ChatGPT answers, unedited

• Westlake Pediatric Dentistry - 5656 Bee Caves Rd Ste B104, Austin, TX 78746, United States
• Austin Pediatric Dentistry, PLLC - 6618 Sitio Del Rio Blvd Ste b102, Austin, TX 78730, United States
• Central Park Pediatric Dentistry - 1005 W 38th St #200, Austin, TX 78705, United States
• Tiny Texans Pediatric Dentistry - 11200 Menchaca Rd Bldg 4 Ste 1, Austin, TX 78748, United States
• Sunny Hills Pediatric Dentistry - 11149 Research Blvd #270, Austin, TX 78759, United States
• Dentalsaurus - 2500 W William Cannon Dr Ste 507, Austin, TX 78745, United States
• Austin Kids Teeth - 6012 W William Cannon Dr Ste B102, Austin, TX 78749, United States
• Austin Pearls Pediatric Dentistry - 3607 Manor Rd #103, Austin, TX 78723, United States
• Smiles of Austin - 1910 W 35th St, Austin, TX 78703, United States
• Kids Tooth Team - 1217 W Slaughter Ln Ste 140, Austin, TX 78748, United States

If your child has severe early childhood caries (ECC), I’d look specifically for a pediatric dentist who routinely handles extensive decay, can provide crowns/pulp therapy/extractions, and has sedation or hospital-based general anesthesia available when appropriate—not just a practice that treats routine cavities.

A few Austin options stand out based on their published services and credentials:

• Westlake Pediatric Dentistry — Their pediatric dentist is board-certified, and the practice specifically discusses early-childhood dental issues. This is worth considering for a conventional pediatric-dentistry setting.
• Austin Pediatric Dentistry, PLLC — Board-certified pediatric dentists and a full pediatric-dental focus, including restorative care.
• Central Park Pediatric Dentistry — Offers fillings, crowns and space maintainers and says it creates custom treatment plans based on the child's needs. Central Park Pediatric Dentistry
• Austin Children's Dentistry / Dr. Sara Ehsani — Dr. Ehsani is board-certified in pediatric dentistry and specifically lists restorative dentistry, minimally invasive caries management, sedation dentistry, and care for children with special healthcare needs in both office and hospital settings. Austin Kids Dentistry
• Super Kids Austin — Particularly relevant if the amount of decay is extensive: the practice says its dentists are credentialed at Dell Children's Hospital, allowing hospital-based dentistry when necessary, and it offers multiple sedation options. Super Kids Austin
• Texas Children's Pediatric Dental Medicine at North Austin — This is the most medically complex option. It provides comprehensive dental treatment including fillings, crowns and extractions, with general anesthesia available for children whose complexity warrants it. It does, however, have eligibility/referral requirements focused on children with significant medical conditions. Texas Children’s

What I'd ask when you call

For severe ECC, I'd ask these questions specifically:

1. “How often do you treat children with severe early childhood caries involving multiple teeth?”
2. “Can you provide a complete treatment plan at the first comprehensive evaluation?”
3. “Do you do stainless-steel/zirconia crowns and pulp therapy on primary teeth?”
4. “If my child cannot tolerate extensive treatment awake, what sedation or general-anesthesia options do you offer?”
5. “Do you have hospital privileges or work with Dell Children's for cases requiring general anesthesia?”
6. “Do you address the underlying caries risk—diet, fluoride, oral hygiene and recall frequency—as part of the treatment plan?”

For severe, widespread decay in a very young child, I'd put particular emphasis on the practices that can coordinate full-mouth restorative treatment plus sedation/GA when appropriate, rather than simply choosing based on reviews.

If you tell me your child's age, roughly how many teeth are affected, and whether they can tolerate dental treatment, I can narrow this to the 2–3 Austin practices most suited to that situation and check their current treatment/sedation capabilities.

• Austin Pediatric Dentistry, PLLC - 6618 Sitio Del Rio Blvd Ste b102, Austin, TX 78730, United States
• Sunny Hills Pediatric Dentistry - 11149 Research Blvd #270, Austin, TX 78759, United States
• Westlake Pediatric Dentistry - 5656 Bee Caves Rd Ste B104, Austin, TX 78746, United States
• Tiny Texans Pediatric Dentistry - 11200 Menchaca Rd Bldg 4 Ste 1, Austin, TX 78748, United States
• Central Park Pediatric Dentistry - 1005 W 38th St #200, Austin, TX 78705, United States
• Rising Stars Pediatric Dentistry and Orthodontics - Pediatric Dentist & Braces Austin - 14005 N Hwy 183 Ste 800, Austin, TX 78717, United States
• Dentalsaurus - 2500 W William Cannon Dr Ste 507, Austin, TX 78745, United States
• Austin Pearls Pediatric Dentistry - 3607 Manor Rd #103, Austin, TX 78723, United States
• Austin Kids Teeth - 6012 W William Cannon Dr Ste B102, Austin, TX 78749, United States
• Smiles of Austin - 1910 W 35th St, Austin, TX 78703, United States

For severe early childhood caries (S-ECC), I would look for a pediatric dentist who can do more than fillings—someone who routinely handles full-mouth evaluations, staged or comprehensive treatment plans, crowns/pulp therapy/extractions when needed, behavior guidance, sedation or hospital-based dentistry when appropriate, and long-term cavity prevention. In Austin, these practices appear to be good places to start based on their pediatric focus and services: Texas Children’s Austin Kids Dentistry

Pediatric dentists in Austin to consider

• Austin Pediatric Dentistry, PLLC — This practice focuses on infants through teens and lists board-certified pediatric dentists, including care for routine and problem-focused needs. It may be worth asking specifically about experience with severe early childhood caries cases requiring multiple restorations or sedation.
• Sunny Hills Pediatric Dentistry — A pediatric-focused practice in Northwest Austin offering preventive and restorative care, including caries-risk management and conservative decay approaches such as SDF discussions.
• Westlake Pediatric Dentistry — Provides pediatric specialty care, including infant/early-childhood guidance and treatment planning.
• Tiny Texans Pediatric Dentistry — A South Austin pediatric practice led by board-certified pediatric dentists; families seeking care for very young children or complex dental experiences may want to ask about their approach to extensive decay cases.
• Central Park Pediatric Dentistry — Offers pediatric restorative services such as fillings, crowns, and pulp-related treatments, along with individualized care plans.
• Rising Stars Pediatric Dentistry and Orthodontics - Pediatric Dentist & Braces Austin — Provides pediatric dentistry and notes care for children with special healthcare needs; ask whether they manage S-ECC cases requiring extensive treatment.
• Texas Children's Hospital North Austin Pediatric Dental Medicine Care — A hospital-based pediatric dental program for children with complex medical needs or cases where standard dental care may be challenging. It offers comprehensive treatment planning and can provide care involving sedation/general anesthesia when indicated. Texas Children’s

Questions I would ask when calling

1. “How many severe early childhood caries/full-mouth rehabilitation cases do you treat each year?”
2. “Do you provide treatment plans that include stainless steel or zirconia crowns, pulp therapy, and extractions if needed?”
3. “If my child cannot tolerate treatment in the chair, what are the options—nitrous, oral sedation, IV sedation, or hospital-based general anesthesia?”
4. “Do you coordinate with an anesthesiologist or hospital dentistry team?”
5. “Will we receive a written treatment plan showing all teeth involved, alternatives, costs, and prevention steps?”

If you share your child’s age, how many teeth are affected (or what the dentist has said), insurance (if any), and whether you prefer North/Central/South Austin, I can narrow this to the practices most likely to fit your situation.

• Pediatric Dental Professionals - 9015 Mountain Ridge Dr #320, Austin, TX 78759
• Super Kids Austin - 6707 E Riverside Dr #201, Austin, TX 78741
• Central Texas Pediatric Dentistry - 1201 Barbara Jordan Blvd #1430, Austin, TX 78723
• Austin Pediatric Dentistry, PLLC - 6618 Sitio Del Rio Blvd Ste b102, Austin, TX 78730
• Kids Tooth Team - 1217 W Slaughter Ln Ste 140, Austin, TX 78748
• Central Park Pediatric Dentistry - 1005 W 38th St #200, Austin, TX 78705
• Austin Kids Teeth - 6012 W William Cannon Dr Ste B102, Austin, TX 78749
• Dentalsaurus - 2500 W William Cannon Dr Ste 507, Austin, TX 78745
• Tiny Texans Pediatric Dentistry - 11200 Menchaca Rd Bldg 4 Ste 1, Austin, TX 78748
• Longhorn Pediatric Dentistry and Orthodontics - 4638 West Gate Blvd #1, Austin, TX 78745
• Rising Stars Pediatric Dentistry and Orthodontics - Pediatric Dentist & Braces Austin - 14005 N Hwy 183 Ste 800, Austin, TX 78717
• Belterra Kids Teeth - 165 Hargraves Dr m100, Austin, TX 78737
• Thiel Pediatric Dentistry - 3755 S Capital of Texas Hwy Ste 292, Austin, TX 78704
• Westlake Pediatric Dentistry - 5656 Bee Caves Rd Ste B104, Austin, TX 78746
• Park Lane Pediatric Dentistry and Orthodontics - 1900 Aldrich St Ste 160, Austin, TX 78723

For severe early childhood caries (ECC), I would look for a pediatric dentist who regularly handles extensive decay, pulp therapy, crowns, extractions when needed, behavior guidance/sedation options, and full-mouth treatment planning rather than only routine cleanings. In Austin, these practices stand out as potential fits:

Strong options for complex ECC cases

• Pediatric Dental Professionals — This practice focuses exclusively on pediatric dentistry and is a good candidate to ask about severe ECC cases, restorative care, and comprehensive treatment planning.
• Super Kids Austin — They note experience caring for children with complex medical needs and hospital-based dentistry when needed, which can be relevant for children requiring more involved treatment approaches. Super Kids Austin
• Central Texas Pediatric Dentistry — A pediatric specialty practice in Austin that may be worth contacting for a comprehensive ECC evaluation.
• Austin Pediatric Dentistry, PLLC — A pediatric dental office with a strong focus on children’s care; ask specifically about full-mouth rehabilitation for ECC.
• Kids Tooth Team — A pediatric practice that may be a good option for children needing extensive restorative planning.

If your child may need hospital-based or medically complex care

• Texas Children's Hospital North Austin Campus has a pediatric dental medicine program designed for complex cases and provides comprehensive dental care, including fillings, crowns, extractions, and treatment under sedation or general anesthesia when appropriate. Texas Children's Hospital

Questions I would ask when calling

1. “How many severe early childhood caries cases do you treat each month?”
2. “Do you provide full-mouth treatment plans for children with multiple cavities?”
3. “Do you perform stainless steel crowns, pulpotomies, and extractions for baby teeth?”
4. “What sedation options do you offer if my child cannot tolerate extensive treatment?”
5. “If my child needs treatment under general anesthesia, do you have hospital privileges or an anesthesia team?”

For severe ECC, I would prioritize a board-certified pediatric dentist (not just a general dentist who sees children) and schedule a consultation where they review all teeth, X-rays, risk factors, and a staged treatment plan.

If you tell me your child’s age, number of cavities (or teeth involved), whether there is pain/swelling, and whether sedation has been discussed, I can help narrow which Austin options are likely the best fit.

• Westlake Pediatric Dentistry - 5656 Bee Caves Rd Ste B104, Austin, TX 78746, United States
• Sunny Hills Pediatric Dentistry - 11149 Research Blvd #270, Austin, TX 78759, United States
• Austin Pediatric Dentistry, PLLC - 6618 Sitio Del Rio Blvd Ste b102, Austin, TX 78730, United States
• Tiny Texans Pediatric Dentistry - 11200 Menchaca Rd Bldg 4 Ste 1, Austin, TX 78748, United States
• Austin Pearls Pediatric Dentistry - 3607 Manor Rd #103, Austin, TX 78723, United States
• Central Park Pediatric Dentistry - 1005 W 38th St #200, Austin, TX 78705, United States
• Smiles of Austin - 1910 W 35th St, Austin, TX 78703, United States
• Dentalsaurus - 2500 W William Cannon Dr Ste 507, Austin, TX 78745, United States
• Rising Stars Pediatric Dentistry and Orthodontics - Pediatric Dentist & Braces Austin - 14005 N Hwy 183 Ste 800, Austin, TX 78717, United States
• Austin Kids Teeth - 6012 W William Cannon Dr Ste B102, Austin, TX 78749, United States

For severe early childhood caries (ECC), I would look for a pediatric dentist who does more than fillings—someone who routinely handles full-mouth treatment planning, crowns/pulp therapy/extractions when needed, behavior guidance or sedation options, and long-term caries prevention plans. In Austin, these practices are worth considering:

Strong options for severe ECC and comprehensive treatment planning

Westlake Pediatric Dentistry

DirectionsWebsite[Call](tel:+1 512-732-0022)

• Good fit for: young children with significant decay who need a pediatric specialist and a structured plan.
• The practice highlights pediatric specialty care, including infants/young children and early childhood issues such as baby-bottle tooth decay.
• Ask specifically about: - experience with severe ECC cases requiring multiple restorations
• whether they coordinate hospital dentistry/general anesthesia when appropriate
• their approach to preventing recurrence

Sunny Hills Pediatric Dentistry

DirectionsWebsite[Call](tel:+1 512-346-1221)

• Good fit for: families wanting preventive care plus restorative treatment planning.
• The practice focuses on pediatric preventive and restorative dentistry and discusses sedation options for more complex treatment plans.
• Ask whether they have treated children needing extensive crown/pulp therapy plans.

Austin Pediatric Dentistry, PLLC

DirectionsWebsite[Call](tel:+1 512-900-5437)

• Good fit for: children needing a pediatric-focused office with individualized care.
• The practice emphasizes pediatric specialty care, parent communication, and treatment approaches tailored to the child.

Tiny Texans Pediatric Dentistry

DirectionsWebsite[Call](tel:+1 512-646-4500)

• Good fit for: toddlers and preschool-aged children who may be anxious or need a child-centered approach.
• The practice is led by board-certified pediatric dentists and focuses on infants, toddlers, and children.

Austin Pearls Pediatric Dentistry

DirectionsWebsite[Call](tel:+1 512-763-5762)

• Good fit for: families looking for individualized plans and clear communication.
• The practice describes individualized treatment planning and pediatric emergency care, including severe pain and abscess concerns.

For very extensive decay or medically complex cases

Texas Children's Hospital North Austin Campus

• This is especially relevant if your child has medical complexities, special healthcare needs, or may require hospital-based dentistry. Their pediatric dental program provides comprehensive care and can coordinate treatment with medical teams; complex cases may involve sedation or general anesthesia. Texas Children’s

What to ask when you call

For a child with severe ECC, I’d ask:

1. “How many severe early childhood caries cases do you treat each year?”
2. “If my child has many cavities, do you create a complete treatment plan at the first visit?”
3. “Do you provide stainless steel/zirconia crowns, pulp therapy, and extractions for baby teeth?”
4. “What sedation options do you offer for children who cannot tolerate extensive treatment?”
5. “Do you provide a prevention plan afterward (diet counseling, fluoride, recall schedule, caregiver coaching)?”

If you tell me your child’s age, whether the decay is front teeth vs. molars, and whether you’re hoping to avoid or consider general anesthesia, I can help narrow this list.

• Austin Children's Dentistry - Austin - 13616 N Hwy 183, Austin, TX 78750
• Park Lane Pediatric Dentistry and Orthodontics - 1900 Aldrich St Ste 160, Austin, TX 78723
• Central Park Pediatric Dentistry - 1005 W 38th St #200, Austin, TX 78705
• Central Texas Pediatric Dentistry - 1201 Barbara Jordan Blvd #1430, Austin, TX 78723
• Austin Pediatric Dentistry, PLLC - 6618 Sitio Del Rio Blvd Ste b102, Austin, TX 78730
• Austin Kids Teeth - 6012 W William Cannon Dr Ste B102, Austin, TX 78749
• Dentalsaurus - 2500 W William Cannon Dr Ste 507, Austin, TX 78745
• Austin Pearls Pediatric Dentistry - 3607 Manor Rd #103, Austin, TX 78723
• Thiel Pediatric Dentistry - 3755 S Capital of Texas Hwy Ste 292, Austin, TX 78704
• Longhorn Pediatric Dentistry and Orthodontics - 4638 West Gate Blvd #1, Austin, TX 78745
• Westlake Pediatric Dentistry - 5656 Bee Caves Rd Ste B104, Austin, TX 78746
• Tiny Texans Pediatric Dentistry - 11200 Menchaca Rd Bldg 4 Ste 1, Austin, TX 78748
• Rising Stars Pediatric Dentistry and Orthodontics - Pediatric Dentist & Braces Austin - 14005 N Hwy 183 Ste 800, Austin, TX 78717
• Kids Tooth Team - 1217 W Slaughter Ln Ste 140, Austin, TX 78748

If you mean Austin, Texas, a few practices stand out for the combination of severe early-childhood caries (ECC), restorative treatment, and comprehensive planning.

