Endodontic or root canal treatment focuses on the pulp of the tooth. The pulp contains nerves and blood vessels that supply nutrients and oxygen to the tooth. Endodontic treatment is performed in order to save the tooth when the pulp gets infected or injured. During treatment, the hollow area inside the tooth is cleaned, disinfected and filled.
When the pulp has been injured by trauma, decay or other causes, endodontic treatment is usually the best way to try to save the tooth. Unless a childs tooth is about to fall out, a dentist may recommend endodontic treatment on a child’s primary(baby) tooth. Without treatment, the child will experience pain or discomfort, and infection may result. Early extraction of the primary tooth is usually not advisable because primary teeth are necessary for chewing and for learning proper pronunciation during language development. Also if a baby tooth is extracted too early, neighboring teeth can shift and occupy some of the vacant space making it difficult for the permanent tooth to grow in properly.
Symptoms that indicate a need for endodontic treatment can include toothache, sensitivity to hot and cold, or if the pulp has been exposed from fracture and the child is experiencing sensitivity. The type of endodontic treatment that may be recommended depends on how seriously the pulp is affected, an evaluation of the tooth and the results of an X-ray.