Pulpectomy or Child Root Canal Tretment


Whenever a doctor recommends root canal therapy for a kid , parents mind begins to race with a lot of questions.

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Is it necessary?
Aren’t they temporary?
They will fall off in some years , then why?

Most of the parents get tensed when doctor suggests root canal treatment as they believe that their kid will have to face severe pain and trauma during this procedure.

Do you feel the same?
If yes , its high time to know more about this procedure.


Milk tooth or deciduous tooth emerge into oral cavity by 6 months after birth and stays till 12 years of age. During this whole process of eruption and shedding there is high chance for these tooth to get decayed , infected and broken. Once they are infected beyond control the only two treatment options that can be administered are root canal treatment and extraction.

This is where most of the parents get confused.

When you extract a tooth before their physiological shedding time there is high chance and tendency for the nearest tooth to shift and occupy that space complicating the complete arch form.
This may result in space loss and the succedaneous permanent tooth will erupt in wrong position resulting in crowding of arch.

This complication can be avoided if root canal treatment is done in correct time. In this procedure the affected tooth is cleaned by removing infections and pulp (nerves and vessels or the living tissue) followed by packing a medication inside to maintain the tooth in the oral cavity till its physiological eruption time.

Root canal therapy can save the child’s tooth. There is no age limit to undergo the procedure. This can help the permanent tooth to come properly into the mouth and this can also improve child’s speech development and bite.

Here are some warning signs that suggest your child may need a root canal treatment :

Sensitivity to hot and cold beverages.
Pain that is referred from a tooth to another area, such as the neck, temple etc.
Swollen lymph nodes.
Bad taste in mouth.
Pain to biting pressure.
Severe pain.
Swollen gum.

How is it done?

The procedure is almost similar to adult root canal therapy.

Under local anesthesia, decayed part of the tooth is removed and root canals are located .
Files are used to remove infected pulp and proper irrigation is done to achieve complete disinfection.
This prepares canal to receive a biocompatible inert material.
Once root canal is completed , tooth is covered with a prefabricated crown.

How pulp is infected in children?

Children are more prone to get tooth decays due to their eating habits and improper brushing. If these decays are left untreated , cavities enlarge and eventually affect pulp.

Pulp is the tissue that contains blood vessels and nerves and fills the root part of the tooth . If they get infected with bacteria at any time , root canal therapy should be done. Or else, child may suffer from severe pain and swelling.

structure of tooth

Its always advised to save tooth rather than extracting them as they can lead to:

Speech defect
Unaesthetic in appearance
Damage to the permanent teeth
Loss of space as adjacent teeth might shift

What happens after pulpectomy?

It is common to experience slight pain and discomfort after the treatment. This can be relieved by taking pain medications as recommended by the doctor . Also, your doctor may advise the take antibiotics if the tooth seems to be severely infected.
Treated tooth should be covered by a prefabricated crown to prevent fracture and other complications.
Take good care of the crown as you would on any other tooth.
Once your baby tooth is ready to fall off ,crown will fall out with it . And you will not require any other procedures to remove the crown separately.





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Shifa Dental Clinic provide team based, comprehensive dental care for children & adults including patients of all age.

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Shifa Dental Clinic provide team based, comprehensive dental care for children & adults including patients of all age.

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