Pediatric Root Canal Therapy

Root CanalThe pulp is the life center of a tooth, containing the nervous system and blood supply. In children’s growing teeth, the pulp is essential to allow the tooth to mature. If there is a natural, traumatic, or mechanical breakdown, i.e., a deep cavity, the vital pulp can be vulnerable to exposure or infection, causing discomfort.

There are several treatment options available depending on the severity of the pulp damage. A pulpotomy removes only the vital pulp in the tooth’s center (pulp chamber). It does not involve treating the entire root.
A full root canal treatment is necessary if the infection extends beyond the pulp chamber into the root canals. While the tooth is no longer alive after root canal, it remains functional. This allows the child to chew properly and maintain space for permanent teeth.

How Do I Prepare My Child for a Root Canal?

Preparing your child for a root canal can help ensure a smooth and stress-free experience. Understanding each step of the process allows you to address their concerns and set expectations. Here’s what you need to know:

  • Start by explaining why the procedure is needed in a way they can understand. Kids can feel nervous about the dentist, so reassure them that medicine will keep them from feeling any pain.
  • Depending on your child’s age, Dr. Babich may take X-rays to check how bad the infection is and to map out the root canal’s size and shape. When it’s time for the procedure, your child will get local anesthesia to numb the area. In some cases, antibiotics may also be prescribed to prevent infection—be sure to mention any allergies to medications or anesthesia.
  • If there’s a filling or dental device on the tooth, the dentist will remove it first. To keep things clean and safe, a rubber sheet will be placed around the tooth, blocking saliva and preventing any small pieces from being swallowed. From there, a tiny hole will be drilled in the crown to reach the root canal and get to work.

Dr. Sara Babich can determine what treatment is best for each child’s situation. As an experienced pediatric dentist, she is uniquely qualified to evaluate the growth and development of teeth and dental arches for long-term function and a healthy smile.

What Does a Root Canal Involve?

A root canal involves removing the pulp tissue from both the chamber and the root canals, thoroughly disinfecting the area, and sealing it to prevent reinfection. New technology is always being developed to make root canal treatment more successful and predictable. One such procedure, LSTR, adds antibiotics to the root canal material mix.

What to Expect After a Root Canal Procedure?

A little soreness should fade in a few hours. Dr. Babich might prescribe pain medication or suggest an over-the-counter option like an NSAID. She would also explain when your child can eat or drink again and how to care for their tooth. And if a temporary crown was placed, expect Dr. Babich to swap it for a permanent one in about a week.

After a root canal, your child may need some time to recover. However, due to modern treatment methods, the procedure is both effective and safe. At Pediatric Dentistry Center, we prioritize the comfort and health of our young patients by providing high-quality care with a gentle approach. If your child needs a consultation or treatment, please schedule an appointment today!

Page Updated on Feb 20, 2025 by Dr. Sara Babich, DDS (Pediatric Dentist) of Pediatric Dentistry

Pediatric Dentistry: Dr. Sara B. Babich, DDS
116 E 84th St
New York, NY 10028
(84th St. btw Park Ave / Lex Ave)
212-988-4070

Contact Pediatric Dentistry: Dr. Sara B. Babich, DDS Contact us today to learn more about our
New York City pediatric dentistry practice
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Dr. Sara is a hospital and university trained specialist in pediatric dentistry. For over 20 years Dr. Sara offers the most advanced scientifically based and clinically proven treatments for kids & teens.

Dr. Sara Babich is a member of:

  • Dental Study Club of New York
  • New York Academy of Dentistry
  • The American Dental Association
  • The American Academy of Pediatric Dentistry
  • The New York Dental Association
  • The New York County Dental Society

Dr. Sara has privileges at Lenox Hill Hospital. As a leading NYC pediatric dentist she provides the most technologically advanced, safest and time-tested treatments on Manhattan's Upper East Side.

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