Wednesday, May 13, 2009

If a child doesn't have permanant teeth, is it nessecarry to have a root canal performed?

is this a normal procedure for a two year old child?


what are the risk?


will this have any affect on his permanent teeth later if I don't have the root canal performed.

If a child doesn't have permanant teeth, is it nessecarry to have a root canal performed?
A root canal is not "normal" for a 2 year old (but it is possible), I would like to know why your child needs a root canal. Did they have an accident or do they have a large cavity??? If there is an infection in this tooth and you don't have it treated then yes it can affect the adult tooth that is forming underneath. The person who said baby teeth don't have roots is INCORRECT baby teeth do have roots, what does he thinks holds them in kids mouths????!!!!
Reply:I didn't think it was possible to perform a root canal on a baby tooth; after all, it's got no roots.
Reply:i definatly would not waste your money having a root canal done on a two year old she/he is going to lose that tooth.It sounds weird to me that a dentist would want to to do that.ive heard of fillings and caps and extractions on a child but never that.really think about this before having it done and let me tell you ive had about 6 done on my adult teeth and they are not fun
Reply:Baby teeth do too have roots. That is how they stay in. Normally, root canals are not done on children. What re the extenuating circumstances? The doctor should tell you.
Reply:A root canal on a primary tooth is called a "pulpotomy" and it is performed to save the tooth until the permanant tooth grows in.





It is often important to keep a baby-tooth in place so the space is maintained.





Dr. Sam or one of the other dentists who post here would be a good source. But I can say that although it is unusual to perform a pulpotomy on a two year old, it is not unknown.





If you don't trust your dentist, ask for a second opinion.
Reply:Emmalue is correct. Thank you very much. The procedure is called a pulpotomy, which is a child's version of root canal. It is a much quicker technique. The dentist removes the tissue from the root canal of the baby tooth (Yes, they DO have roots until they are ready to be shed when the roots have disolved.) and fills it in with a special cement made for this purpose. The tooth is then restored with either a simple filling or, if there has been a lot of breakdown, a pre-formed (inexpensive) stainless steel crown.





I'd say, the younger the child, the greater the indication for doing a pulpotomy. The purpose of this is to save a tooth rather than have it removed. Baby teeth DO serve a purpose, you know. The child uses them to eat with. On top of that, they will maintain the space that is needed for the permanent tooth to fit into the arch.





If you don't have the pulpotomy performed, the tooth will eventually hurt like heck, as the pulp (nerve and blood vessels inside the tooth) are already inflamed and probably infected. An abscess can pop up very quickly in a child. An infection (the abscess) can cause discoloration or even deformity of the permanent tooth.





If you decide to have the tooth taken out, especially at such a young age, it is very likely that the arch space will close up and there will not be room for the permanent tooth to come in. It is rather common to see a lower premolar growing in with the crown pointed half-way towards the tongue after one of the baby molars was removed at an early age without being replaced with a space maintainer.





If there is already an abscess showing in the mouth and if the x-ray shows that the bone between the roots has already been destroyed, a pulpotomy has a lower chance of success. Since this can happen in a matter of days in a child, do not delay treatment once it has been recommended.



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