{"id":184,"date":"2016-06-04T22:12:29","date_gmt":"2016-06-05T02:12:29","guid":{"rendered":"https:\/\/woowangdental.com\/blog\/?p=184"},"modified":"2019-08-27T22:15:03","modified_gmt":"2019-08-28T02:15:03","slug":"treating-a-baby-tooth-with-inner-decay-can-be-complicated-but-still-necessary","status":"publish","type":"post","link":"https:\/\/woowangdental.com\/blog\/treating-a-baby-tooth-with-inner-decay-can-be-complicated-but-still-necessary\/","title":{"rendered":"Treating a Baby Tooth with Inner Decay can be Complicated – but Still Necessary"},"content":{"rendered":"\n
\"dental<\/figure><\/div>\n\n\n\n

Even though a child\u2019s primary (\u201cbaby\u201d) teeth eventually give way, it\u2019s still important to treat them if they become decayed. Primary teeth serve as guides for the emerging permanent teeth \u2014 if they\u2019re lost prematurely, the permanent tooth may come in misaligned.<\/p>\n\n\n\n

If the decay, however, affects the tooth\u2019s inner pulp, it poses complications. A similarly decayed adult tooth would be treated with a root canal in which all the pulp tissue, including nerve fibers and blood vessels, are removed before filling and sealing. Primary teeth, however, are more dependent on these nerves and blood vessels, and conventional filling materials can impede the tooth\u2019s natural loss process. It\u2019s better to use more conservative treatments with primary teeth depending on the degree of decay and how much of the pulp may be affected.<\/p>\n\n\n\n

If the decay is near or just at the pulp, it\u2019s possible to use an indirect pulp treatment to remove as much of the softer decay as possible while leaving harder remnants in place: this will help keep the pulp from exposure. This is then followed with an antibacterial agent and a filling to seal the tooth.<\/p>\n\n\n\n

If the pulp is partially exposed but doesn\u2019t appear infected, a technique called direct pulp capping could be used to cover or \u201ccap\u201d the exposed pulp with filling material, which creates a protective barrier against decay. If decay in a portion of the pulp is present, a pulpotomy can be performed to remove the infected pulp portion. It\u2019s important with a pulpotomy to minimize the spread of further infection by appropriately dressing the wound and sealing the tooth during and after the procedure.<\/p>\n\n\n\n

A pulpectomy to completely remove pulp tissue may be necessary if in the worst case scenario the pulp is completely infected. While this closely resembles a traditional root canal treatment, we must use sealant material that can be absorbed by the body. Using other sealants could inhibit the natural process when the primary tooth\u2019s roots begin to dissolve (resorb) to allow it to eventually give way.<\/p>\n\n\n\n

These all may seem like extraordinary efforts to save a tooth with such a short lifespan. But by giving primary teeth a second chance, their permanent successors will have a better chance of future good health.<\/p>\n\n\n\n


If you would like more information on treating decay in primary teeth, please contact us<\/a> or schedule an appointment<\/a> for a consultation. You can also learn more about this topic by reading the Dear Doctor<\/em> magazine article \u201cRoot Canal Treatment for Children\u2019s Teeth<\/a>.\u201d
<\/p>\n","protected":false},"excerpt":{"rendered":"

Even though a child\u2019s primary (\u201cbaby\u201d) teeth eventually give way, it\u2019s still important to treat them if they become decayed. Primary teeth serve as guides for the emerging permanent teeth \u2014 if they\u2019re lost prematurely, the permanent tooth may come … Continued<\/a><\/p>\n","protected":false},"author":1,"featured_media":186,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[3],"tags":[],"yoast_head":"\nTreating a Baby Tooth with Inner Decay can be Complicated<\/title>\n<meta name=\"description\" content=\"A similarly decayed adult tooth would be treated with a root canal in which all the pulp tissue, including nerve fibers and blood vessels, are removed before filling and sealing.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/woowangdental.com\/blog\/treating-a-baby-tooth-with-inner-decay-can-be-complicated-but-still-necessary\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" 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