Nerve Treatment in Primary Teeth
It may seem odd to imagine a crown
on a baby tooth. After all, the primary teeth are your child’s “practice set,”
right? Unfortunately, that’s not really the case. The primary teeth serve a
very important purpose, as the placeholders for future permanent teeth. If a
child suffers from an infection or abscess in a baby tooth that is left
untreated, the tooth may eventually be lost altogether. And if this happens
before the permanent teeth are ready to come in (typically beginning around a
child’s sixth birthday), the space that tooth is reserving for its permanent
counterpart can close up. When the adult teeth begin to erupt, there’s no space
for them to come through properly, leading to crooked teeth, bite issues and
even speech problems.
This is why, for an infection or
abscess, we may recommend nerve treatment, also known as pulpotomy (removal of the
infected nerve in the crown) or pulpectomy (removal of the nerve tissue in the
crown and roots). The good news is that these procedures are typically no more
painful or traumatizing than a simple filling. After we clean out the infected
pulp, we cover the remaining portion of the tooth with a stainless steel crown
to allow for a normal bite and to prevent further infection.
There are situations where it may be
advisable to remove the tooth altogether rather than trying to salvage it with
nerve treatments. This depends on the location of the affected tooth, whether
the infection has spread to the bone or gum tissue, and your child’s overall
health. Sometimes, infection can recur after nerve therapy. If further
infection could endanger your child’s health due to other medical conditions,
it may be a better option to simply extract the tooth and fix the spacing
issues later in life with orthodontia.
Don’t hesitate to call KiDDS Dental if your
child is complaining of pain or temperature sensitivity or if you notice a
broken tooth with exposed root. Dental infections can be quite serious if left
untreated. The first step is making an appointment; then we can discuss
treatment options together.
Click here to schedule an appointment with Dr. Jared. Or give us a call at (509)-891-7070.