A cavity involving the nerve, or pulp, of a tooth may cause excruciating pain for your child. Although the pain may be manageable using painkillers such as ibuprofen or antibiotics, it will keep recurring until the underlying problem is resolved. When the nerve of a child’s tooth has been infected, it must be treated to restore health to the child’s mouth.
Pediatric root canals are called “pulpotomies” or “pulpectomies.” Root canal treatment is designed to maintain the integrity of the affected tooth to prevent premature loss. The early loss of posterior (back) teeth can lead to future problems with the placement and eruption of adult teeth. To avoid the difficulties inherent with crooked adult teeth, proper root canal treatment is needed to avoid the premature loss of primary molars. Dental caries and traumatic injury are the primary reasons for pulp therapy in children. Pulpotomies remove the affected pulp within the crown of the tooth. Medication is inserted into the tooth to soothe the nerve and to prevent the growth of bacteria. A pulpotomy is followed by a filling, an EZpedo crown or a stainless steel crown. Your child should begin to experience relief either immediately after or a few days following the procedure.