Dental decay that involves pulp can cause great pain to a child. This pain may be so intense it may affect her sleep and even cause the child to decline food. With medicine the pain may temporarily go away, but will be back again after a few days. To restore the tooth to proper health either a pulpectomy or pulpotomy has to be done.
Pulpectomy is also known as a pediatric root canal. The most common misconception is that since milk teeth are eventually shed no treatment should be done on it. Premature extraction of milk teeth can cause problems with the alignment of teeth in the jaw. This happens because after the milk tooth is extracted the tooth just behind it will move into the extraction space. This will block the path of the permanent tooth about to erupt causing it to either get impacted or come out through another direction. To prevent this, the best treatment is to do a pediatric root canal.
Your child will be kept at ease during the entire procedure. He will be numbed with a local anaesthetic spray before a local anesthetic injection so that he wont even feel the prick of the needle. After his tooth is numb an access cavity is prepared in the tooth with a drill. The affected pulp is removed from the crown in the case of pulpotomy and in the case of pulpectomy the pulp is removed entirely. A Calcium Hydroxide filling is given from the root apex till the pulp chamber and then a temporary filling is given in the crown. In most cases a Stainless Steel Crown is also given to protect the brittle crown.