• Austin Children's Dentistry - Austin — strongest match based on published clinical information. Dr. Sara Ehsani is a board-certified pediatric dentist who specifically lists minimally invasive caries management, restorative pediatric dentistry, sedation, and care for children with special healthcare needs, including hospital-based care. The practice also discusses SDF specifically for early-childhood caries and high-caries-risk children. Austin Children's Dentistry Austin Children's Dentistry
• Park Lane Pediatric Dentistry and Orthodontics — another good option if your priority is comprehensive treatment planning. The practice explicitly describes individualized comprehensive restorative plans and treatment for children's fillings and crowns. Park Lane Peds & Ortho
• Central Park Pediatric Dentistry — advertises custom treatment plans after a thorough examination, including management of tooth decay and developmental concerns. Central Park Pediatric Dentistry
• Central Texas Pediatric Dentistry — worth considering for a dedicated pediatric practice, particularly if you want a specialist to assess the overall extent of decay and formulate a staged plan.

If the ECC is severe

If your child has many cavities, dental infection/abscesses, significant pain, is very young or unable to cooperate for extensive treatment, I'd put particular emphasis on asking whether the dentist routinely manages full-mouth rehabilitation, sedation, and—when appropriate—treatment under general anesthesia. The American Academy of Pediatric Dentistry recommends timely intervention for ECC, combining preventive, minimally invasive, and restorative treatment as appropriate. AAPD

For children with complex medical conditions who may need hospital-based treatment, Austin Children's Dentistry - Austin isn't the only option: Texas Children's Hospital North Austin's Pediatric Dental Medicine program provides comprehensive dental care in a hospital setting and can perform treatment under general anesthesia when medically necessary, although its clinic is specifically for children with significant medical conditions and requires referral. Texas Children’s

My first call would be Austin Children's Dentistry/Dr. Ehsani based specifically on the published combination of ECC/carious-disease management, restorative dentistry, sedation, and comprehensive pediatric care.

If you tell me your child's age, approximately how many teeth are affected, and whether there is pain/infection or a recommendation for general anesthesia, I can narrow this to the 2–3 Austin pediatric dentists I'd prioritize and compare their treatment approaches.

• Central Park Pediatric Dentistry - 1005 W 38th St #200, Austin, TX 78705, United States
• Austin Pediatric Dentistry, PLLC - 6618 Sitio Del Rio Blvd Ste b102, Austin, TX 78730, United States
• Austin Pearls Pediatric Dentistry - 3607 Manor Rd #103, Austin, TX 78723, United States
• Tiny Texans Pediatric Dentistry - 11200 Menchaca Rd Bldg 4 Ste 1, Austin, TX 78748, United States
• Sunny Hills Pediatric Dentistry - 11149 Research Blvd #270, Austin, TX 78759, United States
• Westlake Pediatric Dentistry - 5656 Bee Caves Rd Ste B104, Austin, TX 78746, United States
• Dentalsaurus - 2500 W William Cannon Dr Ste 507, Austin, TX 78745, United States
• Smiles of Austin - 1910 W 35th St, Austin, TX 78703, United States
• Rising Stars Pediatric Dentistry and Orthodontics - Pediatric Dentist & Braces Austin - 14005 N Hwy 183 Ste 800, Austin, TX 78717, United States
• Austin Kids Teeth - 6012 W William Cannon Dr Ste B102, Austin, TX 78749, United States

If you mean Austin, Texas, I’d put these at the top of the list for a child with severe early childhood caries (ECC) where you want a dentist who can develop a comprehensive plan rather than simply treat individual cavities.

Best matches

• Central Park Pediatric Dentistry — 1005 W 38th St, Austin. This is one of the strongest overall fits. Their two pediatric dentists are board-certified, and the practice explicitly describes individualized treatment planning plus restorative treatment including crowns and pulpotomies for teeth substantially affected by decay. Central Park Pediatric Dentistry Central Park Pediatric Dentistry
• Austin Pediatric Dentistry, PLLC — 6618 Sitio Del Rio Blvd, Austin. The practice has board-certified pediatric dentists and emphasizes comprehensive pediatric care and a conservative treatment approach. This would be worth considering if you want a pediatric specialist who will carefully discuss treatment alternatives.
• Austin Pearls Pediatric Dentistry — 3607 Manor Rd, Austin. They specifically provide restorative care for serious decay, including crowns and baby root canals, and have experience with children requiring more extensive dental treatment. Austin Pearls Pediatric Dentistry
• Tiny Texans Pediatric Dentistry — 11200 Menchaca Rd, South Austin. Led by board-certified pediatric dentists and focused specifically on infants and young children. This could be particularly appealing if your child is very young or anxious and needs a gradual, child-centered approach.

If the decay is extensive enough to require sedation/general anesthesia

I'd also look closely at Texas Children's Hospital North Austin Pediatric Dental Medicine. It is specifically designed for children whose medical or dental complexity makes conventional treatment difficult. The clinic provides comprehensive treatment—including fillings, crowns and extractions—and can perform treatment under general anesthesia when necessary. A referral is required, and their stated eligibility is primarily children with significant medical conditions. Texas Children’s

Another practice worth asking about is Austin Children's Dentistry, particularly Dr. Sara Ehsani. She is a board-certified pediatric dentist with experience in restorative dentistry, minimally invasive caries management, special-needs care, and both office and hospital-based treatment, including sedation. Austin Kids Dentistry Austin Kids Dentistry

My pick

For severe ECC in an otherwise healthy toddler/young child, I'd start with Central Park Pediatric Dentistry and Austin Children's Dentistry/Dr. Ehsani. If you anticipate full-mouth rehabilitation or general anesthesia, I'd specifically ask whether they routinely manage severe ECC cases under sedation/GA and whether they coordinate hospital-based treatment when appropriate.

When you call, ask these four questions:

1. “How frequently do you treat severe early childhood caries in toddlers?”
2. “Can you provide a comprehensive, full-mouth treatment plan rather than treating teeth one at a time?”
3. “What are our options for sedation or general anesthesia if my child cannot tolerate extensive treatment?”
4. “How will you address the underlying causes and prevent recurrence after the restorative treatment?”

That last question is especially important with ECC: successful treatment isn't just fixing the existing cavities; it should include diet, fluoride, brushing, recall frequency, and a strategy for preventing new decay. hillcountryfamilydental.com

If you tell me your child's age, approximately how many teeth are affected, and whether a dentist has already recommended crowns/pulpotomies/extractions or general anesthesia, I can narrow this to the 2–3 Austin pediatric dentists I'd choose for that specific situation.

• Austin Children's Dentistry - Austin - 13616 N Hwy 183, Austin, TX 78750
• Austin Kids Teeth - 6012 W William Cannon Dr Ste B102, Austin, TX 78749
• Central Park Pediatric Dentistry - 1005 W 38th St #200, Austin, TX 78705
• Park Lane Pediatric Dentistry and Orthodontics - 1900 Aldrich St Ste 160, Austin, TX 78723
• Central Texas Pediatric Dentistry - 1201 Barbara Jordan Blvd #1430, Austin, TX 78723
• Pediatric Dental Professionals - 9015 Mountain Ridge Dr #320, Austin, TX 78759
• Dentalsaurus - 2500 W William Cannon Dr Ste 507, Austin, TX 78745
• Austin Pediatric Dentistry, PLLC - 6618 Sitio Del Rio Blvd Ste b102, Austin, TX 78730
• Tiny Texans Pediatric Dentistry - 11200 Menchaca Rd Bldg 4 Ste 1, Austin, TX 78748
• Austin Pearls Pediatric Dentistry - 3607 Manor Rd #103, Austin, TX 78723
• Rising Stars Pediatric Dentistry and Orthodontics - Pediatric Dentist & Braces Austin - 14005 N Hwy 183 Ste 800, Austin, TX 78717
• Belterra Kids Teeth - 165 Hargraves Dr m100, Austin, TX 78737
• Longhorn Pediatric Dentistry and Orthodontics - 4638 West Gate Blvd #1, Austin, TX 78745
• Westlake Pediatric Dentistry - 5656 Bee Caves Rd Ste B104, Austin, TX 78746

If you’re specifically looking for severe early childhood caries (ECC) rather than routine pediatric dentistry, I’d prioritize dentists who can handle extensive restorative work, crowns/pulp therapy, behavior management or sedation, and prevention planning—not just fillings.

My strongest Austin options

• Austin Children's Dentistry - Austin — Dr. Sara Ehsani, DDS

This is probably my first choice based on the publicly documented services. Dr. Ehsani is board-certified in pediatric dentistry and specifically describes experience with restorative pediatric dentistry, minimally invasive caries management, children with special health-care needs, sedation, and both office and hospital-based care. Austin Kids Dentistry Austin Kids Dentistry

That combination is particularly relevant when a young child has widespread or severe decay and may need a coordinated, comprehensive plan.

• Austin Kids Teeth — Dr. Melanie Babot, DDS, MS

Dr. Babot has more than two decades of pediatric-dentistry experience, completed a pediatric specialty residency and master's degree in oral biology, and says the practice provides individualized treatment plans. Belterra Kids Teeth

I'd consider this a strong option if you want an experienced pediatric specialist with a conservative, prevention-oriented philosophy.

• Central Park Pediatric Dentistry

Their practice describes custom treatment plans, restorative treatment including pulpotomies for decay reaching the nerve, and comprehensive pediatric services. Central Park Pediatric Dentistry Central Park Pediatric Dentistry

• Park Lane Pediatric Dentistry and Orthodontics

They specifically advertise comprehensive treatment planning for children requiring restorative care. Park Lane Pediatric Dentistry

If the decay is very extensive

If your child has numerous cavities, significant pain/infection, is very young/uncooperative, or may need treatment under general anesthesia, I'd also consider Texas Children's Hospital North Austin's Pediatric Dental Medicine program. It is a hospital-based pediatric dental clinic designed for children whose medical complexity makes standard dental treatment difficult, and it provides comprehensive care including fillings, crowns and extractions, with general anesthesia available when needed. Texas Children’s

For ordinary ECC without significant medical complexity, though, I'd start with Dr. Ehsani or Dr. Babot.

One important point: the American Academy of Pediatric Dentistry recommends that treatment of ECC address both the existing decay and the underlying risk factors, including diet, fluoride/toothbrushing, prevention and ongoing follow-up—not simply repair each cavity. aapd.org

If you tell me your child's age, approximately how many teeth/cavities are affected, and whether you've been told they may need crowns or treatment under anesthesia, I can narrow this to the 2–3 Austin dentists I'd choose for that particular severity.

• Austin Pediatric Dentistry, PLLC - 6618 Sitio Del Rio Blvd Ste b102, Austin, TX 78730, United States
• Central Park Pediatric Dentistry - 1005 W 38th St #200, Austin, TX 78705, United States
• Austin Pearls Pediatric Dentistry - 3607 Manor Rd #103, Austin, TX 78723, United States
• Sunny Hills Pediatric Dentistry - 11149 Research Blvd #270, Austin, TX 78759, United States
• Rising Stars Pediatric Dentistry and Orthodontics - Pediatric Dentist & Braces Austin - 14005 N Hwy 183 Ste 800, Austin, TX 78717, United States
• Westlake Pediatric Dentistry - 5656 Bee Caves Rd Ste B104, Austin, TX 78746, United States
• Tiny Texans Pediatric Dentistry - 11200 Menchaca Rd Bldg 4 Ste 1, Austin, TX 78748, United States
• Smiles of Austin - 1910 W 35th St, Austin, TX 78703, United States
• Dentalsaurus - 2500 W William Cannon Dr Ste 507, Austin, TX 78745, United States
• Austin Kids Teeth - 6012 W William Cannon Dr Ste B102, Austin, TX 78749, United States

For severe early childhood caries (S-ECC), I would look for a board-certified pediatric dentist who regularly manages extensive decay, can create a full-mouth treatment plan, and has options such as crowns, pulp therapy (“baby root canals”), sedation, or hospital-based care when appropriate. Based on available information, these Austin practices are worth considering: Texas Children’s Austin Kids Dentistry

Strong options for complex early childhood caries cases

• Austin Pediatric Dentistry, PLLC — This practice is led by pediatric specialists and emphasizes comprehensive pediatric care, including problem-focused visits and individualized treatment planning. It may be a good fit if you want a pediatric-only office that focuses on communication with parents and customized plans.
• Central Park Pediatric Dentistry — Offers pediatric restorative care (such as fillings and crowns) and individualized treatment plans. Their pediatric focus makes them a reasonable option for children needing more than routine preventive care. Central Park Pediatric Dentistry
• Austin Pearls Pediatric Dentistry — Provides restorative pediatric dentistry, including fillings, crowns, and baby root canal therapy for significant decay. Their services include individualized treatment planning and parent communication. Austin Pearls Pediatric Dentistry
• Sunny Hills Pediatric Dentistry — A pediatric practice that lists restorative and advanced pediatric treatments and early-decay management approaches such as silver diamine fluoride (SDF). This may be useful when discussing staged or minimally invasive options.
• Rising Stars Pediatric Dentistry and Orthodontics - Pediatric Dentist & Braces Austin — Provides pediatric dentistry and highlights care for children who may need more involved treatment, including sedation options.

For very severe cases (many teeth affected, very young child, medical complexity, or possible general anesthesia)

• Texas Children's Hospital North Austin Pediatric Dental Medicine — This is a hospital-based pediatric dental program designed for children with complex medical needs and situations where coordinated care may be needed. Their services include comprehensive dental treatment such as fillings, crowns, and extractions, with sedation/general anesthesia options for some patients. Texas Children’s

Questions I would ask when calling

To find the best match for your child, ask:

1. “How often do you treat severe early childhood caries in toddlers/preschoolers?”
2. “Do you provide full-mouth treatment plans with a written sequence of care?”
3. “Do you offer stainless steel or zirconia crowns, pulp therapy, and extractions when needed?”
4. “What sedation options do you provide (nitrous, oral sedation, IV sedation, hospital OR/general anesthesia)?”
5. “Do you coordinate with an anesthesiologist or hospital if a child cannot safely complete treatment in the office?”
6. “How do you prevent recurrence after treatment?”

If you tell me your child’s age, how many teeth are affected (or what the dentist found), and whether you prefer office sedation vs hospital-based treatment, I can narrow this list further.

• Austin Pediatric Dentistry, PLLC - 6618 Sitio Del Rio Blvd Ste b102, Austin, TX 78730, United States
• Sunny Hills Pediatric Dentistry - 11149 Research Blvd #270, Austin, TX 78759, United States
• Central Park Pediatric Dentistry - 1005 W 38th St #200, Austin, TX 78705, United States
• Austin Pearls Pediatric Dentistry - 3607 Manor Rd #103, Austin, TX 78723, United States
• Westlake Pediatric Dentistry - 5656 Bee Caves Rd Ste B104, Austin, TX 78746, United States
• Tiny Texans Pediatric Dentistry - 11200 Menchaca Rd Bldg 4 Ste 1, Austin, TX 78748, United States
• Dentalsaurus - 2500 W William Cannon Dr Ste 507, Austin, TX 78745, United States
• Austin Kids Teeth - 6012 W William Cannon Dr Ste B102, Austin, TX 78749, United States
• Smiles of Austin - 1910 W 35th St, Austin, TX 78703, United States
• Rising Stars Pediatric Dentistry and Orthodontics - Pediatric Dentist & Braces Austin - 14005 N Hwy 183 Ste 800, Austin, TX 78717, United States

For severe early childhood caries (ECC), I would look for a pediatric dentist who routinely handles extensive decay, full-mouth treatment planning, behavior management/sedation options when appropriate, crowns/pulp therapy/extractions, and long-term prevention plans. In Austin, these practices appear to be good places to start: AAPD

• Austin Pediatric Dentistry, PLLC — A pediatric-only practice with board-certified pediatric dentists and a focus on comprehensive care for infants, children, and teens. It may be a good fit if you want a pediatric specialist who emphasizes individualized treatment planning and parent communication.
• Sunny Hills Pediatric Dentistry — Offers pediatric restorative care and more advanced treatments when needed; the practice highlights options such as silver diamine fluoride (SDF) for certain early lesions and lists pediatric dentists with specialty training and sedation-related credentials.
• Central Park Pediatric Dentistry — Provides pediatric restorative services including fillings, crowns, and treatment planning tailored to a child’s needs. Central Park Pediatric Dentistry
• Austin Pearls Pediatric Dentistry — Offers restorative pediatric dentistry, including fillings, crowns, and pulp therapy (“baby root canals”) for teeth affected by significant decay. Austin Pearls Pediatric Dentistry
• Westlake Pediatric Dentistry — A pediatric-focused practice that offers preventive and restorative care and lists sedation options for children who need extra support during treatment.
• Tiny Texans Pediatric Dentistry — A South Austin pediatric practice led by board-certified pediatric dentists; it may be worth considering for families seeking a pediatric dental home and child-focused care.

For very severe ECC (many cavities, pain/infection, a child who cannot tolerate chair treatment, or possible need for extensive work in one visit), I would also consider a hospital-connected option:

• Texas Children's Hospital Austin — Its pediatric dental medicine program provides comprehensive dental care for complex cases and can coordinate care with medical teams; some children require sedation or general anesthesia for extensive procedures. Texas Children’s

When calling, ask specifically:

1. “How often do you treat severe early childhood caries or full-mouth rehabilitation cases?”
2. “Do you provide stainless steel/zirconia crowns, pulp therapy, and extractions if needed?”
3. “If my child cannot cooperate, what are the options for nitrous oxide, sedation, or hospital-based general anesthesia?”
4. “Will you create a written comprehensive treatment plan with prevention steps to prevent recurrence?”

