Treatment for Children

Endodontic Treatments for Children

Although endodontic treatments are usually performed on adults, these procedures are also safe and effective for children. Most teeth in children are completely formed. So, they can be cared for with standard endodontic treatment. If your child’s tooth is not fully developed at the time of treatment, there are still options available to ensure optimal care for the tooth.

It is very important to maintain our teeth for as long as possible, regardless of age. This is all the more critical for maturing children, so we are equipped and ready to take care of your child, comfortably and effectively.

Apexogenesis

In order to promote continued root development, apexogenesis is a common procedure recommended for children. Applying a medication during this procedure encourages the pulp tissue to remain at its healthiest, and allows for the tooth to be sealed. This will help to prevent infection, as well as enables the root to form properly. The apex, which is the root tip, will gradually seal while the root canal walls thicken while the child continues to age. If the pulp remains healthy, the child might not need further treatment for many years. Ultimately, the tooth stands a better chance, the more the root matures.

There are 4 forms of vital pulp treatment:

E

Protective Base

If there is decay found in the tooth, yet the pulp is still healthy, a protective base is a viable option. Once the decay is removed from the tooth, a protective material is positioned in the tooth, before the filling is placed.

E

Indirect Pulp Cap

If the decay comes close to the pulp, yet hasn’t reached it quite yet, indirect pulp cap is an option used quite often. After the decay is eradicated, a protective dressing is applied over the decayed area near the pulp. As a result, the pulp is no longer exposed. This can also stimulate the healing process. At this point, a filling is performed.

E

Direct Pulp Cap

If a portion of the pulp has become exposed, the direct pulp treatment is used.
E

Vital Pulpotomy

If there are symptoms indicating pulpal inflammation or evidence of decay into the pulp and the tisue is still viable and healthy, a vital pulpotomy can be performed. The decay and unhealthy pulp is removed, leaving the healthy pulp intact. A protective material fills the tooth, and it’s covered with a crown. While vital pulpotomy is typically used in children, it can also be used in an adult tooth that has not finished growing a full root. Although, when used in an adult tooth, it’s often temporary, until the root is fully grown.

Apexification

Apexification is when the root hasn’t fully matured, and its pulp tissue needs to be entirely eradicated because it’s not healthy and could become infected. The tooth can remain, if the endodontist applies a medication onto the root, which will aid in forming a barrier of hard tissue, near the root tip, which provides a firm base for a root canal filling. When this happens, the walls of the root canal will not fully develop, creating a more susceptible environment for future tooth fractures. So, it’s critical for the teeth to be appropriately restored afterwards with either the endodontist or your referring dentist.

Regenerative Endodontics

This root canal therapy allows the doctor to facilitate regeneration of healthy pulp tissue in a root not fully developed, where the original pulp had been infected or damaged. When successful, it allows for growth of new and healthy pulp tissue that will promote continued root development. As with Apexification, it requires placement of medication within the canal, and a period of monitoring for root development. If the root fully forms, the tooth will be stronger and more functional, and further endodontic treatment may be avoided for years to come.

Our Locations

(888) 272-7190

Mon - Thurs: 7:30am - 5:00pm
Fri: 7:30am - 1:00pm
Sat - Sun: Closed

(888) 272-7190

Mon - Thurs: 7:30am - 5:00pm
Fri: 7:30am - 1:00pm
Sat - Sun: Closed

(888) 272-7190

Mon - Thurs: 7:30am - 5:00pm
Fri - Sun: Closed