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Baby Tooth Root Canal

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Do kids really need a root canal for their decayed teeth? Get the answer to this question and learn in detail about root canal treatment in milk teeth.

Medically reviewed by

Dr. Infanteena Marily F.

Published At December 22, 2021
Reviewed AtAugust 1, 2023

What Is a Root Canal?

It is an endodontic treatment. Root canals remove bacteria and dead or dying tissue from inside the tooth. The most vital part of a tooth is the pulp; it contains living tissue that involves blood vessels, nerves, and connective tissues. When the infection reaches the tooth's pulp, it is indicated for root canal treatment. In extreme cases, when the infection involves the furcation area of the root, then extraction may be needed.

What Happens During Root Canal Treatment?

During root canal treatment, the dentist uses tiny tools to clean the tooth's canal, and it is then filled with the artificial nerve (layman term), thread-like material. The prepared cavity is then filled with restorative material, and then a cap or crown is given to the tooth. In modern dentistry, the root canal procedure is not tiresome or complicated as it was before. Nowadays, it is a quick and comfortable procedure.

What Causes Tooth Decay?

Also known as caries or cavities, tooth decay is caused by permanent damage to the outer layer of the tooth in the form of tiny holes or openings. Many factors are responsible for this, including bacteria, lack of good oral hygiene, refined carbohydrates, sugary food, drink, and frequent snacking. Tooth caries or cavities are a common problem for children and adults. Anyone can develop tooth decay, even infants. If left untreated, they continue to grow and enter the deeper layers of teeth. This leads to more severe infections and may even cause loss of tooth.

Are Root Canals Really Necessary in Kids?

Parents wonder when they hear that a root canal will be needed in their kid's baby tooth. Everyone thinks that the root canal is just for adult teeth or permanent teeth. A root canal is necessary to avoid the extraction of a tooth and prevent the tooth from extraction. A root canal is carried out in the followingsituations:

  • When there is trauma to the tooth because of an accident or injury.

  • When there is pus collection, that is an abscess or severe infection in the tooth.

  • A root canal is a conservative procedure when tooth extraction leads to speech impairment, eating issues, or functional impairment.

Is There Any Specific Age for Root Canal Procedure?

No, root canal procedure can be carried out at any age. In children the baby teeth, at times need root canal treatment. It is carried out by a pedodontist who is a kid's dental specialist.

What Are the Signs That Indicate Baby Tooth Needs Root Canal?

  • Continuous pain.

  • Sensitivity to hot and cold temperatures.

  • Swelling in the affected region.

  • Redness in the surrounding area.

  • Increased mobility of the affected tooth.

How Can We Protect Our Child’s Tooth to Prevent Root Canal Treatment?

Root canal treatment is carried out only when there is extensive tooth damage or more spread of infection. It is always better to prevent than get it treated. Following various ways to avoid it:

1. Brushing twice a day. Brushing in the morning and at night helps to reduce the risk of caries and consequently the risk of a root canal.

2. Flossing is also equally essential to dislodge plaque and calculus. If the child is not flossing in between the teeth, they are given a chance to multiply the bacteria in the mouth, which will be the cause for multiple problems and bad breath.

3. Avoid eating hard foods such as candy, nuts, carrots etc., when one know the child's tooth is weak, it can get cracked on biting hard food substances. Similarly, chewing on ice can also break the teeth. Cracked teeth will harbor more bacteria, leading to more infection, so taking that precaution is very important.

4. For a tooth to go for root canal treatment, it is not necessary that there should always be an infection, any kind of trauma to the tooth can lead to it. So the habit of bruxism, that is night grinding, can cause trauma to the tooth, so it is critical to go for a mouth guard if a child has bruxism.

5. Mouth guards or protective appliances should be used during sports to avoid contact sports injury such as football, basketball, swimming, boxing, or just for any sports etc.

6. Acidic food affects the outer layer of the tooth that is enamel, making the tooth weak, acidic substances found in juices or soda or sugary substances. So that needs to be avoided.

7. Breastfeeding or bottle feeding, in either of the cases, when the child sleeps with milk on teeth, it becomes more prone to caries or infection. So, make sure the child sips in water after feeding to prevent caries.

If there is pain, then there is something wrong that is happening in the tooth, so better to get it treated before it becomes more complicated.

What Is the Age to Get a Root Canal Treatment Done?

Root canals are performed on children aged 12 and older, but when infection and damage to the tooth are extensive, then at times, the dentist decides to perform it on baby teeth.

What Is a Root Canal of a Baby Tooth Called?