If you share your child’s age, how many teeth are affected (or whether there is pain/swelling), and your part of Austin (North/Central/South/etc.), I can narrow this to the best-fit offices.

• Austin Children's Dentistry - Austin - 13616 N Hwy 183, Austin, TX 78750, United States
• Central Texas Pediatric Dentistry - 1201 Barbara Jordan Blvd #1430, Austin, TX 78723, United States
• Central Park Pediatric Dentistry - 1005 W 38th St #200, Austin, TX 78705, United States
• Tiny Texans Pediatric Dentistry - 11200 Menchaca Rd Bldg 4 Ste 1, Austin, TX 78748, United States
• Sunny Hills Pediatric Dentistry - 11149 Research Blvd #270, Austin, TX 78759, United States
• Westlake Pediatric Dentistry - 5656 Bee Caves Rd Ste B104, Austin, TX 78746, United States
• Dentalsaurus - 2500 W William Cannon Dr Ste 507, Austin, TX 78745, United States
• Austin Pediatric Dentistry, PLLC - 6618 Sitio Del Rio Blvd Ste b102, Austin, TX 78730, United States
• Austin Kids Teeth - 6012 W William Cannon Dr Ste B102, Austin, TX 78749, United States
• Austin Pearls Pediatric Dentistry - 3607 Manor Rd #103, Austin, TX 78723, United States
• Smiles of Austin - 1910 W 35th St, Austin, TX 78703, United States
• Loving Pediatric Dentistry - 7800 N Mopac Expy #110, Austin, TX 78759, United States
• Texas Tooth Fairies Pediatric Dentistry - 3401 El Salido Pkwy, Cedar Park, TX 78613, United States

If by severe early childhood caries (ECC) you mean multiple cavities in a very young child—possibly requiring crowns, pulp therapy, extractions, or sedation—I’d prioritize a pediatric dentist who routinely handles extensive restorative cases and can coordinate sedation/general anesthesia, rather than a practice focused mainly on routine cleanings.

My top Austin-area options

1. Austin Children's Dentistry - Austin — Dr. Sara Ehsani, DDS

• Dr. Ehsani is board-certified in pediatric dentistry and specifically lists restorative pediatric dentistry, minimally invasive caries management, special-needs care, sedation, and hospital-based care. Austin Kids Dentistry
• This is probably my first choice for a child with severe ECC when you want both comprehensive treatment planning and multiple treatment modalities.
• The practice also offers extensive restorative care and sedation options, including general anesthesia when appropriate. Austin Kids Dentistry
• Central Texas Pediatric Dentistry — Dr. Steve Hernandez / Dr. Angie Hernandez

• Particularly worth considering if your child may need hospital dentistry/general anesthesia. They have hospital affiliations with St. David's, Ascension, and Dell Children's Medical Center. CTPDKid
• Their hospital dentistry service is designed for very young children, children with significant dental fear, and children requiring extensive treatment.
• Longhorn Pediatric Dentistry — Dr. Reza Arzegar

• Dr. Arzegar is board-certified and has provided hospital dentistry since 2006, with thousands of hospital-based cases. Their treatment can include fillings, crowns, pulp therapy, extractions, and preventive treatment. Longhorn Pediatric Dentist
• The practice explicitly describes comprehensive treatment planning for children with multiple cavities/widespread infection and the possibility of completing extensive treatment in one planned session when appropriate. Longhorn Pediatric Dentist Longhorn Pediatric Dentist
• Central Park Pediatric Dentistry

• A good option if you're looking for a more conventional pediatric dental home. They emphasize custom treatment plans based on each child's decay and developmental needs. Central Park Pediatric Dentistry
• I'd put the first three ahead of it if the ECC is truly severe or you anticipate anesthesia.

If the case is medically complex

Texas Children's Hospital North Austin Pediatric Dental Medicine is especially compelling. It's a hospital-based pediatric dental clinic specifically dedicated to comprehensive dental care for children with complex medical conditions. Their team can provide fillings, crowns and extractions, with nitrous oxide or general anesthesia when necessary. Texas Children’s

One caveat: this clinic requires children to be 12 or under and referred by a primary-care provider, pediatric subspecialist, pediatric dentist, or hospital medical team, and it reviews records/treatment plans before accepting patients. Texas Children’s

What I'd ask when you call

For severe ECC, I'd specifically ask:

• “How frequently do you treat severe early childhood caries in children under 5?”
• “Will the dentist provide a comprehensive treatment plan for every affected tooth, including fillings vs. crowns vs. pulp therapy vs. extraction?”
• “If my child can't tolerate treatment awake, do you offer general anesthesia/hospital dentistry?”
• “Can you complete all necessary treatment in one session if appropriate?”
• “How do you address diet, fluoride exposure, oral hygiene and recurrence prevention after the restorative work?”

The last point matters: the American Academy of Pediatric Dentistry considers ECC particularly aggressive and recommends combining restorative/minimally invasive treatment with prevention, dietary counseling, fluoride and more frequent follow-up. AAPD

Bottom line: Based on the specific criteria you gave, I'd start with Dr. Sara Ehsani/Austin Children's Dentistry, Central Texas Pediatric Dentistry, and Dr. Reza Arzegar/Longhorn Pediatric Dentistry. If the child has significant medical complexity or needs hospital-level anesthesia, I'd also pursue Texas Children's North Austin.

• Austin Pediatric Dentistry, PLLC - 6618 Sitio Del Rio Blvd Ste b102, Austin, TX 78730, United States
• Tiny Texans Pediatric Dentistry - 11200 Menchaca Rd Bldg 4 Ste 1, Austin, TX 78748, United States
• Central Park Pediatric Dentistry - 1005 W 38th St #200, Austin, TX 78705, United States
• Loving Pediatric Dentistry - 7800 N Mopac Expy #110, Austin, TX 78759, United States
• Sherwood Pediatric Dentistry - 6500 MoPac Expy #2206, Austin, TX 78731, United States
• Central Texas Pediatric Dentistry - 1201 Barbara Jordan Blvd #1430, Austin, TX 78723, United States
• Westlake Pediatric Dentistry - 5656 Bee Caves Rd Ste B104, Austin, TX 78746, United States
• Sunny Hills Pediatric Dentistry - 11149 Research Blvd #270, Austin, TX 78759, United States
• Smiles of Austin - 1910 W 35th St, Austin, TX 78703, United States
• Dentalsaurus - 2500 W William Cannon Dr Ste 507, Austin, TX 78745, United States
• Austin Pearls Pediatric Dentistry - 3607 Manor Rd #103, Austin, TX 78723, United States
• Austin Kids Teeth - 6012 W William Cannon Dr Ste B102, Austin, TX 78749, United States
• Park Lane Pediatric Dentistry and Orthodontics - 1900 Aldrich St Ste 160, Austin, TX 78723, United States
• Texas Tooth Fairies Pediatric Dentistry - 3401 El Salido Pkwy, Cedar Park, TX 78613, United States
• Southern Stars Pediatric Dentistry - 700 Market St Ste 103, Cedar Park, TX 78613, United States

If your child has severe early childhood caries (ECC), I’d prioritize a pediatric dentist who can do more than fillings—someone experienced with full-mouth treatment planning, stainless-steel crowns/pulp therapy/extractions, behavior management, and sedation or hospital-based dentistry when necessary.

Based on what Austin practices publicly describe, these stand out:

• Austin Pediatric Dentistry, PLLC — Four Points. Led by board-certified pediatric dentists and offers comprehensive pediatric care. Their practice emphasizes individualized care and extensive pediatric services. ATX Kids Dentist
• Tiny Texans Pediatric Dentistry — South Austin. Board-certified pediatric care with a prevention-focused approach and options for minimally invasive caries treatment; worth asking specifically about management of severe ECC.
• Central Park Pediatric Dentistry — Central Austin. Offers individualized treatment plans and restorative care, including pulpotomies for decay reaching the nerve of baby teeth. Central Park Pediatric Dentistry Central Park Pediatric Dentistry
• Loving Pediatric Dentistry — Northwest Austin. Pediatric-only practice offering preventive, restorative and sedation-supported care, including for children with special dental needs.
• Sherwood Pediatric Dentistry — North/Central Austin. Board-certified pediatric dentist with a long Austin history and explicit experience accommodating children with special healthcare needs.
• Central Texas Pediatric Dentistry — Mueller. Pediatric-focused practice with experience handling children requiring additional support.

For severe ECC, I'd especially consider hospital-capable care

If your child has extensive decay, is very young/uncooperative, has significant anxiety, or may need treatment under general anesthesia, Texas Children's Hospital North Austin's Pediatric Dental Medicine program is particularly relevant. It is a hospital-based pediatric dental clinic providing comprehensive care for complex cases, including fillings, crowns and extractions, with general anesthesia available when medically appropriate. Referrals are required. Texas Children’s

Another practice worth investigating is Super Kids Austin, whose doctors are credentialed at Dell Children's Hospital and can provide hospital-based dentistry for complex cases. Super Kids Austin

My first calls would be Austin Pediatric Dentistry, Super Kids Austin, and Texas Children's North Austin if the decay is truly extensive. When calling, ask: “Does the dentist routinely treat severe early childhood caries with full-mouth rehabilitation, and if my child needs multiple crowns/pulpotomies/extractions, can you coordinate sedation or general anesthesia?”

If you tell me your child's age, approximate number of affected teeth, and whether you're looking for office treatment vs. general anesthesia, I can narrow this to the 2–3 best Austin options.

• Austin Pearls Pediatric Dentistry - 3607 Manor Rd #103, Austin, TX 78723, United States
• Central Park Pediatric Dentistry - 1005 W 38th St #200, Austin, TX 78705, United States
• Purdy Pediatric Dentistry - 5397 Truxtun Ave, Bakersfield, CA 93309, United States
• Kinder Pediatric Dental - 3130 Union Ave, Bakersfield, CA 93305, United States
• California KiDDS Pediatric Dentistry - 1900 Shaw Ave Suite 101, Clovis, CA 93611, United States
• Sweet Tooth Pediatric & General Dentistry - 112 S B St, Lompoc, CA 93436, United States
• All 4 Kids Pediatric Dentistry - Apple Valley - 18564 Outer Hwy 18 N #301, Apple Valley, CA 92307, United States
• All 4 Kids Pediatric Dentistry -Hesperia - 11941 Hesperia Rd, Hesperia, CA 92345, United States
• Pure Pediatric Dentistry - 4260 El Camino Real, Atascadero, CA 93422, United States
• California KiDDS Pediatric Dentistry - 1011 E St, Reedley, CA 93654, United States
• CareKids Pediatric Dentistry - Lydia M. Pak, DDS - 3640 Lomita Blvd Ste 307, Torrance, CA 90505, United States
• Peak Pediatric Dentistry : Office of Dr. Christopher Dixon - 3144 El Camino Real #102, Carlsbad, CA 92008, United States

For severe early childhood caries (S-ECC), I would look for a board-certified pediatric dentist who routinely handles extensive decay, restorative dentistry (fillings/crowns/pulp therapy), behavior guidance, and—when appropriate—sedation or hospital-based care. In Austin, these practices are worth considering: Austin Kids Dentistry & Ortho Texas Children’s

Austin Pearls Pediatric Dentistry

DirectionsWebsite[Call](tel:+1 512-763-5762)

A strong option for complex pediatric cases. The practice highlights pediatric restorative care, minimally invasive caries management, sedation dentistry, and care for children with special health care needs. Dr. Sara Ehsani is listed as a board-certified pediatric dentist providing comprehensive pediatric care. Austin Kids Dentistry & Ortho
Good fit if you need: a detailed plan for multiple cavities, crowns/restorations, anxiety management, or a child who needs extra support. Austin Kids Dentistry & Ortho

Texas Children's Hospital North Austin Campus Pediatric Dental Medicine

This is a higher-complexity option, especially if your child has medical conditions, developmental concerns, or requires multidisciplinary care. The clinic provides comprehensive pediatric dental treatment plans and can coordinate care with medical specialists. Texas Children’s
Good fit if you need: hospital-based resources, complex medical coordination, or a child who may not tolerate routine office treatment. Texas Children’s

Central Park Pediatric Dentistry

DirectionsWebsite[Call](tel:+1 512-330-4624)

Offers pediatric restorative services including fillings and crowns, along with individualized treatment planning. Central Park Pediatric Dentistry
Good fit if you need: a child-focused office with comprehensive planning and ongoing prevention after treatment. Central Park Pediatric Dentistry

Austin Pearls Pediatric Dentistry

DirectionsWebsite[Call](tel:+1 512-763-5762)

Provides restorative pediatric dentistry, including tooth-colored fillings, crowns, and baby root canal therapy for serious decay. Austin Pearls Pediatric Dentistry
Good fit if you need: repair of damaged baby teeth and a preventive plan to reduce recurrence. Austin Pearls Pediatric Dentistry

Questions I would ask when calling

For severe early childhood caries, ask:

• “How often do you treat children with severe early childhood caries?”
• “Do you provide full-mouth treatment planning rather than treating one cavity at a time?”
• “Do you offer stainless steel or zirconia crowns, pulp therapy, and space maintenance when needed?”
• “What sedation options are available if my child cannot safely tolerate extensive treatment?”
• “Will you provide a prevention plan (diet, fluoride, brushing strategy, recall schedule) after treatment?”

If you tell me your child’s age, whether the decay is front teeth, back teeth, or most teeth, and whether you prefer office treatment vs. sedation/general anesthesia, I can narrow this list further.

Provides restorative pediatric dentistry, including tooth-colored fillings, crowns, and baby root canal therapy for serious decay. Austin Pearls Pediatric Dentistry
Good fit if you need: repair of damaged baby teeth and a preventive plan to reduce recurrence. Austin Pearls Pediatric Dentistry

Questions I would ask when calling

For severe early childhood caries, ask:

• Austin Pediatric Dentistry, PLLC - 6618 Sitio Del Rio Blvd Ste b102, Austin, TX 78730, United States
• Sunny Hills Pediatric Dentistry - 11149 Research Blvd #270, Austin, TX 78759, United States
• Austin Kids Teeth - 6012 W William Cannon Dr Ste B102, Austin, TX 78749, United States
• Austin Pearls Pediatric Dentistry - 3607 Manor Rd #103, Austin, TX 78723, United States
• Central Park Pediatric Dentistry - 1005 W 38th St #200, Austin, TX 78705, United States
• Tiny Texans Pediatric Dentistry - 11200 Menchaca Rd Bldg 4 Ste 1, Austin, TX 78748, United States
• Westlake Pediatric Dentistry - 5656 Bee Caves Rd Ste B104, Austin, TX 78746, United States
• Smiles of Austin - 1910 W 35th St, Austin, TX 78703, United States
• Toothbud Pediatric Dentistry - 12005 Bee Caves Rd #1B, Bee Cave, TX 78738, United States
• Central Texas Pediatric Dentistry - 1201 Barbara Jordan Blvd #1430, Austin, TX 78723, United States

For severe early childhood caries (ECC), I’d look for a pediatric dentist who routinely handles full-mouth treatment planning, restorative care (crowns/pulp therapy/extractions when needed), behavior guidance, and—if appropriate—sedation or hospital-based care. A few Austin-area practices that appear well suited for complex ECC cases are: Texas Children’s Austin Kids Dentistry & Orthodontics

• Austin Pediatric Dentistry, PLLC — This practice focuses exclusively on children and lists board-certified pediatric dentists. It may be a good option if you want a pediatric specialist who can create a comprehensive plan rather than just treat individual cavities.
• Sunny Hills Pediatric Dentistry — A pediatric-only office that provides preventive and restorative pediatric care; its services include management approaches for children at high risk for decay.
• Austin Kids Teeth — Offers pediatric dentistry from infancy through adolescence and provides a broad range of treatment options, including restorative care.
• Austin Pearls Pediatric Dentistry — Provides pediatric restorative services such as fillings, crowns, and baby root canal therapy, which are commonly part of ECC treatment plans.
• Central Park Pediatric Dentistry — A Central Austin pediatric practice that emphasizes individualized treatment plans and restorative services for children. Central Park Pediatric Dentistry
• Sara Ehsani, DDS at Austin Children's Dentistry — Dr. Ehsani’s profile notes experience with restorative pediatric dentistry, caries management, special health care needs, sedation dentistry, and hospital settings when needed. Austin Kids Dentistry & Orthodontics

For very extensive decay (many teeth involved, pain/infection, a child too young to cooperate for multiple appointments), it may also be worth asking about a hospital-based pediatric dental team such as Texas Children's Hospital North Austin Campus, which has a pediatric dental medicine program for complex cases and can coordinate care with medical specialists. Texas Children’s

When calling, I’d ask:

1. “How often do you treat severe early childhood caries in toddlers/preschoolers?”
2. “Do you provide full-mouth rehabilitation treatment plans?”
3. “What are your options if my child cannot tolerate treatment awake (nitrous, sedation, general anesthesia)?”
4. “Do you coordinate operating-room dental care if needed?”
5. “Can you show me the step-by-step plan, including prevention after treatment?”

If you tell me your child’s age, how many teeth are affected (or whether there is pain/swelling), and your Austin area (North/Central/South/West), I can narrow this list further.

