My Blog

Archive:
- 2021
- 2020
- 2019
- 2018
- 2017
- 2016
- 2015
- 2014
- 2013
Tags
- celebrity smiles (83)
- braces (15)
- orthodontics (15)
- oral piercings (1)
- oral health (22)
- wisdom teeth (7)
- bad breath (2)
- oral hygiene (28)
- common symptoms (1)
- New Port Richey (2)
- Veneers (10)
- cosmetic dentistry (17)
- teeth whitening (7)
- bleaching (1)
- discolored teeth (1)
- stained teeth (1)
- fluoride (3)
- Dental Implants (26)
- retainers (5)
- periodontal disease (1)
- gum disease (11)
- dental implant (5)
- thumb sucking (3)
- pediatric dentistry (20)
- bonding (2)
- jaw surgery (1)
- smile makeover (2)
- Dental Checkup (1)
- CEREC (2)
- oral cancer (3)
- Healthy Veneers (1)
- brushing teeth (1)
- orthodontic treatment (17)
- tooth extraction (1)
- dentures (1)
- Reviews (1)
- root canal (2)
- tads (1)
- flossing (2)
- teething (3)
- ClearCorrect (1)
- bridge (1)
- tmj disorders (4)
- tmd (1)
- tmj (1)
- dental anxiety (1)
- topical fluoride (1)
- Laser Dentistry (3)
- teeth wear (1)
- Cerec Crowns (3)
- crowns (5)
- partial denture (3)
- Clear Correct (3)
- pediatric care (1)
- implant overdentures (1)
- abscessed tooth (1)
- dental crowns (1)
- antibiotics (2)
- diabetes (2)
- artificial sweeteners (1)
- tooth grinding (1)
- root canal treatment (5)
- tooth decay (6)
- restorative dentistry (3)
- dental emergency (1)
- dental injury (8)
- mouthguards (3)
- mouthguard (1)
- clear braces (1)
- nutrition (2)
- athletic mouthguards (1)
- gum recession (2)
- porcelain veneers (6)
- Gum Pain (1)
- chipped teeth (1)
- fillings (1)
- teeth grinding (4)
- plaque (1)
- adult braces (1)
- apioectomy (1)
- medicine (1)
- chipped tooth (4)
- oral heath (1)
- bone grafting (1)
- tooth pain (1)
- toothache (1)
- sugar (1)
- Damaged Teeth (1)
- crown (1)
- Crowns & Bridges (1)
- gummy smile (1)
- bridgework (1)
- tooth wear (1)
- removable partial denture (1)
- tooth loss (1)
- x-rays (1)
- tooth replacement (1)
- jaw pain (1)
- cleft lip (1)
- cleft palate (1)
- oral surgery (1)
- CEREC One Visit Crowns (1)
- loose tooth (1)
- bonded retainer (2)
- sealants (1)
- clear aligners (1)
- mouth sore (1)
- dental injuries (1)
Categories:

Primary (baby) teeth don't last long. But despite their short life span, they do a number of important things, like enabling a child to eat solid food. But perhaps their most important long-term function is “paving” the way for their permanent replacements.
If one is lost prematurely, though, the permanent tooth might not come in properly aligned. That's why if a primary tooth is in danger of loss due to decay or injury, we'll do our best to save it.
But that could get a little tricky if the infected or damaged part of the tooth is the innermost pulp. If it were an adult tooth, the best course might be a root canal treatment: access the pulp, clear out the diseased tissue, and then fill the space with a special filling. But with a primary tooth (or a young permanent tooth for that matter) that may not be advisable.
That's because the pulp plays a more important role in a child's tooth than an adult's. Its nerves and other tissues stimulate dentin growth; a full root canal could disrupt that growth and weaken the tooth in the long run.
With a child's tooth, we proceed carefully depending on how infected or damaged the pulp might be. If it's only slightly exposed or not at all, we try then to remove as much decayed tooth material outside the pulp as necessary, then apply antibacterial agents or dentin growth stimulators.
If we do have pulp exposure, we'll try to remove only as much of the affected pulp as necessary through a procedure called a pulpotomy. This technique will only be used if the remaining pulp looks healthy or restorable to health.
If not, we may need to perform a pulpectomy to remove the entire pulp. Most like a typical root canal, it's a last resort: without the pulp, dentin growth could be stunted and the tooth won't develop as healthy as it should.
Of course, the best approach is to prevent teeth from developing such problems in the first place. So, be sure to practice effective daily hygiene with your child and keep up regular dental visits beginning at age one.
If you would like more information on treating decayed primary teeth, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Root Canal Treatment for Children's Teeth.”