In adults, this procedure is called a root canal, whereas, in the case of deciduous teeth, it is called a pulpectomy or pulpotomy procedure. In a pulpectomy procedure, the dentist removes the nerves of the affected tooth and infected tissue. Then it is filled with a medicated material, and afterward, the tooth is covered with a cap or crown to prevent further decay and damage.

Why Should One Get Crown After Root Canal Treatment?

After the root canal tooth gets weak, when it is related to the posterior tooth, chewing forces can cause the tooth to fracture to prevent that and give a weak tooth strength. It is necessary to provide a crown on root canal-treated teeth.

Why Do Some Root Canals Take Two or More Visits?

In root canal procedure, there is the removal of the infection. When there is a severe infection, it may take one or more visits to clear the disease and make it clean, disinfected, and fill it. Also, sometimes it takes time to clear the infection and its healing. Afterward, canals can be filled.

Why Would a Dentist Do a Root Canal When Baby Teeth Are Still In?

Saving a baby tooth is equally essential as a permanent tooth. The root canal of baby teeth, also known as pulpectomy or pulpotomy, protects the tooth from extraction and gives the teeth enough time to fall out on their own.

Conclusion

Most of the root canals last for a lifetime. When a baby tooth is lost early, there will be many issues such as chewing problems, speech impairment, and alignment of developing permanent teeth. Alignment problems occur because adjacent teeth get drifted in missing tooth space, which will create space problems in the future. Therefore, instead of extraction, getting a root canal treatment is advisable to prevent complications if it can be done.

Frequently Asked Questions

1.

Is a Root Canal Procedure Required for a Baby Tooth?

The most often nerve treatment required for a baby tooth is a baby root canal. Therapy is required when a baby's tooth cavity gets deep enough to touch the nerve.

2.

Is Having a Root Canal Better Than Having a Baby Tooth Pulled?

The only other option when the child needs a baby root canal is to have the tooth pulled (extracted). The ideal space preserver for the permanent tooth is the natural tooth. The permanent tooth may erupt crooked or crowded if a baby tooth is lost too soon due to extraction. So, the root canal is better than the extraction.

3.

How Much Time Does a Baby Root Canal Last?

A baby root canal normally takes an hour to complete. The treatment can be divided to ensure the child gets adequate breaks if they can not sit still for so long. Additional sedation therapy methods are available to keep a baby calm during treatment.

4.

Should a Three-Year-Old Get a Root Canal?

A root canal is typically not advised for a three-year-old unless they have a severe dental problem that affects their primary teeth. Dentists frequently look into alternative therapies and prioritize keeping the milk teeth in place until they naturally fall out. The optimum course of action must be decided after seeing a pediatric dentist.

5.

How Much Does a Baby Tooth Root Canal Cost?

It can vary, but it's often between $400 and $1,400. The price is influenced by the type of tooth, the difficulty of the procedure, the insurance plan, and the dentist doing the root canal.

6.

What Is the Average Age for Root Canals?

No, anyone of any age can undergo a root canal treatment. However, baby teeth in children can occasionally require root canal therapy, which a pedodontist, a pediatric dentist, performs.

7.

Which Hurts Worse, Having a Tooth Extracted or Having a Root Canal?

Pulling a tooth requires further dental operations and additional healing time to replace it later. Recovery after extraction often takes longer and is frequently more painful than recovery from a root canal. It might be painful to have a root canal. Many people find it more painful than an extraction; however, a local anesthetic can lessen the discomfort.

8.

How Frequently Do Children Receive Root Canals?

The necessity for root canal therapy in children is uncommon. One might be required, nevertheless, if there has been extensive tooth decay, trauma, or injury to the tooth.

9.

What Occurs to the Young Tooth Roots?

The crown of the subsequent permanent teeth dissolves the roots. As a result, the baby teeth become loose and finally fall out due to this dissociation, also known as exfoliation.

10.

Why Should One Avoid Having a Root Canal?

Even though root canals are very common, there are certain disadvantages to undergoing this procedure. One of these drawbacks is the potential for tooth weakening. In addition, to reach the pulp, dentists must drill into the tooth, possibly requiring more decay removal.

11.

When Is a Root Canal No Longer an Option?

It can be too late to preserve the tooth if the pulp's innermost layers infect. Additionally, root canal therapy is no longer an option if a significant piece of the tooth is lost and a crown cannot be placed on what is left.
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Dr. Kandi Disha Yermal
Dr. Kandi Disha Yermal

Dentistry

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