• Central Texas Pediatric Dentistry - 1201 Barbara Jordan Blvd #1430, Austin, TX 78723, United States
• Kids Tooth Team - 1217 W Slaughter Ln Ste 140, Austin, TX 78748, United States
• Central Park Pediatric Dentistry - 1005 W 38th St #200, Austin, TX 78705, United States
• Red Balloon Dentistry for Children- Austin - 1139 W Braker Ln Ste 201, Austin, TX 78758, United States
• Sunny Hills Pediatric Dentistry - 11149 Research Blvd #270, Austin, TX 78759, United States
• Poplin Pediatric Dentistry - 6850 Austin Center Blvd #220, Austin, TX 78731, United States
• Tiny Texans Pediatric Dentistry - 11200 Menchaca Rd Bldg 4 Ste 1, Austin, TX 78748, United States
• Hill Country Pediatric Dentistry & Orthodontics - 12225 Bee Caves Rd Ste. #100, Bee Cave, TX 78738, United States
• Smiles of Austin - 1910 W 35th St, Austin, TX 78703, United States
• Green Apple Pediatric Dentistry - Austin Laser Frenectomy - 11601 US-290 B105, Austin, TX 78737, United States
• Little Sprouts Pediatric Dentistry - 15141 Ronald Reagan Blvd Ste 517 and 519, Leander, TX 78641, United States
• Westlake Pediatric Dentistry - 5656 Bee Caves Rd Ste B104, Austin, TX 78746, United States
• New Roots Pediatric Dentistry - 102 Westlake Dr #104, West Lake Hills, TX 78746, United States

If the child has severe early childhood caries (ECC)—especially multiple cavities, abscesses, or a need for crowns/extractions—I’d prioritize a pediatric dentist who routinely handles extensive restorative treatment and can coordinate sedation/general anesthesia when necessary.

Strongest Austin options

• Central Texas Pediatric Dentistry — A particularly strong option for severe cases. The practice offers restorative pediatric dentistry, conscious sedation, and hospital dentistry/general anesthesia, with affiliations including Dell Children’s Medical Center, St. David’s, and Ascension. CTP D Kid CTP D Kid
• Longhorn Pediatric Dentistry & Orthodontics — Dr. Reza Arzegar — Dr. Arzegar is board-certified and reports providing hospital dentistry since 2006 with thousands of hospital-based cases. Their treatment can include fillings, baby-tooth crowns, pulpotomies and extractions, making this one of the more compelling choices when ECC is extensive. Longhorn Pediatric Dentistry Longhorn Pediatric Dentistry
• Kids Tooth Team — Another good choice if you anticipate extensive treatment. They offer in-office general anesthesia as well as hospital-based anesthesia, and their founder, Dr. Alexandra Otto, manages the pediatric dental program at Texas Children’s Hospital North Austin. Kids Tooth Team
• Austin Children’s Dentistry — Dr. Sara Ehsani / Dr. Arwa Owais — Both have substantial pediatric experience. Dr. Ehsani specifically describes comprehensive pediatric care, restorative dentistry, minimally invasive caries management, and treatment in both office and hospital settings. Dr. Owais has 29 years of clinical/teaching/research experience and provides restorative care under sedation or general anesthesia. Austin Kids Dentistry Austin Kids Dentistry
• Central Park Pediatric Dentistry — Worth considering for a comprehensive plan when the child doesn't necessarily need hospital-level care. The practice explicitly describes customized treatment plans and thorough evaluation of decay and developmental issues. Central Park Pediatric Dentistry

If the case is very severe

I'd put Central Texas Pediatric Dentistry, Longhorn Pediatric Dentistry, and Kids Tooth Team at the top of my initial call list because they can accommodate the additional complexity of extensive treatment + sedation/general anesthesia, rather than simply treating individual cavities one at a time.

For comparison, Texas Children's Hospital North Austin's Pediatric Dental Medicine program is specifically hospital-based and provides comprehensive care for children with complex medical conditions, although it requires a referral and is geared toward medically complex patients. Texas Children’s

When you call, I'd ask: “My child has severe early childhood caries with multiple teeth involved. Does the pediatric dentist personally handle comprehensive full-mouth rehabilitation, including crowns/pulpotomies/extractions, and can you provide a treatment plan that addresses both the current disease and prevention of recurrence?”

If you tell me the child's age, approximate number of cavities, whether there is pain/swelling, and whether you're looking for treatment under general anesthesia, I can narrow this to the 2–3 best Austin dentists for that specific situation.

• Super Kids Austin - 2410 E Riverside Dr, Austin, TX 78741, United States
• Austin Pediatric Dentistry, PLLC - 6618 Sitio Del Rio Blvd Ste b102, Austin, TX 78730, United States
• Kids Tooth Team - 1217 W Slaughter Ln Ste 140, Austin, TX 78748, United States
• Sunny Hills Pediatric Dentistry - 11149 Research Blvd #270, Austin, TX 78759, United States
• Central Texas Pediatric Dentistry - 1201 Barbara Jordan Blvd #1430, Austin, TX 78723, United States
• Westlake Pediatric Dentistry - 5656 Bee Caves Rd Ste B104, Austin, TX 78746, United States
• Central Park Pediatric Dentistry - 1005 W 38th St #200, Austin, TX 78705, United States
• Dentalsaurus - 2500 W William Cannon Dr Ste 507, Austin, TX 78745, United States
• Tiny Texans Pediatric Dentistry - 11200 Menchaca Rd Bldg 4 Ste 1, Austin, TX 78748, United States
• Austin Pearls Pediatric Dentistry - 3607 Manor Rd #103, Austin, TX 78723, United States
• Toothbud Pediatric Dentistry - 12005 Bee Caves Rd #1B, Bee Cave, TX 78738, United States
• Austin Kids Teeth - 6012 W William Cannon Dr Ste B102, Austin, TX 78749, United States
• Homegrown Pediatric Dentistry - 20808 State Hwy 71, Spicewood, TX 78669, United States
• Park Lane Pediatric Dentistry and Orthodontics - 1900 Aldrich St Ste 160, Austin, TX 78723, United States
• Minimint Pediatric Dentistry - 3601 Davis Ln Bldg 2, Suite 200, Austin, TX 78749, United States

If you’re specifically looking for severe early childhood caries (S-ECC) rather than routine cavity care, I’d prioritize a pediatric dentist who can handle extensive restorative work, behavior management/sedation, and a preventive plan to reduce recurrence.

Strong Austin options

• Super Kids Austin — East Austin/Riverside. This stands out because the practice specifically treats complex cases and has doctors credentialed at Dell Children’s Hospital, allowing hospital-based dentistry when necessary. They also offer sedation and comprehensive pediatric care. Super Kids Austin
• Austin Pediatric Dentistry, PLLC — Four Points / NW Austin. The practice has board-certified pediatric dentists and emphasizes comprehensive pediatric care and a conservative treatment approach. This would be a good office to ask about a whole-mouth treatment plan for extensive decay.
• Kids Tooth Team — South Austin. Particularly worth considering if your child is very young, anxious, or needs a substantial amount of treatment. They advertise multiple sedation options for young children and more complex/longer procedures.
• Sunny Hills Pediatric Dentistry — North Austin. Their team includes board-certified pediatric dentists with additional sedation/anesthesia and hospital/surgery-center experience, making them another reasonable choice for extensive caries.
• Central Texas Pediatric Dentistry — Mueller. They provide pediatric restorative care and have experience with children requiring additional support, including children with special healthcare needs.

One particularly relevant hospital-based option

If the decay is very extensive, your child is extremely young/uncooperative, has significant medical needs, or you anticipate needing general anesthesia, Texas Children’s Hospital North Austin's Pediatric Dental Medicine program deserves consideration. It is a hospital-based pediatric dental clinic designed for complex cases and provides comprehensive treatment including fillings, crowns and extractions, with general anesthesia available when indicated. A referral is required and the program has eligibility criteria. Texas Children’s

What I'd ask when calling

I'd specifically say:

“My child has severe early childhood caries and may need extensive treatment. Do you routinely treat S-ECC, and can you provide a comprehensive treatment plan including crowns/pulp therapy/extractions if needed, sedation or general anesthesia when appropriate, and a prevention plan afterward?”

Also ask whether they can provide all necessary treatment in one coordinated course, rather than treating one or two teeth at a time. For severe ECC, that's an important distinction.

My first calls would be Super Kids Austin, Austin Pediatric Dentistry, and Kids Tooth Team, with Texas Children's North Austin as an option if the case is medically or behaviorally complex. Super Kids Austin Texas Children’s

If you tell me your child's age, roughly how many teeth are affected, and whether you're looking for sedation/general anesthesia, I can narrow this to the 2–3 best Austin dentists for your situation and compare their treatment capabilities, locations, and insurance considerations.

• Austin Pediatric Dentistry, PLLC - 6618 Sitio Del Rio Blvd Ste b102, Austin, TX 78730, United States
• Westlake Pediatric Dentistry - 5656 Bee Caves Rd Ste B104, Austin, TX 78746, United States
• Sunny Hills Pediatric Dentistry - 11149 Research Blvd #270, Austin, TX 78759, United States
• Central Park Pediatric Dentistry - 1005 W 38th St #200, Austin, TX 78705, United States
• Red Balloon Dentistry for Children- Austin - 1139 W Braker Ln Ste 201, Austin, TX 78758, United States
• Hill Country Pediatric Dentistry & Orthodontics - 12225 Bee Caves Rd Ste. #100, Bee Cave, TX 78738, United States
• Green Apple Pediatric Dentistry - Austin Laser Frenectomy - 11601 US-290 B105, Austin, TX 78737, United States
• Pediatric Dental Professionals - 9015 Mountain Ridge Dr #320, Austin, TX 78759, United States
• Lone Star Pediatric Dental & Braces - South Austin - 2700 S 1st St, Austin, TX 78704, United States
• Central Texas Pediatric Dentistry - 1201 Barbara Jordan Blvd #1430, Austin, TX 78723, United States
• Dentalsaurus - 2500 W William Cannon Dr Ste 507, Austin, TX 78745, United States
• Tiny Texans Pediatric Dentistry - 11200 Menchaca Rd Bldg 4 Ste 1, Austin, TX 78748, United States
• Kids Tooth Team - 1217 W Slaughter Ln Ste 140, Austin, TX 78748, United States
• Austin Pearls Pediatric Dentistry - 3607 Manor Rd #103, Austin, TX 78723, United States
• Toothbud Pediatric Dentistry - 12005 Bee Caves Rd #1B, Bee Cave, TX 78738, United States

If the child has severe early childhood caries (ECC), I’d prioritize a pediatric dentist who can handle extensive restorative work, sedation/general anesthesia when appropriate, and—just as importantly—build a prevention plan afterward. The American Academy of Pediatric Dentistry specifically recommends timely treatment plus dietary counseling, fluoride, home-care reinforcement, and ongoing follow-up because children with ECC remain at high risk for recurrent decay. AAPD

My top Austin options

• Austin Pediatric Dentistry, PLLC — A strong choice if you want a pediatric-only practice with board-certified pediatric dentists, comprehensive care, and a conservative treatment philosophy. It is in the Four Points area (78730).
• Westlake Pediatric Dentistry — Particularly worth considering for a child who needs a personalized, comprehensive treatment plan. The practice specifically says Dr. Sam Alzayat provides personalized comprehensive treatment and works with pediatric specialists. Westlake Pediatric Dentist
• Sunny Hills Pediatric Dentistry — A good option if you're looking for multiple board-certified pediatric dentists and a practice equipped for more involved pediatric treatment. Its providers have additional sedation/anesthesiology training and hospital or surgery-center credentialing.
• Central Park Pediatric Dentistry — Good for a thorough, individualized plan. The practice explicitly describes custom treatment plans for decay and other pediatric problems and offers restorative treatment such as pulpotomies when decay reaches a baby tooth's nerve. Central Park Pediatric Dentistry Central Park Pediatric Dentistry
• Red Balloon Dentistry for Children- Austin — Worth considering specifically because it lists early-childhood cavity management and care for children with special healthcare needs among its pediatric services.

If the decay is extensive or the child may need hospital dentistry

I'd put hospital-based pediatric dentistry high on the list. Texas Children's Hospital North Austin has a dedicated Pediatric Dental Medicine clinic that provides comprehensive care—including fillings, crowns and extractions—and can perform treatment under general anesthesia when necessary. It is primarily designed for children whose medical conditions make conventional dental care difficult and requires referral. Texas Children’s

Another particularly interesting Austin option is Super Kids Austin. Its dentists are credentialed at Dell Children's Hospital, allowing hospital-based dentistry for children with complex medical conditions or special healthcare needs. Super Kids Austin

For severe ECC specifically, my first calls would be Austin Pediatric Dentistry, Sunny Hills, Westlake Pediatric Dentistry, and Super Kids Austin. When you call, I'd ask: “Does the pediatric dentist routinely treat severe early childhood caries involving multiple teeth, and can you provide a comprehensive treatment plan that includes restorative treatment, behavior/sedation options, and a long-term caries-prevention plan?”

If you tell me the child's age, approximate number of affected teeth, whether there is pain/swelling, and whether you're open to sedation or general anesthesia, I can narrow this to the 2–3 best Austin dentists for that particular situation.

• Red Balloon Dentistry for Children- Austin - 1139 W Braker Ln Ste 201, Austin, TX 78758, United States
• Kids Tooth Team - 1217 W Slaughter Ln Ste 140, Austin, TX 78748, United States
• Sunny Hills Pediatric Dentistry - 11149 Research Blvd #270, Austin, TX 78759, United States
• Central Park Pediatric Dentistry - 1005 W 38th St #200, Austin, TX 78705, United States
• Hill Country Pediatric Dentistry & Orthodontics - 12225 Bee Caves Rd Ste. #100, Bee Cave, TX 78738, United States
• Poplin Pediatric Dentistry - 6850 Austin Center Blvd #220, Austin, TX 78731, United States
• Tiny Texans Pediatric Dentistry - 11200 Menchaca Rd Bldg 4 Ste 1, Austin, TX 78748, United States
• Green Apple Pediatric Dentistry - Austin Laser Frenectomy - 11601 US-290 B105, Austin, TX 78737, United States
• Westlake Pediatric Dentistry - 5656 Bee Caves Rd Ste B104, Austin, TX 78746, United States
• Pediatric Dental Professionals - 9015 Mountain Ridge Dr #320, Austin, TX 78759, United States
• Lone Star Pediatric Dental & Braces - South Austin - 2700 S 1st St, Austin, TX 78704, United States
• Austin Pediatric Dentistry, PLLC - 6618 Sitio Del Rio Blvd Ste b102, Austin, TX 78730, United States
• Dentalsaurus - 2500 W William Cannon Dr Ste 507, Austin, TX 78745, United States
• Central Texas Pediatric Dentistry - 1201 Barbara Jordan Blvd #1430, Austin, TX 78723, United States

If the main issue is severe early childhood caries (ECC)—especially if your child may need multiple crowns, pulpotomies/extractions, sedation, or treatment under general anesthesia—I’d prioritize a pediatric dentist who routinely handles complex restorative cases, not just routine cavity care.

My top Austin options

• Red Balloon Dentistry for Children- Austin — North Austin. Their services specifically include early-childhood cavity management, pediatric restorative care, dental trauma, and care for children with special healthcare needs. This makes them a particularly relevant option for significant ECC.
• Kids Tooth Team — South Austin. They emphasize minimally invasive pediatric treatment and offer multiple sedation options for very young children and those needing longer or more complex treatment.
• Sunny Hills Pediatric Dentistry — North Austin. They have multiple board-certified pediatric dentists and offer both conservative approaches such as SDF and more advanced restorative treatment. For a large treatment plan, their practice specifically recommends getting a written plan explaining what is urgent versus what can be monitored.
• Central Park Pediatric Dentistry — Central Austin. Their pediatric team provides comprehensive care including fillings, crowns, and pulpotomies, and they emphasize discussing treatment options with parents. Central Park Pediatric Dentistry Central Park Pediatric Dentistry

If the decay is very severe

I would also consider Texas Children's Hospital North Austin Pediatric Dental Medicine. This is a hospital-based pediatric dental clinic specifically designed for children whose medical complexity makes conventional dental treatment difficult. They provide comprehensive care including fillings, crowns and extractions, with nitrous oxide and general anesthesia available when appropriate. Texas Children’s

One important distinction: the Texas Children's clinic requires a significant medical condition and referral, so it isn't necessarily the right destination for an otherwise healthy child with severe ECC.

If I were choosing based specifically on severe ECC + a comprehensive treatment plan, I'd start by calling Red Balloon, Kids Tooth Team, and Sunny Hills and asking:

“My child has severe early childhood caries and may need extensive restorative treatment. Does your pediatric dentist routinely manage full-mouth ECC cases, and do you provide treatment under sedation or general anesthesia when necessary? Will the initial visit include a comprehensive treatment plan with all options, priorities, and alternatives?”

If you tell me your child's age, approximately how many teeth are affected, and whether they're cooperative for dental treatment, I can narrow this to the 2–3 best Austin dentists for the specific severity of the case.

