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Is root canal treatment advisable to cure badly decayed front teeth in a child?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My 3.5 years old daughter's upper front four teeth have decayed very badly and our dentist has advised on either root canal treatment or taking them out. Which treatment is best suited overall for my daughter?

Answered by Dr. Tooba Qazi

Education:

BDS

Professional Bio:

Dr. Tooba Qazi is an experienced Dental Surgeon dedicated to providing comprehensive oral healthcare. She treats conditions affecting the teeth and gums, including tooth repair, extractions, and artificial replacements. Her expertise spans cosmetic dentistry, restorative procedures, and preventive oral care, helping patients achieve healthy, functional, and aesthetically pleasing smiles while promoting long-term dental health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

Go for antibiotic coverage and meanwhile get the culprit teeth extracted if it is definitely amongst the first four. These are milk teeth which will come at age of 6. Do not get them extracted together. The one or two causing severe infection should be extracted out.

Another option is to cover infection through medicines only. Give your daughter syrup Augmentin three times a day, syrup Metronidazole three times a day and syrup Brufen three times a day for seven days. If the swelling goes away with it, everything is back to normal, leave it as it is. If pain and swelling recur once medicines are stopped, try getting chamber opened or root canal of the culprit tooth if the infection is minor, if it is major then get it extracted.

I would still recommend having root canal attempted on posterior milk teeth rather than the front because front permanent teeth come at around age 6 while back milk teeth fall at age of 9 and 10 and are definitely needed till this age so do not need to be extracted soon. Take care.

Answered by Dr. Tooba Qazi
Medically reviewed by iCliniq medical review team
Published At March 22, 2019
Reviewed At December 11, 2023

Education:

BDS

Professional Bio:

Dr. Tooba Qazi is an experienced Dental Surgeon dedicated to providing comprehensive oral healthcare. She treats conditions affecting the teeth and gums, including tooth repair, extractions, and artificial replacements. Her expertise spans cosmetic dentistry, restorative procedures, and preventive oral care, helping patients achieve healthy, functional, and aesthetically pleasing smiles while promoting long-term dental health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

BDS

Professional Bio:

Dr. Tooba Qazi is an experienced Dental Surgeon dedicated to providing comprehensive oral healthcare. She treats conditions affecting the teeth and gums, including tooth repair, extractions, and artificial replacements. Her expertise spans cosmetic dentistry, restorative procedures, and preventive oral care, helping patients achieve healthy, functional, and aesthetically pleasing smiles while promoting long-term dental health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

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