Bohol Tribune
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Medical Insider – Dr. Rhodora T. Entero

The Importance of Pediatric Root Canal Treatment: Safeguarding Your Child’s Dental Health

(Part 1)

Most adults know about root canal treatment or RCT, but did you know that even kids can undergo this type of dental treatment? 

In case you need a refresher, RCT (which is also known as endodontic therapy) is a dental procedure that involves removing the infected or damaged pulp (nerve and blood vessel) inside a tooth. 

This dental procedure is often performed when a tooth’s infection or damage is severe enough to affect the pulp.

Just as teeth affect adults’ well-being, dental health is likewise crucial for children’s overall well-being. Healthy teeth and gums contribute to a child’s ability to eat, speak, and smile—all of which are essential for optimal growth and development.

Good oral health also plays a vital role in preventing infections and other health problems. Neglecting dental care in childhood can lead to serious issues later in life, including (but not limited to) tooth loss, gum disease, and even systemic health problems.

Understanding Pediatric Root Canal Treatment

Pediatric root canal treatment is a specialized procedure that addresses dental infections or damage in children. 

It is similar to root canal treatment for adults but is specially tailored to the specific needs and concerns of young patients. 

This treatment is essential for preserving a child’s natural teeth and preventing future dental complications.

Just like in adults, pediatric root canal treatment involves removing the infected or damaged pulp (nerve and blood vessel) inside a child’s tooth. 

This treatment is usually necessary when the infection or damage is severe enough to affect the pulp, which—if left untreated—can lead to pain, swelling, and other complications.

But why would children have infection or damage in the first place?

Common Causes of Tooth Infections in Children

The following are some of the most common causes of tooth infections in children:

These are the leading cause of tooth infections, in adults and children. Also called caries, a cavity is a hole in any tooth that results from tooth decay. Cavities form when acids in the mouth wear down or erode the tooth’s hard outer layer (which is called enamel). When a cavity becomes deep enough, it can reach the pulp, leading to infection.

Injuries to the teeth—such as from falls or other accidents, which are unfortunately common among active children—can also damage the pulp and cause infection.

Parents and guardians should do their best to make brushing and flossing a part of their children’s daily habits. Not brushing or flossing regularly can lead to tooth infections.

Without proper treatment, a tooth infection can lead to a dental abscess, which is a pocket of pus that forms around the root of a tooth. 

Pulpal necrosis can eventually result, which is when the pulp dies due to injury or infection.

Signs and Symptoms of Tooth Infections

But how can parents or guardians tell if a child has a tooth infection? Here are some signs and symptoms to watch out for:

This is often the first and most prominent symptom of a tooth infection. A child may feel this kind of pain as throbbing, sharp, or dull.

The child’s tooth may also be sensitive to hot or cold temperatures.

An infected tooth may make it difficult for a child to eat or even just chew food.

Guardians can check if the cheek or gum around a child’s tooth is swollen, which is a common sign of infection.

The child’s mouth may have a foul odor.

A pus-filled abscess may form around the root of an infected tooth.

Last but not least, in some cases, a child may also develop fever.

The Importance of Early Diagnosis and Treatment

Early diagnosis and treatment of tooth infections are crucial for preventing serious complications in a child. This is because, if left untreated, tooth infections can lead to the following:

As mentioned above, these are pockets of pus that can form around the root of the tooth, causing pain and swelling.

This is a serious bacterial infection that can spread to surrounding tissue.

This refers to a jawbone infection.

If the infection is not treated, the tooth may become so damaged that it needs to be extracted.

Usually in adults (but also possible in children), untreated tooth infections may lead to systemic health problems like pneumonia, heart disease, and stroke.

In worst case scenarios, a child may develop sepsis, a life-threatening condition that occurs when the body’s response to infection becomes overwhelming. If not treated immediately, sepsis can lead to death.

Again, early treatment can usually prevent all these complications and save your child’s tooth. It’s very important to seek prompt dental care if your child displays any symptoms of a tooth infection. (To be continued)

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