• Austin Pearls Pediatric Dentistry - 3607 Manor Rd #103, Austin, TX 78723, United States
• Central Park Pediatric Dentistry - 1005 W 38th St #200, Austin, TX 78705, United States
• Austin Institute of Dental Medicine - 1401 Philomena St Ste 200, Austin, TX 78723, United States
• Super Kids Austin - 2410 E Riverside Dr, Austin, TX 78741, United States
• Dr. Dan's Pediatric Dentistry - 321 N Larchmont Blvd #500, Los Angeles, CA 90004, United States
• Smile Buds Pediatric Dentistry & Orthodontics - 3342 Verdugo Rd Ste b, Los Angeles, CA 90065, United States
• Kids Dental Avenue - 4787 Santa Monica Blvd, Los Angeles, CA 90029, United States
• Kusp Beverly Hills Pediatric Dentistry - 350 S Beverly Dr #350, Beverly Hills, CA 90212, United States
• Overjoyed Pediatric Dentistry - 6512 N Figueroa St #3, Los Angeles, CA 90042, United States
• The Baby Teeth Studio - 12555 W Jefferson Blvd Ste 210, Los Angeles, CA 90066, United States
• Fun Dental 4 Kids Washington - 1000 E Washington Blvd #112, Los Angeles, CA 90021, United States
• Children Dental World - 2805 San Pedro St, Los Angeles, CA 90011, United States
• Smile Street Pediatric Dentistry - 5432 Sepulveda Blvd Ste B, Culver City, CA 90230, United States
• Griffith Pediatric Dentistry - 1860 N Western Ave Ste 102, Los Angeles, CA 90027, United States

For severe early childhood caries (S-ECC), I would look for a pediatric dentist who regularly handles extensive decay in toddlers/preschoolers, offers full-mouth treatment planning, and can discuss options such as crowns, pulpotomies (“baby root canals”), extractions when necessary, behavior guidance, and sedation/general anesthesia when appropriate. Texas Children’s Hill Country Family Dental

Some Austin-area practices that appear well suited for this type of care:

Strong options to consider

Texas Children's Hospital Austin

Best fit if your child has very extensive decay, medical complexity, special healthcare needs, or may need hospital-based care. Their pediatric dental program provides comprehensive treatment planning and can coordinate with medical teams; services include restorations, crowns, and extractions, with some children receiving treatment under sedation/general anesthesia when needed. Texas Children’s

Austin Pearls Pediatric Dentistry

DirectionsWebsite[Call](tel:+1 512-763-5762)

A pediatric specialty practice with board-certified pediatric dentists, including Sara Ehsani. The practice describes experience with restorative pediatric dentistry, minimally invasive caries management, sedation dentistry, and care for children with special healthcare needs. Austin Kids Dentistry Austin Kids Dentistry

Central Park Pediatric Dentistry

DirectionsWebsite[Call](tel:+1 512-330-4624)

A pediatric-only practice offering individualized treatment plans and restorative services such as fillings, crowns, and pulp therapy. This may be a good option if you want a comprehensive plan developed in a child-focused setting. Central Park Pediatric Dentistry Central Park Pediatric Dentistry

Austin Institute of Dental Medicine

DirectionsWebsite[Call](tel:+1 737-434-2436)

Offers restorative pediatric dentistry, including fillings, pulp therapy, pediatric crowns, and care for children with special healthcare needs. Their site also notes sedation options for children needing extensive treatment. Austin Institute of Dental Medicine

Super Kids Austin

DirectionsWebsite[Call](tel:+1 737-373-2993)

Worth considering for complex cases because the practice notes hospital credentials and experience caring for children with complex medical conditions or special healthcare needs, including hospital-based dentistry when needed. Super Kids Austin

Questions I would ask when calling

For a child with severe early childhood caries, ask:

• “How often do you treat severe early childhood caries in children under age 5?”
• “Will the first visit include a full-mouth evaluation and complete treatment plan?”
• “Do you provide stainless steel/zirconia crowns, pulpotomies, and extractions if needed?”
• “If my child cannot tolerate office treatment, do you offer sedation or operating-room/general anesthesia options?”
• “Who manages the anesthesia, and where would treatment take place?”
• “How do you prevent recurrence after the teeth are repaired?”

If you tell me your child’s age, whether the decay is on front teeth, molars, or most teeth, and whether you prefer office sedation vs hospital-based treatment, I can help narrow this list.

Worth considering for complex cases because the practice notes hospital credentials and experience caring for children with complex medical conditions or special healthcare needs, including hospital-based dentistry when needed. Super Kids Austin

Questions I would ask when calling

For a child with severe early childhood caries, ask:

• Sunny Hills Pediatric Dentistry - 11149 Research Blvd #270, Austin, TX 78759, United States
• Red Balloon Dentistry for Children- Austin - 1139 W Braker Ln Ste 201, Austin, TX 78758, United States
• Kids Tooth Team - 1217 W Slaughter Ln Ste 140, Austin, TX 78748, United States
• Central Park Pediatric Dentistry - 1005 W 38th St #200, Austin, TX 78705, United States
• Green Apple Pediatric Dentistry - Austin Laser Frenectomy - 11601 US-290 B105, Austin, TX 78737, United States
• Austin Pediatric Dentistry, PLLC - 6618 Sitio Del Rio Blvd Ste b102, Austin, TX 78730, United States
• Hill Country Pediatric Dentistry & Orthodontics - 12225 Bee Caves Rd Ste. #100, Bee Cave, TX 78738, United States
• Westlake Pediatric Dentistry - 5656 Bee Caves Rd Ste B104, Austin, TX 78746, United States
• Poplin Pediatric Dentistry - 6850 Austin Center Blvd #220, Austin, TX 78731, United States
• Dentalsaurus - 2500 W William Cannon Dr Ste 507, Austin, TX 78745, United States
• Destination Pediatric Dentistry - 3100 RM 1431 #400, Round Rock, TX 78681, United States
• Tiny Texans Pediatric Dentistry - 11200 Menchaca Rd Bldg 4 Ste 1, Austin, TX 78748, United States
• Central Texas Pediatric Dentistry - 1201 Barbara Jordan Blvd #1430, Austin, TX 78723, United States
• Austin Pearls Pediatric Dentistry - 3607 Manor Rd #103, Austin, TX 78723, United States
• Toothbud Pediatric Dentistry - 12005 Bee Caves Rd #1B, Bee Cave, TX 78738, United States
• Austin Kids Teeth - 6012 W William Cannon Dr Ste B102, Austin, TX 78749, United States

If your child has severe early childhood caries (S-ECC), I’d prioritize a pediatric dentist who can do more than fillings—someone comfortable with extensive restorative work, crowns/pulp therapy, sedation when appropriate, and a prevention plan to reduce recurrence.

Based on current Austin-area information, these stand out:

• Sunny Hills Pediatric Dentistry — A strong option for complex pediatric cases. The practice has multiple board-certified pediatric dentists and describes experience with advanced treatment, sedation/anesthesiology, and hospital or surgery-center credentialing. It also offers conservative caries management such as SDF. Austin Pearls Pediatric Dentistry
• Red Balloon Dentistry for Children- Austin — Particularly relevant because it specifically lists early childhood cavity management and care for children with special healthcare needs, along with pediatric emergency treatment.
• Kids Tooth Team — Worth considering if your child needs extensive treatment and may need sedation. Its Austin practice offers multiple sedation options intended for very young children and children needing longer or more complex treatment.
• Central Park Pediatric Dentistry — Good fit if you want a pediatric-only practice emphasizing individualized treatment planning. Its doctors completed pediatric residencies, and the practice offers restorative treatment including crowns and pulpotomies. Central Park Pediatric Dentistry Central Park Pediatric Dentistry
• Green Apple Pediatric Dentistry - Austin Laser Frenectomy — A pediatric-focused practice with a comprehensive approach and a board-certified pediatric dentist. It may be particularly appealing if you're interested in prevention and looking at broader factors contributing to recurrent decay. Green Apple Dentistry

If the decay is truly extensive

I'd put Texas Children's Hospital North Austin high on the list if your child has significant medical/developmental needs, cannot cooperate for extensive treatment, or may require hospital-based care. Its Pediatric Dental Medicine clinic provides comprehensive care—including fillings, crowns and extractions—and can perform treatment under general anesthesia when necessary. It specifically accepts children whose medical complexity makes conventional dental care difficult. Texas Children’s

Another useful option is Austin Pediatric Dentistry, PLLC, which has board-certified pediatric dentists and a full-service pediatric practice in the Four Points area.

My first calls would be Sunny Hills, Red Balloon, and Kids Tooth Team for a child with S-ECC, then Texas Children's if the case involves substantial medical complexity or likely hospital/general-anesthesia treatment.

When you call, I'd specifically ask: “Does the pediatric dentist regularly treat severe early childhood caries requiring multiple crowns/pulpotomies or extractions, and can you provide a comprehensive treatment plan including sedation/general-anesthesia options and a prevention plan afterward?” That question will quickly distinguish a practice accustomed to extensive cases from one primarily focused on routine pediatric dentistry.

• Super Kids Austin - 2410 E Riverside Dr, Austin, TX 78741, United States
• Sunny Hills Pediatric Dentistry - 10510 W Parmer Ln #100, Austin, TX 78717, United States
• Central Park Pediatric Dentistry - 1005 W 38th St #200, Austin, TX 78705, United States
• Sunny Hills Pediatric Dentistry - 11149 Research Blvd #270, Austin, TX 78759, United States
• Westlake Pediatric Dentistry - 5656 Bee Caves Rd Ste B104, Austin, TX 78746, United States
• Tiny Texans Pediatric Dentistry - 11200 Menchaca Rd Bldg 4 Ste 1, Austin, TX 78748, United States
• Austin Pediatric Dentistry, PLLC - 6618 Sitio Del Rio Blvd Ste b102, Austin, TX 78730, United States
• Central Texas Pediatric Dentistry - 1201 Barbara Jordan Blvd #1430, Austin, TX 78723, United States
• Dentalsaurus - 2500 W William Cannon Dr Ste 507, Austin, TX 78745, United States
• Kids Tooth Team - 1217 W Slaughter Ln Ste 140, Austin, TX 78748, United States
• Austin Pearls Pediatric Dentistry - 3607 Manor Rd #103, Austin, TX 78723, United States
• Toothbud Pediatric Dentistry - 12005 Bee Caves Rd #1B, Bee Cave, TX 78738, United States
• Red Balloon Dentistry for Children- Austin - 1139 W Braker Ln Ste 201, Austin, TX 78758, United States

If you’re specifically looking for severe early childhood caries (S-ECC) plus a dentist who can build a comprehensive, staged treatment plan, I’d put these Austin options at the top of the list:

• Super Kids Austin — particularly worth considering for extensive cases. The practice says it has hospital privileges/credentials at Dell Children’s and can provide hospital-based dentistry when necessary, which is important if a very young child needs extensive treatment or general anesthesia. Super Kids Austin
• Sunny Hills Pediatric Dentistry — a strong option for comprehensive pediatric care. They have multiple board-certified pediatric dentists and address both prevention and restorative treatment, including more involved procedures such as crowns.
• Central Park Pediatric Dentistry — offers customized treatment plans and a broad restorative menu, including fillings, crowns and pulpotomies. Drs. Daniel Johnson and Adam Parker completed pediatric residencies. Central Park Pediatric Dentistry Central Park Pediatric Dentistry
• Austin Children's Dentistry / Dr. Sara Ehsani — Dr. Ehsani is board-certified in pediatric dentistry and specifically lists restorative pediatric dentistry, minimally invasive caries management, sedation, and care for children with special healthcare needs. Austin Children's Dentistry
• Texas Children’s Hospital North Austin Pediatric Dental Medicine — this is the option I'd consider for a particularly complex child, especially with significant medical/developmental issues. Their hospital-based pediatric dental service provides comprehensive treatment—including fillings, crowns and extractions—and can perform treatment under general anesthesia when necessary. Referral and medical eligibility requirements apply. Texas Children’s

My pick for severe decay

For a child with multiple cavities across many baby teeth, I would prioritize a practice that can do more than individual fillings. Ask specifically whether they:

1. Perform a full-mouth caries-risk assessment and comprehensive treatment plan.
2. Treat extensive S-ECC with pediatric crowns, pulp therapy and extractions when indicated.
3. Offer nitrous oxide, sedation, and/or general anesthesia when appropriate.
4. Can coordinate hospital-based treatment if office treatment isn't realistic for a very young child.
5. Provide a long-term prevention plan afterward—fluoride, diet/feeding counseling, recall frequency and home-care guidance.

Based on the information I found, Super Kids Austin and Austin Children's Dentistry/Dr. Ehsani stand out for the combination of complex-care capability and comprehensive pediatric treatment, while Texas Children's North Austin is the strongest escalation option for medically or behaviorally complex cases. Super Kids Austin Austin Children's Dentistry Texas Children’s

If you tell me the child's age, roughly how many teeth are affected, and whether they're comfortable cooperating at the dentist, I can narrow this to the best 2–3 Austin dentists for that specific severity, including who offers general anesthesia/hospital dentistry and what their treatment approach is.

• Super Kids Austin - 2410 E Riverside Dr, Austin, TX 78741, United States
• Westlake Pediatric Dentistry - 5656 Bee Caves Rd Ste B104, Austin, TX 78746, United States
• Central Park Pediatric Dentistry - 1005 W 38th St #200, Austin, TX 78705, United States
• Dentalsaurus - 2500 W William Cannon Dr Ste 507, Austin, TX 78745, United States
• Sunny Hills Pediatric Dentistry - 11149 Research Blvd #270, Austin, TX 78759, United States
• Tiny Texans Pediatric Dentistry - 11200 Menchaca Rd Bldg 4 Ste 1, Austin, TX 78748, United States
• Austin Pediatric Dentistry, PLLC - 6618 Sitio Del Rio Blvd Ste b102, Austin, TX 78730, United States
• Central Texas Pediatric Dentistry - 1201 Barbara Jordan Blvd #1430, Austin, TX 78723, United States
• Kids Tooth Team - 1217 W Slaughter Ln Ste 140, Austin, TX 78748, United States
• Austin Pearls Pediatric Dentistry - 3607 Manor Rd #103, Austin, TX 78723, United States
• Toothbud Pediatric Dentistry - 12005 Bee Caves Rd #1B, Bee Cave, TX 78738, United States
• Austin Kids Teeth - 6012 W William Cannon Dr Ste B102, Austin, TX 78749, United States
• Homegrown Pediatric Dentistry - 20808 State Hwy 71, Spicewood, TX 78669, United States
• Southern Stars Pediatric Dentistry - 700 Market St Ste 103, Cedar Park, TX 78613, United States

If the issue is severe early childhood caries (S-ECC)—especially if your child may need multiple crowns, pulpotomies, extractions, or sedation—I’d prioritize a pediatric dentist who routinely handles extensive restorative cases rather than a practice focused mainly on preventive care.

My strongest Austin options

• Super Kids Austin — This stands out because the practice specifically discusses early-childhood tooth decay, sedation, and hospital-based dentistry for complex cases through its Dell Children’s Hospital credentialing. Its doctors also have substantial pediatric experience. Super Kids Austin

superkidsaustin.com

• Westlake Pediatric Dentistry — Dr. Sam Alzayat's practice explicitly describes providing personalized, comprehensive treatment and working with pediatric specialists. This is a reasonable choice if you want a comprehensive plan with ongoing preventive follow-up. Westlake Pediatric Dentist

westlakepediatricdentist.com

• Central Park Pediatric Dentistry — Offers restorative treatment including fillings, pediatric crowns and pulpotomies, and says it develops custom care plans based on each child's needs. Central Park Pediatric Dentistry Central Park Pediatric Dentistry

myaustinpediatricdentist.com

• Dentalsaurus — A pediatric-specialist practice in South Austin that is geared toward young, anxious and special-needs children and offers sedation options, making it worth considering when extensive treatment is anticipated.

If the case is particularly severe or medically complicated

Texas Children's Hospital North Austin's Pediatric Dental Medicine program is probably the most specialized option. It is a hospital-based pediatric dental clinic specifically designed for children with complex medical conditions and provides comprehensive care including fillings, crowns and extractions, with sedation/general anesthesia available when necessary. It requires a referral and is primarily for children with significant medical conditions that make ordinary dental care difficult. Texas Children’s

What I'd ask when you call

For S-ECC, I would specifically ask:

1. “How often do you treat children with severe early childhood caries requiring multiple restorations?”
2. “Can you provide a complete treatment plan—including fillings, crowns, pulpotomies and extractions if necessary—instead of treating one tooth at a time?”
3. “What sedation options are available, including general anesthesia if my child cannot tolerate extensive treatment?”
4. “Do you perform hospital-based dentistry, and if so, at which hospital?”
5. “Will you provide a prevention/recurrence plan after the restorative treatment?”

If I were narrowing this to two places to call first, I'd start with Super Kids Austin for a young child with extensive decay, particularly if sedation or hospital dentistry may be needed, and Central Park or Westlake for a comprehensive office-based treatment plan.

If you tell me your child's age, roughly how many teeth are affected, whether there's pain/swelling, and whether your child can tolerate dental treatment, I can narrow this to the best 2–3 Austin pediatric dentists for the specific situation.

