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Pulp Therapy and Restorative Dentistry

A Pulpotomy or Pulpectomy is usually an in-office procedure. It is needed  to treat severe Tooth decay. Local anaesthesia is used to completely numb the affected tooth. The key  to a successful procedure, though, is making sure your child is seen by  your dentist as soon as possible. Flavoured gels are used to numb the gum  near the affected tooth, before injecting an anaesthetic.With children, there are many different factors to be considered before  deciding on a root canal.
Questions to be answered include: 
 How old is the child? 
 Which tooth is damaged? 
 How extensive is the damage? 
 Is it a primary tooth? 

    If the damage is to a primary tooth, your Pediatric dentist will consider the  following questions before determining the best course of action: 

 Will the child be losing the tooth soon? 
 Is the tooth in a position that makes it critical for forming  speech patterns and chewing properly? 
 Is the primary tooth in question a necessary placeholder for  permanent teeth that will be erupting soon? 

   — If the tooth is critical to speech, chewing, or maintaining space for  permanent teeth, a Pediatric dentist may decide against extraction as  losing this kind of primary tooth might cause more problems than it would  solve. Losing a critical primary tooth too soon can cause remaining teeth to  move into the open space. This can create problems later when permanent  teeth erupt. However, if the tooth is already loose, extraction is the better choice. After  all, there is little reason to save a baby tooth that will soon be lost anyway.


Children who are breastfed or bottle-fed and fall asleep with milk in their  mouth can get cavities. Although natural, breast milk, just like formula, contains sugar. Breast milk is not the culprit, the problem lies with  inadequate cleaning of the baby’s teeth and gums.

When a baby tooth has a very deep cavity that affects part of the nerve, it  will most likely need nerve treatment most commonly referred to as a Pulpotomy / Pulpectomy. This procedure involves removing part of the  affected nerve and placing a medicated material over it. 

Among the more obvious signs that your child needs to be seen by a  dentist immediately are: 

Deep Tooth decay 

Constant unexplained pain while eating 

Sensitivity to food temperatures (hot and cold) 

Swelling/redness around the affected tooth 

Unexpected mobility of the affected tooth 

Change in colour of a front tooth due to a hit/fall

Yes. Performed properly, baby root canals are safe for children. The  materials used in the procedure are compatible with the body and do not  cause harm.

If a tooth can be effectively treated and saved with a baby root canal, then  this is the most advisable treatment to choose. Despite being “just a baby  tooth that will eventually fall out,” the tooth is necessary to hold the space  for the permanent tooth that is developing below it. If left untreated, the  infection may also spread downwards and affect the developing permanent  tooth. In addition, it may cause pain, affect your child’s eating habits,  concentration in school and possibly cause a bad infection that may require  antibiotics or hospitalization.

Any cavity or tooth damage that involves a nerve can cause intense pain.  Children are given pain medication during the procedure. Most children feel  better after the procedure because the infection causing the pain has been  removed.

Root canals remove an infection from the damaged tooth. Some treatments  involve at least two visits. The first dental visit relieves any tooth pain. On  the second visit, the root canal is cleaned, disinfected, and filled in.  Sometimes, time is needed between visits for any infection to heal before  the area can be filled in.

No, root canal procedures do not require incisions or stitches.

Very young children or those with sensory issues may find it difficult to  comprehend the sensation of numbness and the sight/sounds of dental  instruments. While we try to make the environment as child -friendly as  possible, some children may be advised treatment under general  anaesthesia. This may be a day -care procedure or require hospitalization  for 24-48 hours

Simple pain medication usually suffices after a root canal procedure.  Rarely, antibiotics may be prescribed in case of severe infection

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