Does Your Child Need Endodontic Treatment?

Baby teeth come with a built-in expiration date. That charming first smile is meant to make way for a healthy, beautiful adult smile. Unfortunately, before they are ready to make way for permanent teeth, primary teeth can be affected by decay, trauma, or infection—problems which can lead to damage to the pulp within the tooth. If your dentist tells you that your child’s tooth needs specialized endodontic treatment, is treatment really that much better for your child than losing a baby tooth prematurely?

Quite often, the answer is yes!

Baby teeth do much more than serve as temporary stand-ins for adult teeth. They are essential for:

Biting and chewing—a full set of baby teeth helps your child develop proper chewing, which leads to healthy digestion. And chewing also helps build face and jaw muscles.
Speech development—primary teeth help guide speech production and pronunciation.
Spacing—a baby tooth serves as a place holder for the adult tooth waiting to arrive. If a primary tooth is lost too early, the remaining baby teeth may drift from their proper location. This, in turn, can cause overcrowding or misalignment of the permanent teeth when they do erupt.

Baby teeth, like adult teeth, contain living pulp tissue. The pulp chamber inside the crown (the visible part of the tooth) and the root canals (inside each root) hold nerves, blood vessels, and connective tissue. When the pulp is damaged by trauma or infected, a baby tooth can still be saved with endodontic treatment. Endodontic treatment in baby teeth can take two forms.

“Vital” pulp is pulp that can be saved. Vital pulp therapy uses procedures to deal with damaged pulp inside the crown, or visible part, of the tooth. Pulp therapy can be used on teeth when only the top of the pulp has been affected by decay, limited exposure, infection, or trauma, but the root pulp remains healthy. Specific treatment will depend on the nature of the pulp injury, and a crown will usually be placed over the tooth after treatment to protect it.
With non-vital pulp, your dentist will probably recommend a traditional root canal procedure. All of the pulp tissue will be removed from inside the crown and the roots, and the pulp chamber and root canals will then be cleaned, disinfected, shaped, and filled. Finally, because the treated tooth will be more fragile, a crown will be used to protect the tooth from further damage.

There can be good reasons for extracting a seriously damaged baby tooth, and there are situations where preserving the tooth is the best and healthiest option for your child. Discuss your options with Drs. Lisa Richardson when you visit our Pearland, TX office for the safest, most effective way to treat your child’s compromised tooth.

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A little girl is sitting in a dental chair being examined by a dentist.

First Aid for Dental Injuries in Kids

By Dentistry 4 Children • March 17, 2025

According to Child Stats, it is estimated that three million kids go to the emergency room for injuries yearly. Dental injuries, in particular, are common in children, especially those who are active in sports, playground activities, or simply exploring their surroundings. Knowing what to do and how to respond to a dental emergency can be hectic if you do not know what to do. But if you act fast and have a plan, you can prevent complications, minimize pain, and even save a tooth. Understanding first aid for dental injuries can help parents and your local family dentist provide immediate care before seeking professional treatment at a trusted pediatric dentist in Pearland . Common Types of Dental Injuries in Kids Children can experience various dental injuries, ranging from minor chips to severe trauma that requires emergency dental care. One of the most frequent injuries is a chipped or broken tooth. This is often caused by falls but can also be due to bike accidents or biting into hard objects. While minor chips may not cause immediate pain, more extensive fractures can expose nerves and lead to significant discomfort. Another serious dental injury is a knocked-out tooth, also known as an avulsed tooth. When a permanent tooth is completely dislodged from the mouth, immediate action is crucial to improve the chances of saving it. In contrast, if a baby tooth is knocked out prematurely, attempting to reinsert it can cause damage to the developing permanent tooth underneath. A loose or displaced tooth is another common issue that can occur due to blunt force trauma. While some cases resolve independently, others require professional dental evaluation to ensure the surrounding structures remain intact. If your child experiences a dental emergency, learning about common pediatric dental emergencies can help you take the proper steps. Tooth intrusion occurs when a tooth is pushed further into the gums due to an impact. This type of injury is more common in younger children whose jawbones are still developing. Tooth intrusion can lead to complications, such as damage to the underlying permanent teeth, making it essential to visit an emergency pediatric dentist in Friendswood for proper assessment. Lastly, injuries to the lips, tongue, or gums often accompany dental trauma. These soft tissue injuries can cause significant bleeding and pain, increasing the risk of infection if not properly treated. Immediate First Aid Steps for Dental Injuries Providing immediate comprehensive oral care for dental injuries can significantly improve the outcome. For a chipped or broken tooth, it is essential to rinse the child's mouth with warm water to remove debris. Applying a cold compress to the affected area can help reduce swelling and alleviate pain. If possible, collect any broken fragments and bring them to a dentist. If a permanent tooth is knocked out, locate it and handle it only by the crown, avoiding contact with the root. If the tooth is dirty, rinse it gently with water, but do not scrub or remove any attached tissue. If possible, reinsert the tooth into the socket and have the child bite on a clean cloth to hold it in place. If reinsertion is not feasible, store the tooth in milk or the child's saliva and seek emergency dental care immediately. For a step-by-step guide on managing a knocked-out tooth, check out this helpful resource on handling pediatric dental emergencies . Stabilizing a loose or displaced tooth by having the child bite down gently on a piece of gauze is essential. Avoid repositioning the tooth forcefully, as this could cause additional damage. A child-friendly dentist should assess the injury as soon as possible. Tooth intrusion should be treated with caution. Attempting to reposition the tooth at home is not recommended. Instead, apply a cold compress if the tooth is swelling and schedule an emergency dental visit. Seeking care from a pediatric emergency dentist in Friendswood can ensure the injury is managed appropriately. For soft tissue injuries, such as cuts to the lips, tongue, or gums, applying gentle pressure with a clean cloth or gauze can help control bleeding. A cold compress can reduce swelling, and rinsing with salt water may help prevent infection. When to Seek Professional Dental Care While minor dental injuries may not require immediate attention from a family dentistry practice, certain signs indicate the need for urgent dental care. Severe pain, swelling, excessive bleeding, or a knocked-out permanent tooth warrant an emergency visit to a dentist. Additionally, any signs of infection, such as: Pus Fever Red streaks near the injury site These should not be ignored. Understanding when to seek professional care can help prevent long-term complications. Parents can find more information on common pediatric dental emergencies . Prevention Tips to Reduce Dental Injuries While accidents are sometimes unavoidable, certain precautions can help minimize the risk of dental injuries in children. Wearing a properly fitted mouthguard during sports and recreational activities provides essential protection against impacts. Childproofing the home by securing furniture edges and installing safety gates can prevent falls that lead to dental trauma. Encouraging children to avoid chewing hard objects like ice, pens, or hard candy can also reduce the likelihood of chipped or broken teeth. Teaching good dental hygiene habits , including brushing and flossing regularly, strengthens teeth and enhances their resilience against injury. Additionally, parents should be prepared for unexpected dental emergencies while traveling. Knowing where to find emergency dental care can be invaluable in an unfamiliar location. If your child experiences a dental emergency away from home, reviewing these tips for handling dental emergencies while traveling can be beneficial. Need a Local Family Dentist? Contact Dentistry 4 Children Understanding first aid for dental injuries in children can make a significant difference in preserving their oral health. By acting quickly and getting affordable dental services, parents and caregivers can reduce pain, prevent complications, and increase the chances of saving an injured tooth. Here at Dentistry 4 Children, we know how scary these accidents can be for children. That is why we do everything possible to provide a safe and supportive local family dentist environment. So contact us today to get your child the help they need.