• Westlake Pediatric Dentistry - 5656 Bee Caves Rd Ste B104, Austin, TX 78746, United States
• Austin Pediatric Dentistry, PLLC - 6618 Sitio Del Rio Blvd Ste b102, Austin, TX 78730, United States
• Sunny Hills Pediatric Dentistry - 11149 Research Blvd #270, Austin, TX 78759, United States
• Central Park Pediatric Dentistry - 1005 W 38th St #200, Austin, TX 78705, United States
• Tiny Texans Pediatric Dentistry - 11200 Menchaca Rd Bldg 4 Ste 1, Austin, TX 78748, United States
• Central Texas Pediatric Dentistry - 1201 Barbara Jordan Blvd #1430, Austin, TX 78723, United States
• Dentalsaurus - 2500 W William Cannon Dr Ste 507, Austin, TX 78745, United States
• Austin Pearls Pediatric Dentistry - 3607 Manor Rd #103, Austin, TX 78723, United States
• Kids Tooth Team - 1217 W Slaughter Ln Ste 140, Austin, TX 78748, United States
• Toothbud Pediatric Dentistry - 12005 Bee Caves Rd #1B, Bee Cave, TX 78738, United States
• Austin Kids Teeth - 6012 W William Cannon Dr Ste B102, Austin, TX 78749, United States
• Park Lane Pediatric Dentistry and Orthodontics - 1900 Aldrich St Ste 160, Austin, TX 78723, United States
• Smiles of Austin - 1910 W 35th St, Austin, TX 78703, United States
• Minimint Pediatric Dentistry - 3601 Davis Ln Bldg 2, Suite 200, Austin, TX 78749, United States

For severe early childhood caries (S-ECC), I’d prioritize a pediatric dentist who routinely handles extensive decay, crowns/pulp therapy/extractions, behavior management or sedation, and—importantly—builds a prevention plan to reduce recurrence.

My top Austin options

1. Westlake Pediatric Dentistry — Strong option if you want a pediatric-focused practice with restorative care and sedation capabilities. Their approach includes prevention and treatment planning for children who need more involved care.
2. Austin Pediatric Dentistry, PLLC — Particularly worth considering because the practice has board-certified pediatric dentists and emphasizes comprehensive pediatric care and communication with parents.
3. Sunny Hills Pediatric Dentistry — A good candidate for extensive caries because the practice has multiple board-certified pediatric dentists and offers advanced treatment/sedation pathways. It also emphasizes prevention and early intervention.
4. Central Park Pediatric Dentistry — A strong choice for a comprehensive, pediatric-only environment. They explicitly describe individualized treatment plans and offer fillings, crowns and pulpotomies for more advanced decay. Central Park Pediatric Dentistry Central Park Pediatric Dentistry
5. Longhorn Pediatric Dentistry & Orthodontics — This one stands out on experience. Dr. Reza Arzegar is board-certified in pediatric dentistry and reports 20+ years of experience, including thousands of pediatric crowns, fillings, extractions, pulp treatments and hospital dentistry cases. Their services include sedation and comprehensive restorative care. Longhorn Pediatric Dentistry Longhorn Pediatric Dentistry

One particularly relevant option for severe cases

Texas Children's Pediatric Dental Medicine at the North Austin Campus may be the best fit if the decay is extensive enough that your child may need general anesthesia or hospital-based treatment, particularly if there are medical/developmental complexities. They explicitly provide comprehensive care including fillings, crowns and extractions, with general anesthesia available for complex cases. Texas Children’s

What I would ask when calling

For a child with severe ECC, I would specifically ask:

• “How often do you treat severe early childhood caries in toddlers/preschoolers?”
• “If there are multiple teeth involved, can you provide a whole-mouth treatment plan rather than treating cavities one at a time?”
• “Do you perform pulpotomies, stainless-steel/zirconia crowns and extractions?”
• “What sedation options are available, including general anesthesia, and where is it performed?”
• “Do you provide a caries-risk/prevention plan addressing diet, fluoride, brushing and follow-up—not just restorative treatment?”
• “If treatment under anesthesia is recommended, who provides the anesthesia and what monitoring/credentialing is used?”

If I were narrowing this to three for S-ECC specifically, I'd start with Longhorn Pediatric Dentistry, Sunny Hills Pediatric Dentistry, and Texas Children's North Austin, depending on how extensive the decay is and whether anesthesia may be necessary. Longhorn has unusually extensive documented pediatric restorative experience, while Texas Children's is the more specialized hospital-based option. Texas Children’s Longhorn Pediatric Dentistry

If you tell me your child's age, roughly how many teeth are affected, whether they've had pain/swelling, and whether you're looking for treatment with or without general anesthesia, I can narrow this down to the best 2–3 Austin dentists for your situation.

• Green Apple Pediatric Dentistry - Austin Laser Frenectomy - 11601 US-290 B105, Austin, TX 78737, United States
• Dentalsaurus - 2500 W William Cannon Dr Ste 507, Austin, TX 78745, United States
• Central Park Pediatric Dentistry - 1005 W 38th St #200, Austin, TX 78705, United States
• Kids Tooth Team - 1217 W Slaughter Ln Ste 140, Austin, TX 78748, United States
• Red Balloon Dentistry for Children- Austin - 1139 W Braker Ln Ste 201, Austin, TX 78758, United States
• Hill Country Pediatric Dentistry & Orthodontics - 12225 Bee Caves Rd Ste. #100, Bee Cave, TX 78738, United States
• Sunny Hills Pediatric Dentistry - 11149 Research Blvd #270, Austin, TX 78759, United States
• Westlake Pediatric Dentistry - 5656 Bee Caves Rd Ste B104, Austin, TX 78746, United States
• New Roots Pediatric Dentistry - 102 Westlake Dr #104, West Lake Hills, TX 78746, United States
• Austin Pediatric Dentistry, PLLC - 6618 Sitio Del Rio Blvd Ste b102, Austin, TX 78730, United States
• Sherwood Pediatric Dentistry - 6500 MoPac Expy #2206, Austin, TX 78731, United States
• Tiny Texans Pediatric Dentistry - 11200 Menchaca Rd Bldg 4 Ste 1, Austin, TX 78748, United States
• Loving Pediatric Dentistry - 7800 N Mopac Expy #110, Austin, TX 78759, United States
• Belterra Kids Teeth - 165 Hargraves Dr m100, Austin, TX 78737, United States
• Central Texas Pediatric Dentistry - 1201 Barbara Jordan Blvd #1430, Austin, TX 78723, United States

If your priority is severe early childhood caries (ECC) plus a truly comprehensive treatment plan, I’d put these Austin-area options at the top of the list:

1. Green Apple Pediatric Dentistry - Austin Laser Frenectomy — Strongest match for severe ECC in a private pediatric practice. Dr. Evy specifically says she has treated infants as young as 12 months for early childhood caries and provides comprehensive pediatric treatment. The practice also offers fillings, crowns, extractions, and general anesthesia for comprehensive treatment when appropriate. Green Apple Dentistry Green Apple Dentistry
2. Dentalsaurus — A good option if you want a board-certified pediatric dentist with extensive specialty training and a pediatric-focused practice. It offers comprehensive examinations and restorative pediatric care.
3. Central Park Pediatric Dentistry — Worth considering for a more traditional pediatric-dentistry approach. Their dentists describe creating custom care plans based on the child's individual decay and developmental needs, with fillings, crowns, and space maintainers available. Central Park Pediatric Dentistry
4. Kids Tooth Team — Particularly interesting if your child is very young, anxious, or likely to need sedation for extensive treatment. The practice offers multiple sedation options for longer or more complex pediatric treatment.
5. Texas Children's Hospital North Austin Pediatric Dental Medicine — My first choice if the ECC is unusually severe or your child has medical/developmental complexities. Their hospital-based pediatric dental program provides comprehensive care, including fillings, crowns, and extractions, and can perform complex treatment under general anesthesia. It requires a referral and is specifically geared toward children whose medical conditions make ordinary dental care difficult. Texas Children’s

One especially relevant option

Red Balloon Dentistry for Children- Austin specifically lists early childhood cavity management among its specialized pediatric services and also treats children with special healthcare needs.

For severe ECC, I would ask each office these five questions before choosing:

• “How often do you treat children with severe early childhood caries involving multiple teeth?”
• “Can you provide a whole-mouth treatment plan, including which teeth need fillings, crowns, pulpotomies, or extraction?”
• “If my child can't tolerate extensive treatment awake, do you offer hospital/surgery-center general anesthesia, and who provides the anesthesia?”
• “Do you offer alternatives such as SDF when appropriate, or is restorative treatment recommended immediately?”
• “What is your plan to prevent recurrence after the teeth are restored—fluoride, diet counseling, recall frequency, and home-care guidance?”

For comparison, Austin Children's Dentistry explicitly describes SDF as an option for young children with ECC and high caries risk, while Hill Country Family Dental discusses treatment decisions based on the extent of ECC and the child's age/cooperation, including sedation or general anesthesia when appropriate. Austin Children's Dentistry Hill Country Family Dental

If you tell me your child's age, roughly how many teeth are affected, and whether they're cooperative at the dentist, I can narrow this to the 2–3 Austin dentists I'd choose for that particular situation.

For a child with severe early childhood caries (ECC), I would look for a board-certified pediatric dentist who regularly handles extensive decay, can create a staged/comprehensive treatment plan, and has options for behavior guidance, sedation, or hospital-based care when needed. In Austin, these practices are worth considering:

Austin Pediatric Dentistry

Austin Pediatric Dentistry, PLLC
Web
Address: 6618 Sitio Del Rio Blvd Ste b102, Austin, TX 78730, United States
Phone: +1 512-900-5437

• Led by board-certified pediatric dentists and focused specifically on children’s dental care.
• A good option to ask about for full-mouth treatment planning, especially if your child needs multiple restorations, crowns, or a long-term prevention strategy.

Sunny Hills Pediatric Dentistry

Sunny Hills Pediatric Dentistry
Web
Address: 11149 Research Blvd #270, Austin, TX 78759, United States
Phone: +1 512-346-1221

• Offers pediatric care from infancy through adolescence and lists both preventive and advanced pediatric treatments.
• Their approach includes early-intervention options such as silver diamine fluoride (SDF) for certain decay situations and restorative care when needed.

Red Balloon Dentistry for Children - Austin

Red Balloon Dentistry for Children- Austin
Web
Address: 1139 W Braker Ln Ste 201, Austin, TX 78758, United States
Phone: +1 512-502-5432

• Provides pediatric-only care and specifically notes experience with early childhood cavity management and children with special healthcare needs.
• Worth asking about if your child is very young, anxious, or may need sedation for extensive work.

Dentalsaurus

Dentalsaurus
Web
Address: 2500 W William Cannon Dr Ste 507, Austin, TX 78745, United States
Phone: +1 512-428-4689

• A pediatric practice that treats infants through adolescents and discusses care for children with anxiety and special healthcare needs.
• Could be a fit if your child needs a very child-focused environment during a difficult dental experience.

Pediatric Dental Professionals

Pediatric Dental Professionals
Web
Address: 9015 Mountain Ridge Dr #320, Austin, TX 78759, United States
Phone: +1 512-366-5911

• Longstanding Austin pediatric practice with board-certified pediatric dental providers and experience with behavior management and children with special healthcare needs.

For very severe cases or medically complex children

Texas Children's Hospital North Austin Campus has a hospital-based pediatric dental medicine program designed for children needing complex care, including cases where treatment may require coordination with medical specialists or anesthesia. www.texaschildrens.org

When you call, I’d ask:

1. “How often do you treat severe early childhood caries or children needing multiple crowns/extractions?”
2. “Do you provide a complete treatment plan after reviewing X-rays, rather than treating teeth one at a time?”
3. “Do you offer nitrous, oral sedation, IV sedation, or hospital-based general anesthesia if needed?”
4. “Do you coordinate preventive plans afterward (diet, fluoride, brushing coaching, recall schedule) to prevent recurrence?”

If you tell me your child’s age, approximate number of affected teeth, and whether they are cooperative for dental work (or need sedation), I can help narrow the best fit.

For severe early childhood caries (ECC), I’d prioritize a pediatric dentist who can do more than fillings—someone experienced with multiple crowns/pulpotomies/extractions, sedation or general anesthesia when necessary, and a long-term prevention plan.

My strongest Austin options

1. Kids Tooth Team — especially worth considering for extensive ECC
   • Offers comprehensive pediatric treatment and multiple sedation options.
   • Their practice specifically handles very young children and extensive/complex dental treatment.
   • They have hospital privileges at both Texas Children’s Hospital and Dell Children’s Medical Center, which is a significant advantage if treatment is extensive or your child cannot tolerate office dentistry. www.kidstoothteam.com
   • South Austin: 1217 W Slaughter Ln.

2. Longhorn Pediatric Dentistry and Orthodontics — particularly strong for severe/extensive decay
   • Dr. Reza Arzegar is board-certified and has provided hospital dentistry since 2006, with thousands of hospital-based pediatric cases.
   • Their treatment capabilities include fillings, stainless-steel crowns, pulpotomies, extractions and preventive treatment, including completing extensive treatment in one planned session when appropriate. www.longhornpediatricdentist.com
   • This would be high on my list if your child has many cavities, dental infection, pain, or needs treatment under general anesthesia.

3. Green Apple Pediatric Dentistry - Austin Laser Frenectomy
   • Board-certified pediatric dentist and a whole-child approach.
   • Worth considering if you're looking for a practice that combines restorative care with longer-term assessment of factors contributing to recurrent decay. greenappleatx.com

4. Central Park Pediatric Dentistry
   • Offers customized treatment plans and comprehensive pediatric restorative care, including pulpotomies when decay reaches the nerve of a baby tooth. www.myaustinpediatricdentist.com
   • A reasonable choice if your child can potentially be treated conventionally and you want strong parent communication and a long-term dental home.

If the ECC is severe

I'd put Kids Tooth Team or Longhorn at the top of the list, particularly if the child is very young, has numerous affected teeth, has significant anxiety/uncooperativeness, or may need treatment completed under general anesthesia.

Another particularly strong hospital-based option is Texas Children's Hospital North Austin's Pediatric Dental Medicine program. It is specifically designed for children with complex medical needs and provides comprehensive care including fillings, crowns and extractions, with sedation/general anesthesia available when needed. www.longhornpediatricdentist.comgreenappleatx.comwww.myaustinpediatricdentist.comwww.texaschildrens.org

When you call, I'd ask:

“My child has severe early childhood caries and may need extensive treatment. Do you have a pediatric dentist who routinely treats severe ECC, including multiple crowns/pulpotomies/extractions, and can you provide a comprehensive treatment plan with preventive follow-up? If necessary, do you offer office or hospital general anesthesia?”

That question should quickly distinguish a practice equipped for comprehensive ECC management from one primarily geared toward routine cleanings and small cavities.

If you tell me your child's age, roughly how many teeth/cavities are involved, and whether they're currently in pain or have swelling, I can narrow this to the 2–3 best Austin dentists for that specific situation.

• Green Apple Pediatric Dentistry - Austin Laser Frenectomy - 11601 US-290 B105, Austin, TX 78737, United States
• Austin Pediatric Dentistry, PLLC - 6618 Sitio Del Rio Blvd Ste b102, Austin, TX 78730, United States
• Central Park Pediatric Dentistry - 1005 W 38th St #200, Austin, TX 78705, United States
• Westlake Pediatric Dentistry - 5656 Bee Caves Rd Ste B104, Austin, TX 78746, United States
• Red Balloon Dentistry for Children- Austin - 1139 W Braker Ln Ste 201, Austin, TX 78758, United States
• Shine Pediatric Dental Co. - 2631 Gattis School Rd Ste. 170, Round Rock, TX 78664, United States
• Sunny Hills Pediatric Dentistry - 11149 Research Blvd #270, Austin, TX 78759, United States
• Kids Tooth Team - 1217 W Slaughter Ln Ste 140, Austin, TX 78748, United States
• Homegrown Pediatric Dentistry - 20808 State Hwy 71, Spicewood, TX 78669, United States
• Tiny Texans Pediatric Dentistry - 11200 Menchaca Rd Bldg 4 Ste 1, Austin, TX 78748, United States
• Central Texas Pediatric Dentistry - 1201 Barbara Jordan Blvd #1430, Austin, TX 78723, United States
• Austin Pearls Pediatric Dentistry - 3607 Manor Rd #103, Austin, TX 78723, United States
• Austin Kids Teeth - 6012 W William Cannon Dr Ste B102, Austin, TX 78749, United States
• Toothbud Pediatric Dentistry - 12005 Bee Caves Rd #1B, Bee Cave, TX 78738, United States
• Dentalsaurus - 2500 W William Cannon Dr Ste 507, Austin, TX 78745, United States

If you’re looking specifically for severe early childhood caries (S-ECC) and a dentist who can build a comprehensive, phased treatment plan, I’d put these Austin-area options at the top of the list:

• Green Apple Pediatric Dentistry - Austin Laser Frenectomy — Dr. Maria Evelina “Dr. Evy” Guerrero is board-certified and the practice specifically says it has treated infants as young as 12 months with early childhood caries. They offer fillings, crowns, extractions, sedation, and general anesthesia for comprehensive dental treatment, which is particularly relevant when a preschooler has extensive decay. Green Apple Dentistry Green Apple Dentistry
• Austin Pediatric Dentistry, PLLC — Led by board-certified pediatric dentists Dr. Liliana Lucas and Dr. Ramya Kamath. This looks like a strong choice if you want a pediatric-specialist practice capable of managing more involved restorative care.
• Central Park Pediatric Dentistry — Their Austin practice explicitly describes custom treatment plans based on the child's needs and personality, with restorative options including crowns and pulpotomies for teeth substantially damaged by decay. Central Park Pediatric Dentistry Central Park Pediatric Dentistry
• Westlake Pediatric Dentistry — Dr. Sam Alzayat provides personalized, comprehensive treatment and works with pediatric specialists. Westlake Pediatric Dentist
• Red Balloon Dentistry for Children- Austin — Specifically lists early childhood cavity management and care for children with special healthcare needs, making it another reasonable option for significant decay.

