Restorative Dentistry in


Why might my child need a restorative dental treatment?

When preventive care is not enough, restorative dental treatments can bring your child’s smile back to exceptional oral health. From repairing cavities with simple fillings to gentle extraction of problem teeth, restorative treatment can help your child’s smile stay healthy. 

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Did you know…

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Children have a set of 20 baby teeth. Adults have 32.

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What to expect at your child’s restorative dental appointment

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Comprehensive Exam

First, your child’s dentist will need to perform a comprehensive visual exam. X-rays will be taken and used to assess your child’s oral health and determine the extent of the issue.

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Treatment Plan

Once an accurate diagnosis is made, your child’s dentist will recommend a treatment plan to address the issues. 

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Alternative Options

Your child’s dentist may provide a few options for treatment, discuss the pros and cons of each, and explain their top choice to resolve the issue.

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Sedation Options

The doctor will discuss sedation options for your child if they feel sedation is necessary, or if it will make the child more comfortable during their treatment. These treatments can help your child feel a lot less nervous and anxious about their appointment, and get the restorative care they need.

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Scheduling & Follow Up

After you and the dentist have decided on the right treatment for your child, you’ll schedule a follow-up. In some cases, treatment may begin immediately, but you’ll usually have to schedule a separate appointment for restorative care unless your child has a serious dental emergency

Restorative Treatment Options for Children

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Composite Dental Fillings

Composite fillings are made of a dental resin and are matched to the color of your child’s tooth. Unlike metal fillings, they do not contain any mercury. In addition, composite fillings require the removal of less enamel during tooth preparation and have a very tight hold, so they help keep your child’s tooth healthy and strong.


Extractions are typically a last-resort option for pediatric dentists. But occasionally, a tooth may simply be too damaged to save or necessary for orthodontic purposes, and extraction may be the best way for your child to get relief from pain and discomfort. Using special tools and sedation, your child’s dentist can extract troublesome teeth quickly and with minimal pain or discomfort.


Nitrous oxide (laughing gas) sedation is often recommended for kids who may be nervous about a dental appointment. IV sedation is a method of deep sedation that’s delivered directly to the vein to ensure that they can sleep through their appointment.

Did you know…

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Tooth enamel is the hardest structure in the human body; even harder than the femur bone!

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Have questions about restorative dentistry for children? Get the answers.

What are common dental issues in children that restorative dentistry can solve?

Restorative dentistry is used to treat damaged or decayed teeth. This includes cavities and infections, as well as teeth that have been chipped, broken, loosened, or knocked-out prematurely due to oral trauma. Restorative treatments can also help prevent oral development issues after tooth loss, and resolve other oral health problems like tongue and lip ties.

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Why restore baby teeth?

Baby teeth are essential to your child’s ability to eat and chew properly as they grow up. And, even though they do fall out naturally as your child ages, premature baby tooth loss can cause oral development issues. This is because your child’s adult teeth follow the “paths” provided by their baby teeth when they begin to erupt. If your child loses one or more baby teeth too early, their permanent teeth may not emerge properly, leading to developmental issues that may require orthodontic intervention in the future.

What can you do about my child’s dental anxiety?

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Our dentists are experts in working with kids of all ages, and use a patient, kind, and informative approach to children’s dentistry that will help keep your child feeling safe and calm throughout their appointments. Beyond this, we also offer a variety of sedation methods that can help your child feel more comfortable during their treatment.

Is my child’s restorative dentistry covered by my insurance?

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In most cases, treatments for children like pulpotomies, extractions, crowns, and fillings are covered in some capacity by insurance. However, each plan is different and has different coverage, deductibles, and yearly maximums. Consult with your insurer and your dentist to learn more and ensure that your child’s procedures are covered.

See What Patients And Parents Are Saying!

Reviews & Testimonials

If you want a skilled, empathic and welcoming group of professionals look no further. From the front office to the clinicians everyone treats you with a lot of love and care throughout your visit. My 3 kids always look forward to their dental visits at Harmony Dental whether as a patient or accompanying their sibling. Dr. Scholander and Dr. Goodman are simply the best!

Carl D
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This is an amazing practice—pediatric dentistry and orthodontics. Great teamwork with Dr. Sholander and Dr. Goodman. Small woman-owned business. Very safe. Low patient volume. Great with all kids, including those with anxiety and other issues. Conveniently located in downtown Bethesda. Parking on the street and adjacent garage. They are the whole package!

Cristy Yeutter
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The entire Harmony team is wonderful! Dr. Goodman and Dr. Sholander are professional and knowledgeable and provide exceptional patient care. In addition they are calm and caring. Dr. Goodman took extra time with my overly anxious son and walked him through each step of the procedure. He left with a smile and loved his prizes! Highly recommend Harmony for your pediatric and orthodontic needs!

Elizabeth Hafer
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Call (301) 664-4220

Did you know…

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Most baby or primary teeth will have fallen out by the age of 12.

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