Steps of a Pediatric Root Canal

If your child's tooth is damaged or infected, they might need a pediatric root canal. This procedure, which removes the infection and restores the tooth, can be a source of anxiety for parents. However, understanding what is involved and its importance can help alleviate those concerns.

About pediatric root canals

Also referred to as baby root canals, pediatric root canals are endodontic procedures performed on baby teeth. The goal is to remove the infection, repair the tooth, and keep it healthy and functional until the adult tooth comes in and replaces it. Baby teeth are important, and losing them too early can cause issues with chewing and speaking. In addition, premature loss of baby teeth can throw off the alignment of the adult smile. There are two types of pediatric root canals: pulpotomies, which only remove the pulp from the crown, and pulpectomies, which involve the removal of the entire pulp of the tooth.

Preparation for a pediatric root canal

The dentist will examine the child's tooth and take X-rays to determine the extent of the damage and decay and plan the procedure. They will provide specific preparatory instructions for the child, which may include instructions on preparing for any sedation. Before the procedure, children should be hydrated, brush their teeth, and avoid eating. We encourage parents to explain the procedure to their child in simple terms and remain calm, as this will help the child feel more comfortable. Let the child bring a comfort item like a book or toy to help distract them before the procedure.

The pediatric root canal procedure

On the day of the procedure, the child's comfort is the first concern. The dentist will administer local anesthesia to numb the tooth and the surrounding area; sedation, such as nitrous oxide, may be administered at this time. Once the treatment area is numb, the dentist will use a rubber dam to isolate the tooth and keep it free of saliva.

Once the child is comfortable, the dentist can begin the procedure. This usually involves drilling a small hole in the tooth to access the infected pulp. After removing the infected pulp, the dentist will disinfect the empty pulp chamber and root canals (if a pulpectomy). After this, the dentist will fill the tooth with a biocompatible material and seal the tooth. The restoration will be completed with a filling or crown so the tooth may remain functional until it is time for it to fall out.

Aftercare for a pediatric root canal

Parents will receive specific aftercare instructions for their children, with a list of side effects and complications to watch for. Parents can usually manage any discomfort during this period with over-the-counter pain relievers. Parents should also monitor the child's temperature and ensure it does not get too high. You should contact your dentist if your child experiences severe pain or swelling.

The child should take the entire day off school and rest for the remainder of the day. Make sure they stick to soft foods, rinse with salt water, and are careful when cleaning around the treated tooth. Most children can return to school the next day, but we advise parents to let the child's teacher know they had the procedure.