Just Keiki Pediatric Dentistry

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Restorative Care

If your child does require treatments, we strive to do minimally invasive treatments and recommend only what is necessary. We offer gentle care with everything we do. If restorative care is needed, our team can discuss the best options for helping your child. We want you to be involved in the decision-making process and feel confident about the care your child is receiving.

Silver Diamine Fluoride (SDF)

Silver diamine fluoride (SDF) is a conservative treatment option to treat small cavities. It is a liquid that is applied to cavities to stop or slow the cavity from getting bigger. For certain cavities, this can be a great treatment option as it does not require local anesthesia or drilling on the tooth.

White Fillings

When a small cavity or fracture develops, it is important to treat the tooth before the cavity worsens or spreads further into the tooth. During a filling appointment, the decay is removed and replaced with a tooth-colored material that will blend naturally with your child’s smile. Once placed, a filling protects and preserves your child’s tooth until it is ready to fall out.

Pediatric Crowns

Baby teeth are treated with crowns when the cavity is deeper or on multiple surfaces of the tooth. Once the decay is removed, the tooth is trimmed, and the crown or “cap” is fitted and cemented to the tooth. These crowns are made of stainless steel or ceramic materials. They cover the entire tooth to restore normal function and protect the tooth from future cavities until the tooth is ready to naturally fall out.

Baby Root Canal or Nerve Treatments

If a deep cavity reaches the nerve or “pulp” of the baby tooth, various nerve treatments such as a pulp cap or pulpotomy may be necessary to save the tooth. The nerve is treated with a healing medicine and then the tooth is protected with a filling or pediatric crown.


Our goal is to always save baby teeth! Baby teeth are not only important for chewing but are also critical for speech development and guidance of permanent teeth into proper position. A cavity or deep infection on a baby tooth can negatively impact permanent teeth.

Your child may need to have a tooth extracted due to a large cavity, infection, or even orthodontic purposes. If an extraction is needed, we often offer sedation to make “wiggling out” the tooth as comfortable as possible.

Space Maintainers

If a baby tooth is lost early, the neighboring teeth may move or tilt into the open space. This may cause issues with crowding and alignment of your child’s teeth. A space maintainer is a metal appliance that holds that space open for the proper eruption of the permanent teeth. Space maintainers may reduce the chance of severe orthodontic issues in the future.

Sincere Dental Care

At Just Keiki Pediatric Dentistry, our entire team truly cares about each child who visits our office. We are parents too! We treat your child as if they were our own family. When it comes to recommended care, our team will give you all your options and help find a plan that works best for your child.

Dr. Erica and patient