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Dr. Ledenyi's conservative pediatric dentistry....

your child has a cavity but filling?


What’s a “Watch?” (Active Surveillance)


Dr. Ledenyi practices conservative dental treatment and only does fillings when they are absolutely needed.  With his specialty training, focus on prevention and continuing education, Dr. Ledenyi designs treatment plans that may be different from other dentists.  He does not want to put your child through any procedures unless they are necessary for your child’s health. 


Dr. Ledenyi may develop a treatment plan for your child that includes “watches.”  You will see them designated on the treatment plan we give you by a “W” above/below the tooth.  These are either small cavities that are not causing your child trouble at the time of his assessment or another condition to monitor.    Teeth are marked to “watch” - be under Active Surveillance when


  • There is a condition that puts your child's dental health  at risk but is not causing problems at the time of the exam.
  • The decay (incipient decay) will likely be slow enough to not cause problems before the tooth naturally falls out as your child ages.  Dr. Ledenyi makes recommendations on how to help slow down – hopefully stop – the rate of decay.  How fast decay progresses depends on several factors, several of which are controllable.  They need to be monitored over time.
  • With proper treatment, we can often keep the cavity from causing problems by following his recommendations. 

Did you realize some cavities can “heal?” This is called “remineralization.”


It is absolutely essential you follow recommendations and keep regularly scheduled dental visits.  This way we can do our part to “watch” the tooth or make adjustments in your child’s treatment plan if needed.  Cavities are contagious bacterial infections of the tooth.  Some bacteria are more aggressive than others.  Since we do not know which bacteria your child has at the time of assessment or what kind they may be exposed to later (by sharing food/utensils/drinks, kisses), we must make changes in diet, in oral hygiene and keep recommended appointments.


SO… your child has a cavity but is not getting a filling.   Phew – right?


Please follow recommendations and call us if you ever have questions or concerns regarding a “watch” or any other dental health issue your child may have.  Active Surveillance is an important component of conservative, pro-active pediatric dentistry that takes a team to be successful.  This means that not all children are candidates for Active Surveillance if, for whatever reason, recommendations cannot be followed consistently. We value working with you as a team to keep your child healthy!

exams and cleanings

Regular Exams and Cleanings

Regular exams are an important part of maintaining your child's oral health. During your child's regular exam, we will:

  • Check for any problems that may not be seen or felt
  • Look for cavities or any other signs of tooth decay
  • Inspect the teeth and gums for gingivitis and signs of periodontal disease
  • Perform a thorough teeth cleaning

Your child's exam will take about 45 minutes. Each regular exam includes a detailed teeth cleaning, in which we will clean, polish, and rinse the teeth to remove any tartar and plaque that have built up on the tooth's surface.

Visiting our office every six months gives you the chance to talk to the doctor about any questions you may have about your child's oral health. Regular exams are offered by appointment only, so please contact our practice today to schedule your child's next dental exam and teeth cleaning.

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