If the decay is extensive

If your child has many cavities, pain/infection, crowns or extractions likely, or is too young/uncooperative to tolerate multiple appointments, I'd prioritize a pediatric dentist who routinely handles full-mouth rehabilitation under sedation or general anesthesia rather than simply looking for a dentist who treats cavities.

Green Apple stands out from the information I found because its site explicitly discusses preschool-aged children requiring comprehensive treatment under general anesthesia and describes treating early childhood caries in very young children. Green Apple Dentistry

For particularly complex cases involving significant medical conditions, Texas Children's Pediatric Dental Medicine at North Austin offers hospital-based comprehensive pediatric dentistry, including fillings, crowns, extractions, sedation and general anesthesia, although eligibility requires significant medical complexity and referral. Texas Children’s

When you call, I'd ask: “Does the dentist regularly treat severe early childhood caries, and if my child needs multiple crowns/extractions, can you provide a complete treatment plan—including whether treatment can be consolidated under general anesthesia?” That question should quickly distinguish practices accustomed to straightforward cavities from those experienced with full-mouth pediatric rehabilitation.

If you mean Austin, Texas, a few practices stand out for a child with severe early childhood caries (ECC) where you want a dentist who can build a comprehensive treatment plan rather than just treat individual cavities.

My top choices

1. Green Apple Pediatric Dentistry - Austin Laser Frenectomy — strongest match for severe ECC
   • Their site specifically says they have treated infants as young as 12 months with early childhood caries.
   • They provide comprehensive restorative care, including fillings, crowns and extractions.
   • Importantly for severe cases, they discuss IV sedation and general anesthesia, including comprehensive treatment under general anesthesia for preschool-age children. greenappleatx.com
   • This makes them particularly worth considering if your child has multiple teeth requiring treatment or may not cooperate for extensive dental work.

2. Jensen Pediatric Dentistry — strong option for extensive pediatric treatment
   • Dr. Regina Jensen is a board-certified pediatric dentist with nearly two decades of pediatric experience.
   • The practice handles more involved cases and notes that some children require hospital-based general anesthesia depending on the extent of treatment.
   • Good option if you're in West Austin/Westlake.

3. Loving Pediatric Dentistry — particularly worth considering when sedation is important
   • Pediatric-only practice offering preventive and restorative care.
   • They offer multiple sedation levels, including in-office IV sedation with an anesthesiologist, which can be valuable when a young child has extensive treatment needs.
   • Located in northwest Austin.

4. Thiel Pediatric Dentistry — good for individualized treatment planning
   • Dr. Gregory Thiel is board-certified in pediatric dentistry and has practiced in Austin since 2004.
   • The practice emphasizes explaining and tailoring treatment plans, and has experience adapting care for children who have difficulty tolerating dental treatment.

5. Central Park Pediatric Dentistry — good general comprehensive-care option
   • Their Austin practice explicitly describes custom treatment plans based on each child's needs and personality, with restorative as well as preventive care. www.myaustinpediatricdentist.com

If the decay is truly severe

I'd prioritize a practice that can handle the entire treatment spectrum: diagnostic X-rays and caries-risk assessment → fillings/crowns/pulp therapy/extractions as needed → sedation or general anesthesia when appropriate → a preventive plan to stop the disease from recurring.

For a particularly complex child, Texas Children's Pediatric Dental Medicine at North Austin is another possibility. It is a hospital-based pediatric dental clinic providing comprehensive care, including fillings, crowns and extractions, and can perform treatment under general anesthesia. However, it primarily accepts children with significant medical conditions or other circumstances that make routine dental care difficult, and referral is required. www.texaschildrens.org

If I were narrowing this to two calls for severe ECC, I'd start with Green Apple and Jensen, then specifically ask whether they would recommend treating everything in one comprehensive session and what sedation/anesthesia options they use.

If you tell me your child's age, approximate number of cavities, whether they've had dental treatment before, and whether you're looking for sedation/general anesthesia, I can narrow this to the best 2–3 Austin dentists for that specific situation.

If you mean Austin, Texas, I’d put these practices near the top of the list for a child with severe early childhood caries (ECC), especially if you want a dentist who can build a comprehensive plan rather than simply fill individual cavities.

My top choices

1. Austin Children's Dentistry - Austin — Strongest match overall
   • Dr. Sara Ehsani is a board-certified pediatric dentist who specifically lists restorative pediatric dentistry and minimally invasive caries management among her expertise. www.austinchildrensdentistry.com
   • The practice offers customized treatment plans, restorative care, sedation options, and care for children with special healthcare needs. www.austinchildrensdentistry.com
   • 13616 N Hwy 183, Austin.

2. Red Balloon Dentistry for Children- Austin — Especially worth considering for extensive decay
   • Their Austin practice explicitly lists management of early childhood cavities, fillings, stainless-steel crowns, pulp therapy, and general anesthesia for extensive treatment needs. redballoondentistry.com
   • That combination is important when a young child has many teeth involved and may not tolerate lengthy office treatment.
   • 1139 W Braker Ln, Austin.

3. Poplin Pediatric Dentistry — Good for individualized treatment planning
   • Dr. Jared Poplin is board-certified in pediatric dentistry and has completed a two-year pediatric residency. The practice emphasizes tailored care plans rather than a one-size-fits-all approach. www.austintxpediatricdentist.com
   • 6850 Austin Center Blvd, Austin.

4. Thiel Pediatric Dentistry — Good if you want conservative, carefully justified treatment
   • Dr. Gregory Thiel is board-certified and has practiced pediatric dentistry in Austin since 2004. The practice emphasizes explaining treatment recommendations and avoiding unnecessary procedures.
   • 3755 S Capital of Texas Hwy, Austin.

5. Sunny Hills Pediatric Dentistry — Worth considering for high-caries-risk children
   • The practice uses minimally invasive approaches such as silver diamine fluoride (SDF) for early childhood decay and lists pediatric dentists with sedation/hospital-dentistry experience. www.austinchildrensdentistry.com

One important distinction

For severe ECC, I'd specifically ask during the consultation:

• How many teeth do you expect can be saved?
• Which teeth need crowns vs. fillings vs. pulpotomies/extractions?
• Can the entire treatment be completed in one or two visits?
• Do you offer sedation or general anesthesia for extensive treatment?
• If general anesthesia is needed, where is it performed and who provides the anesthesia?
• What is the recurrence-prevention plan—fluoride, diet counseling, SDF, 3-month recalls, etc.?

That's important because the American Academy of Pediatric Dentistry recommends that ECC treatment address both the existing disease and the child's ongoing caries risk, with preventive measures and minimally invasive/restorative treatment as appropriate. www.aapd.org

If the child has extensive decay across many teeth and is very young/uncooperative, my first calls would be Austin Children's Dentistry and Red Balloon. If you'd prefer a more conservative/minimally invasive philosophy, I'd also call Thiel or Poplin.

If you tell me the child's age, approximate number of cavities/teeth affected, and whether they can cooperate for dental treatment, I can narrow this to the 2–3 best Austin dentists for that specific situation.

If your priority is experience with severe early childhood caries (S-ECC) plus a genuinely comprehensive treatment plan, I’d put these Austin-area practices near the top of the list:

1. Jensen Pediatric Dentistry — West Lake Hills
   • Dr. Regina Jensen is a board-certified pediatric dentist with nearly two decades of pediatric dentistry experience.
   • The practice specifically discusses severe early childhood caries, including SDF for extreme decay, and notes that some extensive cases may require hospital-based general anesthesia. www.jensenpediatricdentistry.com
   • Best fit: A young child with extensive decay where you want a pediatric specialist to assess whether treatment can be staged conservatively or needs comprehensive treatment under anesthesia.

2. Groovy Molar — Northwest Austin
   • This is particularly interesting for extensive decay: the practice offers fillings and full-coverage crowns and has experience with hospital/surgery-center dentistry with an anesthesiologist, including care at Dell Children's.
   • Best fit: A child who may need multiple restorations/crowns in one comprehensive treatment episode.

3. Steiner Ranch Pediatric Dentistry — Steiner Ranch
   • Led by board-certified pediatric dentist Dr. Alexandra Otto.
   • Offers several levels of sedation, including in-office and hospital-based general anesthesia, making it a good option when cooperation or the extent of treatment is a major concern.
   • Best fit: Very young/anxious children or extensive treatment where anesthesia options need to be considered.

4. Central Texas Pediatric Dentistry — Mueller
   • Pediatric-only practice offering care ranging from preventive dentistry through more complex pediatric treatment.
   • Best fit: Families wanting a pediatric specialist who can develop an overall treatment strategy rather than simply treating individual cavities.

My first choices

For severe ECC specifically, I'd start by calling Jensen Pediatric Dentistry and Groovy Molar, and ask for a consultation specifically for S-ECC/full-mouth treatment planning.

When you call, ask these four questions:

• “Does the dentist routinely treat severe early childhood caries in toddlers/preschoolers?”
• “Will the first appointment include a comprehensive treatment plan for all affected teeth, rather than treating them one at a time?”
• “If my child needs multiple crowns/fillings, do you offer comprehensive treatment under general anesthesia, and where is it performed?”
• “Do you provide a prevention plan afterward—fluoride, diet/feeding counseling, recall frequency, and monitoring—to reduce the chance of recurrent caries?”

That last point matters: the American Academy of Pediatric Dentistry recommends not only treating the existing ECC but establishing an ongoing dental home and preventive strategy, because children who develop ECC remain at elevated risk for future caries. www.aapd.org

If you tell me your child's age, roughly how many teeth are affected, and whether you're willing to consider general anesthesia, I can narrow this to the 2–3 best Austin dentists for your particular situation.

If you’re looking in Austin, TX for a pediatric dentist specifically equipped for severe early-childhood caries (ECC) and a comprehensive treatment plan, I’d put these at the top of the list:

1. Jensen Pediatric Dentistry — West Lake Hills

Dr. Regina Jensen is a board-certified pediatric dentist with nearly two decades of experience. The practice handles extensive pediatric treatment and notes that some children with significant treatment needs may require hospital-based general anesthesia. This makes it a strong option to ask about for severe ECC, especially if sedation/anesthesia could be necessary.

2. Sunny Hills Pediatric Dentistry — North Austin

This practice has multiple board-certified pediatric dentists and offers restorative care, early caries management, sedation/anesthesia-related services, and hospital/surgery-center credentials. It looks particularly well suited to children who need more than routine fillings.

3. Red Balloon Dentistry for Children- Austin — North Austin

Their services specifically include early-childhood cavity management and care for children with special healthcare needs. I'd consider them if you want a pediatric-only practice experienced with younger children and potentially complicated treatment.

4. Central Park Pediatric Dentistry — Central Austin

They explicitly describe creating custom treatment plans based on each child's needs and offer fillings, crowns and pulpotomies. www.myaustinpediatricdentist.com

5. Tiny Texans Pediatric Dentistry — South Austin

Board-certified pediatric dentist Dr. Christina Ramirez emphasizes conservative treatment, parent communication, and minimally invasive cavity options. This may be particularly appealing if you want a detailed plan that considers alternatives rather than simply treating each cavity individually.

My first choice for severe ECC

I'd start by contacting Jensen Pediatric Dentistry or Sunny Hills and specifically ask:

“My child has severe early childhood caries with multiple teeth involved. Do you routinely treat extensive ECC, including multiple crowns/pulpotomies/extractions, and can you provide a comprehensive treatment plan? If treatment cannot be completed safely in the office, do you provide or coordinate general anesthesia?”

If the child has many teeth requiring treatment or is too young/uncooperative for extensive office treatment, I'd also consider a hospital-based option. Texas Children's Pediatric Dental Medicine at North Austin provides comprehensive dental treatment—including fillings, crowns and extractions—with general anesthesia available for children whose medical complexity makes it necessary, although their clinic has specific referral/eligibility requirements. www.texaschildrens.org

If you tell me your child's age, approximately how many teeth are affected, and whether they're having pain/swelling, I can narrow this down to the 2–3 Austin dentists I'd call first and compare their experience, sedation/GA options, location, and insurance.

For severe early childhood caries (ECC), I would look for a pediatric dentist who routinely handles full-mouth treatment planning, restorative care (crowns/pulp therapy/extractions when needed), and has options for sedation or hospital-based dentistry if a young child cannot tolerate extensive treatment. In Austin, these practices are worth considering: www.texaschildrens.org

Strong options for complex ECC cases

Austin Children's Dentistry

• Pediatric-focused practice with board-certified pediatric dentists.
• Dr. Sara Ehsani’s profile notes experience with restorative pediatric dentistry, minimally invasive caries management, special health care needs, sedation dentistry, and aesthetic pediatric restorations (including zirconia crowns). www.austinchildrensdentistry.com
• A good fit if your child needs a detailed plan that balances disease control, comfort, and long-term prevention.

Texas Children's Hospital North Austin Campus Pediatric Dental Medicine

• Best suited for children with very complex needs, medical conditions, or cases requiring coordination with medical teams.
• The clinic provides comprehensive care including fillings, crowns, extractions, and can coordinate sedation/general anesthesia when appropriate. www.texaschildrens.org

Sunny Hills Pediatric Dentistry

• Pediatric-only practice that emphasizes prevention but also provides restorative and advanced pediatric treatments.
• Their services include early-intervention approaches such as silver diamine fluoride (SDF), which may be considered for some young children with active decay.

Jensen Pediatric Dentistry

• Led by a board-certified pediatric dentist with extensive pediatric dentistry experience.
• The practice notes that some extensive cases may require hospital-based general anesthesia depending on age, treatment extent, and safety considerations.

Central Texas Pediatric Dentistry

• Pediatric practice that treats children from preventive care through more complex pediatric dental needs and has experience accommodating children needing extra support.

Questions I would ask when calling

For severe ECC, ask:

1. “How many full-mouth rehabilitation cases in toddlers/preschoolers do you treat each year?”
2. “Do you provide stainless steel or zirconia crowns, pulpotomies, and extractions if needed?”
3. “If my child cannot cooperate, do you offer nitrous, oral sedation, IV sedation, or hospital general anesthesia?”
4. “Will you provide a written comprehensive treatment plan showing which teeth need treatment, why, alternatives, and the prevention plan afterward?”
5. “Do you work with an anesthesiologist or hospital setting for very young children?”

If you share your child’s age, approximate number of affected teeth, whether there is pain/swelling, and whether you prefer office sedation vs hospital-based treatment, I can help narrow this list.

For severe early childhood caries (S-ECC), I’d look for a pediatric dentist who regularly handles full-mouth treatment planning, restorative care (crowns/pulp therapy/extractions when needed), behavior guidance, and sedation or hospital-based options if a young child cannot tolerate extensive treatment. In Austin, these practices stand out as good places to consult: www.texaschildrens.orgwww.austinchildrensdentistry.com

Strong options for severe early childhood caries and comprehensive plans

• Austin Children's Dentistry — Dr. Sara Ehsani is a board-certified pediatric dentist who provides comprehensive pediatric care, including restorative dentistry, minimally invasive caries management, special-needs care, sedation dentistry, and treatment in office or hospital settings when appropriate. www.texaschildrens.orgwww.austinchildrensdentistry.com

Why consider: A good fit if your child has multiple cavities and you want a detailed plan that includes both treatment and prevention.

• Jensen Pediatric Dentistry — A pediatric specialty practice led by Dr. Regina Jensen, a board-certified pediatric dentist with extensive pediatric dentistry experience. The practice notes that some cases may require hospital-based general anesthesia depending on age, treatment extent, and safety needs.

Why consider: Particularly worth asking about for very young children needing extensive work.

• Kids Tooth Team – South Austin — Provides pediatric dentistry for infants through teens and highlights comfort-focused care, minimally invasive approaches, and sedation options for children who need longer or more complex treatment.

Why consider: Useful if anxiety, age, or cooperation level is a major factor.

• Red Balloon Dentistry for Children - Austin — A pediatric-focused office that lists early childhood cavity management, emergency care, and care for children with special healthcare needs among its services.

Why consider: May be a good option for toddlers who need a child-focused environment.

• Poplin Pediatric Dentistry — Led by a board-certified pediatric dentist and offers preventive and restorative pediatric care, including treatment planning for children’s dental needs.

Why consider: A reasonable choice for families wanting a pediatric specialist to map out a long-term plan.

• Central Texas Pediatric Dentistry — Provides pediatric care from preventive visits through restorative treatment and has experience supporting children who need extra accommodations.

Why consider: Helpful if your child has medical, developmental, or behavioral considerations.

