's teeth and gums for signs of tooth decay, gum disease, and other health problems.


Restorative Care

Our restorative dental services can repair damaged or decayed teeth, improve an improper bite, and restore your child's smile.

Schedule an appointment with us today for a beautiful, healthy smile.


Conveniently located in the heart of Edmonton, Avenue Pediatric Dentistry proudly deliver all aspects of dental care to infants, children, and teenagers, as well as those of all ages with special needs.


Tel: 780-428-7761
Fax: 780-428-1032


Monday 7:30a.m.–3:30p.m.
Tuesday 7:30a.m.–3:30p.m.
Wednesday 7:30a.m.–3:30p.m.
Thursday 7:30a.m.–3:30p.m.
Friday 7:30–11:30a.m.