Why Are Root Canals for Kids Necessary?

When your child complains about tooth pain, you might assume they have something lodged between their teeth. Unfortunately, an infection may exist deep within the tooth, and the only way to treat it is with pulp therapy. While many pediatric dentists perform pulpotomies and pulpectomies, you may wonder if root canals for kids are even necessary. In this article, we’ll discuss the reasons for this type of treatment, the different processes, and why taking care of your child’s baby teeth is essential from a young age.

Root Canals for Kids: What Are the Reasons?

The most common reason a child might need a root canal is poor oral hygiene. Oftentimes, their novice brushing and flossing skills are not as effective in removing bacteria and plaque from the various crevices inside their mouths. As a result, cavities can form, and if they remain untreated, the infection can spread to the inner pulp, causing immense pain.

But decay isn’t the only reason root canals are recommended. If your child takes a tumble and chips or cracks a baby tooth, the damage might reach the pulp, requiring treatment to protect and safeguard your child’s smile.

Pulpotomy vs. Pulpectomy: What is the Difference?

Although learning your child needs a root canal may not be the best news you can receive, you can trust that their pediatric dentist will ensure their comfort and safety throughout the procedure.

Two different types of root canals can be performed: a pulpotomy or a pulpectomy. A pulpotomy involves removing the pulp located within the crown but leaving the pulp that exists within the root canal. This is often necessary when a child suffers from tooth decay within the visible part of the tooth. Once it is removed, the open area is sealed before a crown is put into place.

A pulpectomy is a procedure that requires removing the infected pulp within the root canal. This process is recommended as a way to prevent tooth extraction, so your child can maintain their primary tooth until it’s time to fall out on its own.

A pulpectomy is commonly performed when severe decay or damage occurs, resulting in an infection or irreversible harm that impacts the tooth’s innermost layer. Oftentimes, a child will complain of pain or sensitivity to hot and cold temperatures.

Keeping Baby Teeth Healthy: Why It’s Important

Your child’s baby teeth are essential. Although they are designed to fall out eventually, they should remain in place as long as possible to prevent other potentially harmful problems (i.e., shifting teeth, difficulties eating and speaking). A dental crown can be used to protect their vulnerable tooth should it require pulp therapy; however, it’s best to take action long before this procedure is ever recommended.

Brushing, flossing, and rinsing (once old enough) can keep their smiles right on track along with six-month dental checkups and cleanings. By maintaining this regular practice, they can avoid extensive treatment and instead, enjoy a healthier smile.

About the Author
Dr. Melissa Rozas is a children’s dentist in Coppell who completed her Doctor of Dental Surgery degree at the University of Texas School of Dentistry in Houston. After finishing her pediatric dental residency at UT/Herman Hospital, she became board certified by the American Board of Pediatric Dentistry. She and her team are equipped to perform root canals should your child suffer from facial trauma or severe decay that extends to the tooth’s pulp. If your child is complaining of intense pain or sensitivity, contact us at (972) 433-7516.