
Primary (baby) teeth don't last long. But despite their short life span, they do a number of important things, like enabling a child to eat solid food. But perhaps their most important long-term function is “paving” the way for their permanent replacements.
If one is lost prematurely, though, the permanent tooth might not come in properly aligned. That's why if a primary tooth is in danger of loss due to decay or injury, we'll do our best to save it.
But that could get a little tricky if the infected or damaged part of the tooth is the innermost pulp. If it were an adult tooth, the best course might be a root canal treatment: access the pulp, clear out the diseased tissue, and then fill the space with a special filling. But with a primary tooth (or a young permanent tooth for that matter) that may not be advisable.
That's because the pulp plays a more important role in a child's tooth than an adult's. Its nerves and other tissues stimulate dentin growth; a full root canal could disrupt that growth and weaken the tooth in the long run.
With a child's tooth, we proceed carefully depending on how infected or damaged the pulp might be. If it's only slightly exposed or not at all, we try then to remove as much decayed tooth material outside the pulp as necessary, then apply antibacterial agents or dentin growth stimulators.
If we do have pulp exposure, we'll try to remove only as much of the affected pulp as necessary through a procedure called a pulpotomy. This technique will only be used if the remaining pulp looks healthy or restorable to health.
If not, we may need to perform a pulpectomy to remove the entire pulp. Most like a typical root canal, it's a last resort: without the pulp, dentin growth could be stunted and the tooth won't develop as healthy as it should.
Of course, the best approach is to prevent teeth from developing such problems in the first place. So, be sure to practice effective daily hygiene with your child and keep up regular dental visits beginning at age one.
If you would like more information on treating decayed primary teeth, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Root Canal Treatment for Children's Teeth.”
Comments:
Our Office
Dentist - Bristol
21 Pleasant Street
Bristol, CT 06010
(860) 582-8095
Our Blog
Archive:
- 2021
- 2020
- 2019
- 2018
- 2017
- 2016
- 2015
- 2014
Tags
- celebrity smiles (73)
- mouthguards (6)
- oral health (27)
- x-rays (2)
- veneers (5)
- porcelain veneers (6)
- aging (1)
- dental implants (10)
- gum surgery (1)
- gap (1)
- orthodontics (8)
- crown (1)
- dentures (1)
- composite resins (1)
- root canal (3)
- tads (1)
- orthodontic treatment (13)
- pregnancy (1)
- dental hygiene (1)
- dental injury (7)
- oral hygiene (22)
- cosmetic dentistry (7)
- thumb sucking (3)
- pediatric dentistry (14)
- braces (7)
- crowns (4)
- retainers (2)
- teething (2)
- bridge (2)
- space maintainer (1)
- bad breath (1)
- nutrition (4)
- oral cancer (2)
- wisdom teeth (4)
- bonding (1)
- sedation dentistry (2)
- abscessed tooth (1)
- oral surgery (2)
- tmj disorders (4)
- tmd (1)
- tooth grinding (1)
- age one dental visit (1)
- gum disease (8)
- dry mouth (1)
- athletic mouthguards (1)
- oral sedation (1)
- root canal treatment (7)
- orthognathic surgery (1)
- jaw surgery (1)
- dental emergency (1)
- teeth wear (1)
- periodontal disease (3)
- tooth decay (5)
- partial dentures (1)
- pediatric care (1)
- dental injuries (1)
- teeth grinding (1)
- blood pressure (1)
- partial denture (1)
- teeth whitening (3)
- extractions (1)
- shingles (1)
- impacted teeth (1)
- chipped tooth (3)
- gummy smile (1)
- gum recession (3)
- saliva (1)
- diabetes (1)
- bone grafting (1)
- tooth pain (1)
- smoking (1)
- baby teeth (2)
- snoring (2)
- sleep apnea (2)
- retainer (2)
- adult braces (1)
- dental treatment (1)
- crown lengthening (1)
- toothache (2)
- chipped teeth (2)
- cosmetic gum surgery (1)
- laser dentistry (1)
- apicoectomy (1)
- root resorption (1)
- dental implant (4)
- loose tooth (1)
- tooth replacement (1)
- lingual braces (1)
- topical fluoride (1)
- facial pain (1)
- cleft lip (1)
- cleft palate (1)
- pain management (1)
- mouthguard (1)
- fluoride (2)
- clear aligners (1)
- dental cleaning (1)
- vaping (1)
- bridgework (1)