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HomeRoot Canal

The Kids' Dental Dictionary

Root canal is a word many parents already know, and kids rarely need the version grown-ups picture.

This is a word that usually arrives trailing someone else's dental story, often a parent's own. What it actually means for a child is calmer than that reputation, so here is the short version and the longer one.

In kid words

"A root canal is when the dentist gently cleans out the sore, tired part deep inside a tooth so the tooth can settle down and keep doing its job." For kids, this usually goes by a friendlier name, a nerve treatment or a pulpotomy, and it is nowhere near as big a deal as the grown-up word makes it sound.

The parent version

Root canal is the everyday name for a procedure that removes irritated or infected tissue from inside a tooth, the nerve and blood vessel bundle known as the pulp, and cleans out the space left behind so a tooth that might otherwise need to come out can stay right where it is. The term gets used loosely, and most of what parents have heard about it comes from adult dentistry.

In baby teeth specifically, the comparable procedure usually goes by a different name: a pulpotomy. Because a baby tooth's root is already on its own natural timeline to dissolve away, treatment generally focuses on the pulp inside the crown rather than deep into the root the way an adult root canal does. It is calmer than the name suggests, and it is usually finished with a crown to protect the tooth afterward. Whether a particular tooth needs this is entirely a conversation with your pediatric dentist.

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Where you might hear it at our office

This word tends to come up when decay has reached deep enough to bother a tooth's nerve. Our restorative dentistry page walks through that whole ladder of repairs, and a nerve treatment sits partway up it, a step taken specifically to save a hurting tooth rather than remove it. You will hear exactly what is planned, and why, before anything begins.

Whatever other word followed you home from a visit, plain-English odds are it is already sitting in the Kids' Dental Dictionary, ready when you are.

Related words

Words that often come up alongside root canal: pulpotomy, crown, nerve.

Parents ask us

Is a root canal for a child the same as one for an adult?

Not usually. In baby teeth, the version used most often is called a pulpotomy, and it works a little differently than the adult procedure because a baby tooth's root is already headed toward dissolving away on its own. Ask your pediatric dentist which version fits your child's tooth.

Does the tooth need a crown afterward?

Often, yes. This kind of nerve treatment is usually finished with a crown, which protects what is left of the tooth once the work inside is done. Your pediatric dentist can tell you what the plan looks like for a specific tooth.

How do we know if our child needs this instead of a filling?

That comes down to how deep the decay has reached, which only an exam can determine. A filling handles decay that has not reached the nerve, while a nerve treatment is for decay that has. Your pediatric dentist explains which one a tooth needs and why, before anything begins.

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