My Blog
Archive:
- 2021
- 2020
- 2019
- 2018
- 2017
- 2016
- 2015
- 2014
- 2013
- 2012
Tags
- celebrity smiles (94)
- tooth extraction (2)
- wisdom teeth (4)
- dental implant (5)
- common symptoms (1)
- dental hygiene (2)
- oral health (34)
- tooth decay (11)
- dental implants (19)
- dentures (3)
- pregnancy (4)
- smile makeover (1)
- cosmetic dentistry (15)
- oral hygiene (27)
- orthodontic treatment (22)
- pediatric dentistry (15)
- orthodontics (9)
- braces (10)
- oral cancer (6)
- toothache (3)
- sugar substitutes (1)
- chipped tooth (5)
- palatal expanders (1)
- teeth whitening (5)
- sedation dentistry (2)
- dental injury (8)
- mouthguards (5)
- osteoporosis (1)
- crown (1)
- dental exam (2)
- brushing teeth (1)
- tooth pain (3)
- root canal treatment (8)
- (1)
- porcelain veneers (2)
- diabetes (2)
- gum disease (18)
- chipped teeth (2)
- clear aligners (2)
- laser dentistry (1)
- sealants (2)
- athletic mouthguards (2)
- bridge (2)
- partial denture (1)
- tooth grinding (1)
- pediatric care (1)
- oral sedation (1)
- bad breath (3)
- burning mouth syndrome (1)
- crowns (4)
- root canal (3)
- teeth wear (1)
- periodontal disease (5)
- bonding (1)
- dental anxiety (1)
- sinus surgery (1)
- nutrition (5)
- dental emergency (1)
- antibiotics (3)
- sleep apnea (1)
- snoring (1)
- periodontal (gum) disease (1)
- abscessed tooth (1)
- dry mouth (1)
- retainers (4)
- loose teeth (2)
- metal allergies (1)
- veneers (2)
- removable partial denture (1)
- palatal expander (1)
- bone grafting (1)
- dental treatment (1)
- bone loss (2)
- retainer (2)
- cleft lip (1)
- cleft palate (1)
- oral surgery (2)
- teeth grinding (1)
- thumb sucking (1)
- shingles (1)
- facial pain (1)
- gum recession (3)
- medicine (1)
- extraction (1)
- composite resin (1)
- mouthguard (1)
- eating disorder (1)
- gerd (1)
- tmj disorders (2)
- sensitive teeth (3)
- dental injuries (1)
- nerve pain (1)
- lingual braces (1)
- tooth wear (1)
- vaping (1)
- tmj disorder (1)
- jaw pain (1)
- aging (1)
Categories:
|
|
|
Check our Dentists Reviews on Angie's List |
Soon after the primary (baby) teeth begin to give way, the teeth a child will have the rest of their lives start erupting into the mouth. But while they’re permanent, they’re not as strong and developed as they will be in adulthood.
That’s why we treat young permanent teeth differently from older adult teeth. For example, a decayed adult tooth may need a root canal treatment; but this standard treatment would often be the wrong choice for a child’s tooth.
The reason why involves the pulp, the innermost layer of a tooth, which plays a critical role in early development. Young permanent teeth continue to grow in sync with the jaws and facial structure. Most of this growth is in the dentin, the layer between the enamel and pulp, which increases proportionally to the other layers as the tooth matures. The pulp generates this new dentin.
A root canal treatment completely removes the diseased tissue of the pulp. This isn’t a major issue for a mature tooth because it no longer needs to generate more dentin. But it can have long-term consequences for an immature tooth whose growth may become stunted and the roots not fully formed. The tooth may thus become brittle and darkened, and might eventually require removal.
Because of these potential consequences, a root canal treatment is a last resort for a young permanent tooth. But there are modified alternatives, depending on the degree of pulp exposure or infection. For example, if the pulp is intact, we may be able to remove as much soft decayed dentin as we can, place an antibacterial agent and then fill the tooth to seal it without disturbing the pulp. If the pulp is partially affected, we can remove that part and place substances that encourage dentin growth and repair.
Our main goal is to treat a young tooth with as little contact with the pulp as possible, so as not to diminish its capacity to generate new dentin. Avoiding a full root canal treatment if at all possible by using these and other techniques will help ensure the tooth continues to develop to full maturity.
If you would like more information on dental care for children, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Saving New Permanent Teeth after Injury.”