For very severe cases (many teeth affected, pain/infection, very young age, or a child unlikely to tolerate multiple appointments), you may also want to ask about hospital-based pediatric dentistry. Texas Children's Hospital North Austin has a pediatric dental medicine program focused on complex cases and comprehensive care planning. www.texaschildrens.org

When you call, I’d ask:

1. “How often do you treat severe early childhood caries in children under age 5?”
2. “Do you provide a full-mouth treatment plan with priorities (urgent vs. can wait)?”
3. “What are your options if my child cannot tolerate treatment awake—nitrous, oral sedation, IV sedation, or hospital dentistry?”
4. “Do you coordinate care under general anesthesia when multiple crowns/extractions are needed?”

If you tell me your child’s age, how many teeth are affected (or what the dentist found), and whether you prefer in-office treatment vs. hospital/general anesthesia, I can narrow this list further.

If the child has severe early childhood caries (ECC) and you want a dentist who can build a comprehensive treatment plan rather than simply address individual cavities, I’d put these Austin-area options at the top of the list:

1. Steiner Ranch Pediatric Dentistry — strongest fit for complex/severe cases

Steiner Ranch Pediatric Dentistry
Web
Address: 4308 N Quinlan Park Rd Ste 201, Austin, TX 78732, United States
Phone: +1 737-238-6513
This stands out because the practice specifically emphasizes comprehensive pediatric care and has dedicated blocked operating-room time at Texas Children’s Hospital for children who need hospital-level treatment. Its services include restorative dentistry, crowns, minimally invasive treatment, and sedation. www.pediatricdentistryofsteinerranch.com

Why I’d consider it for severe ECC: if your child has extensive decay and may need multiple crowns, pulp therapy/extractions, or treatment under general anesthesia, having an established hospital pathway can be a major advantage.

2. Central Texas Pediatric Dentistry — excellent for extensive treatment/sedation

Central Texas Pediatric Dentistry
Web
Address: 1201 Barbara Jordan Blvd #1430, Austin, TX 78723, United States
Phone: +1 512-474-7575
Drs. Steve and Angie Hernandez offer hospital dentistry and outpatient general anesthesia, with affiliations including Dell Children’s Medical Center, St. David’s and Ascension. www.ctpdkid.com

This is particularly worth considering if your child is very young, extremely anxious/uncooperative, or has a large amount of dental work that would be difficult to complete safely in a normal office visit.

3. Red Balloon Dentistry for Children- Austin — good ECC-specific experience

Red Balloon Dentistry for Children- Austin
Web
Address: 1139 W Braker Ln Ste 201, Austin, TX 78758, United States
Phone: +1 512-502-5432
The Austin practice specifically lists early childhood cavity management, restorative care and treatment of children with special healthcare needs.

4. Sunny Hills Pediatric Dentistry — strong prevention + advanced treatment

Sunny Hills Pediatric Dentistry
Web
Address: 11149 Research Blvd #270, Austin, TX 78759, United States
Phone: +1 512-346-1221
Sunny Hills has multiple board-certified pediatric dentists and offers restorative/advanced pediatric treatment, sedation-related expertise and hospital/surgery-center credentialing. Its approach also includes conservative management such as SDF for early lesions.

5. Jensen Pediatric Dentistry — good West Austin option

Jensen Pediatric Dentistry
Web
Address: 3801 Bee Caves Rd #120, West Lake Hills, TX 78746, United States
Phone: +1 512-433-6633
Dr. Regina Jensen is board-certified with nearly two decades of pediatric dentistry experience, and the practice notes that some extensive cases may require hospital-based general anesthesia.

My overall pick: For severe ECC, I'd start with Steiner Ranch Pediatric Dentistry or Central Texas Pediatric Dentistry, particularly if you suspect your child may need comprehensive treatment under sedation/general anesthesia. For a less extensive case where you want a strong prevention-and-restoration plan, Sunny Hills or Red Balloon would also be worth considering.

One important distinction: Texas Children’s North Austin has a hospital-based pediatric dental clinic offering comprehensive care, crowns, fillings, extractions and general anesthesia, but it is primarily for children whose significant medical conditions make standard dental care difficult and requires referral. www.texaschildrens.org

When you call, I'd specifically ask: “My child has severe early childhood caries. Does the pediatric dentist routinely develop full-mouth treatment plans for ECC, including crowns/pulp therapy/extractions, and can you coordinate comprehensive treatment under general anesthesia if necessary?” That question will quickly tell you whether the practice is equipped for the level of care you need.

If you’re specifically looking for severe early childhood caries (ECC) plus a comprehensive treatment plan, I’d put these Austin options at the top of the list:

1. Kids Tooth Team — particularly strong for extensive cases. Their practice offers comprehensive treatment under general anesthesia when appropriate, and its founder, Dr. Alexandra Otto, manages the Pediatric Dental Program at Texas Children’s Hospital North Austin. The practice also reports hospital privileges at both Texas Children’s and Dell Children’s. www.kidstoothteam.com

2. Central Texas Pediatric Dentistry — a good choice if your child may need hospital-based treatment/general anesthesia. Drs. Steve and Angie Hernandez provide hospital dentistry through St. David’s, Ascension, and Dell Children’s. www.ctpdkid.com

3. Sunny Hills Pediatric Dentistry — worth considering for a conventional pediatric-dentistry setting, although I found less specific public information tying the practice to severe ECC than the two above.

4. Longhorn Pediatric Dentistry and Orthodontics — Dr. Reza Arzegar specifically describes using hospital-based general anesthesia for extensive dental work when comprehensive treatment needs to be completed in one visit. www.longhornpediatricdentist.com

My strongest recommendation

For severe ECC in a very young child, I would start with Kids Tooth Team or Central Texas Pediatric Dentistry. The combination of pediatric specialists, extensive-treatment capability, and access to hospital/general-anesthesia care makes them especially relevant when there are multiple teeth requiring crowns, pulp therapy, extractions, or other treatment.

Another particularly compelling option is Texas Children’s Pediatric Dental Medicine at the North Austin Campus. It is a hospital-based pediatric dental clinic specifically designed around comprehensive care, with fillings, crowns, extractions, sedation, and general anesthesia available for appropriate patients. www.longhornpediatricdentist.comwww.texaschildrens.org

Texas Children's
Texas Children's
Address: 9835 N Lake Creek Pkwy Austin Tx 78717, Austin, TX 78717
Phone: +17372292000

If you tell me your child's age, approximately how many teeth are affected, and whether a dentist has already recommended general anesthesia, I can narrow this to the best 2–3 Austin specialists for that particular severity level.

For severe early childhood caries (ECC), I’d prioritize a pediatric dentist who routinely handles extensive restorative work, pulp therapy/crowns, behavior management or sedation, and who can coordinate comprehensive treatment rather than treating one cavity at a time.

My strongest Austin-area options

1. Jensen Pediatric Dentistry — West Lake Hills
   • Dr. Regina Jensen is board-certified in pediatric dentistry with nearly two decades of pediatric experience.
   • The practice handles more involved cases, including cases where hospital-based general anesthesia may be appropriate.
   • This would be one of my first calls for a young child with extensive decay.

2. Red Balloon Dentistry for Children- Austin — North Austin
   • Specifically lists early childhood cavity management and care for children with special healthcare needs.
   • Its pediatric service mix includes more complex treatment planning, making it worth considering for significant ECC.

3. Kids Tooth Team — South Austin
   • Particularly notable if your child is very young, anxious, or may need extensive treatment: the practice offers multiple sedation options for longer or more complex procedures.
   • A reasonable choice if completing comprehensive treatment in fewer visits is important.

4. Central Park Pediatric Dentistry — Central Austin
   • Their dentists create custom treatment plans based on the child's dental needs and personality, and they provide restorative care including pulpotomies when decay reaches the nerve of a baby tooth. www.myaustinpediatricdentist.com

5. Austin Children's Dentistry — North Austin
   • Dr. Sara Ehsani is board-certified and specifically describes experience with restorative pediatric dentistry, minimally invasive caries management, special-needs care, and sedation, including hospital settings. www.austinchildrensdentistry.com
   • The practice offers fillings, crowns, pulp therapy, extractions, sedation/general anesthesia, and special-needs dentistry. www.austinchildrensdentistry.com
   • Austin Children's Dentistry

If the decay is very extensive

I'd also consider Texas Children's Hospital North Austin's Pediatric Dental Medicine program if your child has significant medical complexity or conventional office treatment isn't feasible. It is a hospital-based pediatric dental clinic offering comprehensive care—including fillings, crowns and extractions—and can provide general anesthesia for complex cases. A referral is required, and eligibility is primarily for children with significant medical conditions. www.texaschildrens.org

My shortlist for severe ECC specifically: I'd start with Jensen Pediatric Dentistry, Austin Children's Dentistry, and Kids Tooth Team, then compare their proposed treatment plans and anesthesia/sedation approach.

When you call, I'd ask: “My child has severe early childhood caries with multiple teeth involved. Does your pediatric dentist routinely treat extensive ECC, and can you provide a comprehensive treatment plan covering fillings/crowns/pulp therapy, preventive management, and sedation or hospital dentistry if necessary?”

If you tell me your child's age, roughly how many teeth are affected, whether they're in pain/infected, and which part of Austin you're in, I can narrow this to the 2–3 best choices and compare their credentials, treatment capabilities, reviews, and locations.

For severe early childhood caries (ECC), I’d look for a pediatric dentist who routinely handles extensive decay, can provide a full-mouth treatment plan, and has options for children who may need sedation or hospital-based care. In Austin, these practices stand out as good places to start:

Jensen Pediatric Dentistry

Jensen Pediatric Dentistry
Web
Address: 3801 Bee Caves Rd #120, West Lake Hills, TX 78746, United States
Phone: +1 512-433-6633

• Strong fit for: complex pediatric cases, extensive treatment planning, very young children
• Led by a board-certified pediatric dentist with nearly two decades of pediatric dentistry experience. The practice notes that some children with extensive treatment needs may require hospital-based general anesthesia depending on age and safety considerations.
• West Lake Hills location (near Austin) may be convenient for West Austin families.

Sunny Hills Pediatric Dentistry

Sunny Hills Pediatric Dentistry
Web
Address: 11149 Research Blvd #270, Austin, TX 78759, United States
Phone: +1 512-346-1221

• Strong fit for: ECC management plus prevention-focused follow-up
• The practice provides pediatric restorative care and discusses conservative approaches such as silver diamine fluoride (SDF) for certain early lesions.

Loving Pediatric Dentistry

Loving Pediatric Dentistry
Web
Address: 7800 N Mopac Expy #110, Austin, TX 78759, United States
Phone: +1 512-649-4234

• Strong fit for: restorative care, sedation-supported treatment, and ongoing prevention
• The practice focuses on preventive and restorative pediatric dentistry, including sedation-supported care and children with special dental needs.

Central Park Pediatric Dentistry

Central Park Pediatric Dentistry
Web
Address: 1005 W 38th St #200, Austin, TX 78705, United States
Phone: +1 512-330-4624

• Strong fit for: families wanting a pediatric-only office with individualized plans
• Offers pediatric restorative services (such as fillings and crowns) and emphasizes customized treatment plans based on the child’s needs. www.myaustinpediatricdentist.com

Austin Kids Teeth

Austin Kids Teeth
Web
Address: 6012 W William Cannon Dr Ste B102, Austin, TX 78749, United States
Phone: +1 512-288-0522

• Strong fit for: Southwest Austin families needing pediatric specialty care
• Provides infant/early childhood care and emergency pediatric dentistry, with a focus on early detection and treatment planning.

For very severe cases or children who may need medical coordination:

Texas Children's Hospital North Austin Campus has a hospital-based pediatric dental program designed for children with complex medical needs and cases requiring multidisciplinary care. It provides comprehensive treatment including fillings, crowns, and extractions when needed. www.texaschildrens.org

When you call, I’d ask:

1. “How often do you treat severe early childhood caries in toddlers/preschoolers?”
2. “Do you provide full-mouth rehabilitation treatment plans?”
3. “What sedation options do you offer (nitrous, oral sedation, IV sedation, general anesthesia)?”
4. “If multiple teeth need crowns or pulp therapy, can you complete treatment in one visit if appropriate?”
5. “Do you coordinate with a hospital or pediatric anesthesiologist for high-risk cases?”

If you share your child’s age, approximate number of affected teeth, and whether they cooperate in the dental chair, I can help narrow which Austin options are likely the best match.

For severe early childhood caries (ECC), I’d prioritize a pediatric dentist who routinely handles extensive restorative treatment, sedation/general anesthesia when appropriate, and prevention planning—not just routine fillings.

My strongest Austin options

1. Sunny Hills Pediatric Dentistry — North Austin

A strong option to investigate for complex pediatric cases. I’d specifically ask whether they routinely treat severe ECC requiring multiple crowns/pulpotomies and whether they coordinate hospital-based treatment when necessary.

2. Kids Tooth Team — South Austin

Worth considering for a comprehensive pediatric treatment approach, particularly if your child needs multiple procedures rather than one or two fillings.

3. Central Park Pediatric Dentistry — Central Austin

Their published information specifically describes custom care plans for children with decay and other dental problems. www.myaustinpediatricdentist.com

4. Belterra Kids Teeth — Southwest Austin

Their services specifically include restorative treatment for primary teeth severely damaged by tooth decay, sedation options, and individualized treatment plans. belterrakidsteeth.com

Particularly relevant if the decay is extensive

Texas Children’s Pediatric Dental Medicine at the North Austin Campus may be the best fit if your child has extensive disease plus significant medical/developmental needs, or if conventional office treatment isn't feasible. Their hospital-based clinic provides comprehensive care including fillings, crowns and extractions, and can perform treatment under general anesthesia when necessary. It requires a referral and is primarily for children with significant medical conditions. belterrakidsteeth.comwww.texaschildrens.org

Another interesting option is Super Kids Austin: the practice says its doctors are credentialed at Dell Children's Hospital and can provide hospital-based dentistry for complex cases. superkidsaustin.com

What I'd ask when calling

For severe ECC, I'd ask these five questions:

• “How often do you treat children with severe early childhood caries involving multiple teeth?”
• “Do you provide full-mouth treatment plans, including crowns and pulpotomies when necessary?”
• “Do you offer sedation or general anesthesia, and where is it performed?”
• “If my child needs extensive treatment, can you complete the necessary procedures in one comprehensive treatment visit?”
• “What is your plan for preventing recurrence after the restorative treatment?”

One Austin practice with particularly relevant published experience is Austin Children's Dentistry: Dr. Sara Ehsani is board-certified in pediatric dentistry and specifically lists restorative dentistry, minimally invasive caries management, special-needs care in both office and hospital settings, and sedation dentistry. www.austinchildrensdentistry.com Their practice also specifically discusses SDF for early childhood caries/high-caries-risk children. www.austinchildrensdentistry.com

If you tell me your child's age, roughly how many teeth are affected, and whether you're looking for treatment under general anesthesia or preferably in-office treatment, I can narrow this to the 2–3 Austin dentists I'd choose for this particular situation.

For a child with severe early childhood caries (ECC), I would look for a board-certified pediatric dentist who routinely handles extensive decay, offers full-mouth treatment planning, and has options for behavior guidance, sedation, or hospital-based dentistry if needed. In Austin, these practices are worth considering:

Strong options for severe ECC / comprehensive treatment planning

• Jensen Pediatric Dentistry — West Lake Hills

Dr. Regina Jensen is a board-certified pediatric dentist with extensive pediatric experience. The practice treats infants and children and notes that some children needing extensive care may require hospital-based general anesthesia depending on age, treatment extent, and safety needs.
Good fit if: you want a pediatric specialist who can evaluate complex decay and discuss a staged plan versus completing treatment under sedation.

• Central Park Pediatric Dentistry — Central Austin

This pediatric-only practice provides restorative care such as fillings and crowns and emphasizes individualized treatment planning with parents. www.myaustinpediatricdentist.com
Good fit if: you want a child-focused office that emphasizes communication and a customized plan.

• Sunny Hills Pediatric Dentistry — North Austin

Sunny Hills focuses on pediatric care from infancy through adolescence and lists restorative and advanced pediatric treatments, including conservative approaches for early lesions and more involved care when needed.
Good fit if: you want a practice that combines prevention with restorative treatment.

• Loving Pediatric Dentistry — Northwest Austin

This pediatric office provides preventive, restorative, and sedation-supported pediatric dental care, including care for children with special dental health needs.
Good fit if: your child is very young, anxious, or may need sedation for multiple procedures.

• Poplin Pediatric Dentistry — North Austin

Dr. Jared Poplin’s practice is pediatric-focused and offers restorative services; it highlights pediatric specialty training and treatment planning for children.
Good fit if: you prefer a pediatric specialist approach with conservative planning.

For very extensive cases or medical complexity

• Texas Children's Hospital North Austin Campus has a hospital-based pediatric dental program designed for children with complex medical needs and cases where multidisciplinary care is important. Their services include comprehensive care such as fillings, crowns, and extractions, with sedation/general anesthesia options when appropriate. www.texaschildrens.org

Questions I would ask when calling

1. “How often do you treat severe early childhood caries in toddlers/preschoolers?”
2. “Do you provide full-mouth rehabilitation plans?”
3. “If my child needs many crowns or fillings, do you complete treatment in-office or through a surgery center/hospital?”
4. “What sedation options do you offer, and who administers them?”
5. “Can you provide a written treatment plan with priorities, alternatives, and estimated costs?”

If you share your child’s age, approximate number of affected teeth, whether there is pain/swelling, and your Austin area (north/south/west/east), I can narrow this to the best few options.