Special thanks to Teeth4Tot volunteer Jacqueline Manelis for this informative post!
Why would a root canal need to be performed on a baby tooth?
Because primary teeth fall out of the child’s mouth at an early age, many believe that they are not as critical as mature teeth; however, the reality resides on quite the contrary basis. When tooth decay has sufficiently progressed into the pulp chamber of the tooth, the tooth has officially been infected and may have significant issues in a child’s oral development. Baby teeth serve as placeholders and guidelines for the adult teeth behind them to eventually fill. If a tooth is lost too early, the other premature teeth residing within the child’s mouth will naturally shift to fill the empty gap which will not only disrupt the eruption of the adult tooth behind the gap, but also the eruption path of the other permanent teeth. Thus, the child could be sentenced with overlapping, distorted teeth which may disrupt their speech and mastication abilities. Additionally, if the infection is so significant, it may go on to further infect the adult tooth behind it.
How does one prepare a child for a root canal procedure?
A root canal is not a small procedure and adequate steps should be taken to ensure that the child is as comfortable as possible. The first step to introducing any child to a dental facility would be to establish a “dental home” early on. The “dental home” is the positive association the child creates at the dental office, usually established by the first appointment the child has at the dentist and encourages preventative care and education. In dental school, physicians are additionally trained in behavior management. “Behavior management has been defined as the purposeful application of accepted techniques – both pharmacological and non-pharmacological – to reduce fear and anxiety, enhance cooperation, and effect treatment” (DHHS, Guide to Children’s Care in Medicaid; 5). The parents of the respective child should keep calm and collected to soothe any residual concern. A gentle, relaxed demeanor should be executed around the child and any parental anxiety should be hidden as to not overstimulate the child. Once the child is seated in the operating chair, anesthesia will hinder further painful sensations.
Comments