Minimally-Invasive Dentistry for Kids
in Central Texas

Minimally invasive dentistry for kids means catching problems early and treating them gently—before they grow into something bigger. Since baby teeth are thinner and more vulnerable to fast-moving cavities, we use strong materials and advanced techniques to provide long-lasting care with fewer appointments and less stress.

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What is Minimally-Invasive Restorative Dentistry?

Minimally invasive dentistry for kids isn’t just about doing less—it’s about doing the right thing at the right time. Our approach is proactive, using advanced tools and techniques to stop cavities before they start or to keep them from getting worse. Baby teeth are softer and thinner than adult teeth, so cavities can spread fast, making early care essential—even for small spots. And because kids can’t always handle multiple dental visits, we aim to focus on early intervention with lasting results. No one wants to come back to fix something that didn’t last, so we use the strongest, most durable materials to get it right the first time. That means fewer appointments, less stress, and care that’s built to last.

Our Minimally-Invasive Approach

Every smile is different! That's why we offer a variety of ways to diagnose and save decayed teeth, always tailored to your kiddo's unique needs.

Smarter X-rays with AI Technology

Did you know that the average dentist misses up to 40% of cavities on X-rays? Luckily, there’s nothing average about Kids Tooth Team. We’re one of the only pediatric dental practices in Texas using Overjet—an advanced, AI-assisted X-ray technology that helps us detect cavities earlier and more accurately than ever before. Think of it as an extra set of expert eyes, working alongside our doctors to make sure nothing gets missed. Because when it comes to your child’s health, you deserve precision, peace of mind, and the very best care modern dentistry has to offer.

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Stopping Cavities in Their Tracks

One of the best tools in minimally invasive dentistry is silver diamine fluoride (SDF)—a liquid medicine that can stop early cavities from getting worse. But like any tool, it only works well when used correctly and in the right setting. At Kids Tooth Team, we use SDF as a proactive treatment when a cavity is caught early—often with the help of advanced tools like Overjet. If the cavity is still in the outer layer of the tooth, a quick, painless application of SDF can slow or even stop it from progressing. It’s just one of the ways we’re working to protect little teeth with smart, gentle care.

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No Drills, No Shots, Just Protection

One of the most effective minimally invasive treatments for cavities between baby teeth is the Hall Crown technique. This method allows us to place a crown on a baby molar without any drilling and without any shots! The crown seals and protects the entire tooth, with a success rate of over 95%—one of the highest of any treatment we offer. It’s hard to get more minimally invasive and protective than that. At Kids Tooth Team, we’re proud to be experts in the Hall Crown technique, helping little smiles stay strong with less stress and more comfort.

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Our Restorative Services

We offer a complete range of restorative treatments and services for kids

Resin Infiltration Treatment

When a dentist spots white or brown spots on a tooth, infiltration treatment uses resin to arrest decay’s development before it reaches the dentin. The resin penetrates the weak spots on the tooth’s enamel and hardens there. This serves three purposes:

  • It smooths the tooth’s surface and eliminates spots on it.
  • It stops decay before it destroys the tooth below the enamel.
  • And, unlike traditional fillings, it does these things without destroying any of the healthy parts of the tooth.

Tooth filling with no drilling is a major advance in kids’ dentistry, stopping decay in its tracks without pain or destruction of healthy tooth surfaces.

Tooth-Colored Composite Dental Fillings

We exclusively offer composite dental fillings at our practice (no silver fillings here!), which are made from a special type of dental resin. Compared to metal-amalgam “silver” fillings, tooth-colored composite fillings provide a tighter hold, strengthen the tooth more effectively, and provide a more natural smile for your child.

Space Maintainers

If your child loses a baby tooth early, they may need a space maintainer. These are placed in the area where their missing tooth used to be. They help ensure that the surrounding teeth don’t shift, which could interfere with proper dental development.

Nerve Treatments: Pulpotomies

A pulpotomy is used for baby teeth that are decayed and infected to the nerve. It involves opening a hole in the tooth, removing the top part of the infected nerve from inside the tooth, and placing a healing dressing on the remaining nerve tissue. This encourages the tooth and remaining nerve to heal, and restores your child’s tooth. Unlike an adult tooth “root canal,” this procedure and the final crown are done quickly and in the same appointment for your child.

Nerve Treatments: Pulpectomies

A pulpectomy involves removing all of the infected nerve tissue from inside your child’s front or back tooth, and filling the root canal area with a medicine. This is usually only necessary for very severe tooth infections, or if a pulpotomy is not effective at restoring your child’s tooth. Our team is unique in our ability to offer this type of nerve treatment which allows us to save baby teeth that other dentists may not be able to. If you were told that the only option is extraction, we would love to give you a second opinion to see if a pulpectomy is right for your child.

Frenectomies

A frenectomy may be required if your child has tongue tie (ankyloglossia) or upper lip tie. This procedure involves snipping the band of tissue that restricts your child’s oral range of motion, restoring the proper function of their lips or tongue.

This technique has become a popular topic to discuss on social media and we feel that it is important to note that not every child needs their tongue or lip “clipped” just because they have thick tissue present under their tongue or top lip. Though our doctors do perform and offer this procedure, they take a very holistic approach to classify the type of tongue or lip attachment, and reviews any feeding or speech concerns before offering this service.

We, of course, only want to diagnose and treat the patients that actually need this procedure and do not take the recommendation of surgery to any infant or child lightly. If you have been told your child needs this procedure and you would like a second opinion, please call us for a free consultation.

Tooth Extractions

We offer the most gentle baby and adult tooth extractions possible, including extraction of adult teeth needed to make room for braces or due to large cavities. Due to our doctors' training, they can even provide surgical tooth extractions when necessary. We also offer a specialized service to surgically extract “mesiodens,” which are extra teeth that usually grow around or under the central incisors (front teeth).

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FAQs

Still have questions?

Give us a call to chat with one of our friendly team members!

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Restorative - FAQ 1

Our mouths are filled with bacteria, and the foods that we eat, especially sugars and starches, help bacteria grow and produce acids. The acids eat into the protective enamel on teeth, creating flaws that weaken the tooth’s structure and eventually lead to tooth decay.• The first stage of tooth decay is the demineralization of the tooth’s enamel, and when this happens, white spots appear on the tooth’s surface.• The next stage is when the enamel breaks down more and the white spots become brown.• After this, the decay reaches the tooth’s dentin.Until recently, signs of decay have been treated by drilling that removes it. After drilling, the hole, or cavity, is filled with filling material.Today, if the decay is spotted before it reaches the dentin, the problem can be solved with infiltration treatment rather than drilling.

Restorative - FAQ 2

Absolutely. Baby teeth may be meant to fall out eventually, but they're still really important. Your child’s last baby tooth usually will fall out around the age of 11-12, so your little one will be using their baby teeth to chew, eat, and speak for a very long time! For obvious reasons, this means it’s important to preserve their tooth and keep it in good shape.You need to treat cavities right away, too. The sooner you treat your child’s cavity, the sooner they will feel relief from tooth pain and sensitivity. These symptoms will only get worse if you don’t seek the proper treatment. And, eventually, your child’s cavity may turn into a tooth infection if it destroys the outer layer of their tooth.

So if you think that your child has a cavity, it’s best to bring them into Kids Tooth Team right away for a consultation with Dr. Alex and our team. Common signs of cavities include dark or discolored spots on teeth, visible holes and pits on the teeth, complaints of tooth sensitivity, and discoloration or inflammation of the gums near the affected tooth.

We offer a variety of options for treating cavities in baby teeth. We usually recommend a stainless steel crown or a zirconia crown, since crowns provide excellent protection and coverage for baby teeth. Dental fillings are also an option for some teeth, and dental sealants are a good option if you want to reduce your child’s risk of tooth decay in the future.

Restorative - FAQ 3

Your child will only need a space maintainer if they lose a baby tooth early. For example, if your child slips, falls, and knocks out a baby tooth while they're playing, Dr. Otto will recommend that they get a space maintainer. Space maintainers, as the name suggests, are placed in areas where your child has lost a baby tooth. They help maintain the proper spacing in your little one’s smile, which allows their adult teeth to erupt without complications in the future.

But if your child’s baby tooth loosens and falls out naturally, they likely will not need a space maintainer. Or, if they have an accident and knock their tooth out but their adult tooth is almost ready to erupt, a space maintainer may not be necessary.

It can be hard to tell on your own, of course. So if your child loses a tooth and you think that they may need a space maintainer, you can bring them into Kids Tooth Team for a consultation with one of the dentists at our Buda, South Austin, or Kyle location. A quick oral exam and a set of x-rays will help us determine whether or not your little one needs a space maintainer.

Restorative - FAQ 4

If you’re the parent of an infant, the main thing you’ll notice are issues feeding. Kids with tongue ties or lip ties often have problems latching onto the breast properly, and may have issues bottle feeding as well. If your child is very fussy and colicky when feeding, is having trouble gaining weight, or is swallowing a lot of air and burping a lot when feeding, these could all indicate a tongue or lip tie.

As kids grow older, you may also notice other signs that could indicate the need for a frenectomy. They may have trouble eating certain solid foods, since their tongue and lip ties will make it difficult to chew and swallow properly. Kids with tongue and lip ties may also develop speech impediments, and have trouble pronouncing certain sounds like “T” “D” “N” “L” and “S.”

We know that it can be hard to tell if your child has tongue and lip ties, or if they need a frenectomy. But you’re not in this alone. With just a quick consultation at Kids Tooth Team, Dr. Alex can diagnose your child, assess the severity of their tongue and lip ties, and determine if a frenectomy is right for your little one. Don’t wait, and contact us today for help with tongue and lip ties.

Restorative - FAQ 5

Kids with healthy teeth will not need tooth extractions. There are only a few exceptions. For example, some kids may have an extra tooth, or may need one or more teeth to be removed as part of the process of getting orthodontic treatment.

Wisdom teeth are another exception. These teeth grow in later than the rest of your child’s teeth, between the ages of 17-25. They're a natural part of the mouth, but many kids don’t have enough space in their mouths to accommodate them. If they don’t grow into their mouth correctly, your child’s wisdom teeth may need to be extracted.

But for the most part, tooth extractions are only needed when your child has an unhealthy tooth that can’t be saved with any other treatment. Tooth extractions are always a last resort option at Kids Tooth Team. Whenever possible, we will try to save your child’s tooth with treatments like a pulpotomy.

Sometimes, though, a tooth may be too damaged to save, or it may be necessary to pull it to prevent further complications. If this is the case for your child, Dr. Otto may recommend a tooth extraction. We offer gentle extractions, and keep your child comfortable with dental sedation throughout the entire process.

Once your child’s unhealthy tooth has been pulled, it will need to be replaced. If it was a baby tooth, Dr. Otto will recommend a space maintainer, which will maintain the proper gap in their smile until their adult tooth erupts.

However, if your child has lost an adult tooth, they will need a replacement. Dental implants are typically the best option for replacing adult teeth. However, they usually are not placed until your child is 16-18 years old, and their jaw has finished developing. Until then, a fixed or removable bridge can be used to replace the missing tooth.

Still have questions?

Give us a call to chat with one of our friendly team members!

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