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Even if the child’s teeth are younger they can have the same defects as the adult’s ones. A specific category of problems connected with the pulp of the teeth will be discoursed here because it’s easier to take a decision when you have knowledge about what should follow.

There are several symptoms that are associated with significant pulp inflammation and pathology:

• Any spontaneous severe pain, especially at night
• Reported pain on biting or exposing to hot or cold temperature
• The strong necessity for analgesics
• A notable presence of marginal ridge breakdown caused by the clinical extent of caries
• The presence of any intra-oral or facial swelling

If your child have three or more symptoms described above then the necessity to visit a doctor has come already long ago. The next step is a special investigation made by the specialist. It includes gentle finger pressure that determines whether the tooth is mobile or tender. Then the radiographs is used to provide further important information about the extent of the caries and the proximity of large restoration to a pulp horn.

There are cases when the tooth must be removed, especially when it can’t be restorable after tooth pulp therapy, when the caries damaged more then three teeth, or an emergency admission, caused by an acute facial swelling, is needed. A tooth removal is also applied when the patient is at risk from residual infection, when the tooth is close to exfoliation, or it’s already lost.

The retention is allowed, too, and it is used in all other, not so serious and dangerous, cases. A general anaesthetic is required for the tooth removal. So, it can’t be used if the child has some cardiac difficulties or muscular dystrophy. Tooth removal is also not allowed when the child has problems with fast stopping of the bleeding blood, or a hypodontia of the permanent dentition.

After the primary and special investigation comes the time of the pulp treatment process. Here exist several alternatives. One of them is the indirect pulp treatment, used when the tooth pulp is still not affected. It consists of removing all caries with care to avoid the exposure of the pulp. Then an appropriate lining material, such as a reinforced glass ionomer cement, a hard-setting calcium hydroxide, or zinc oxide eugenol, is placed.

The direct pulp capping is generally not recommended for treating children’s tooth, that’s why it has limited application. But if this method is chosen then the next steps follows. The tooth is isolated and a cotton pledget, soaked in water or saline, is applied. It steams the child’s tooth pulp hemorrhage. Then a hard-setting calcium hydroxide paste is used on the right area.

The desensitizing pulp therapy reduces the pulpal inflammation and symptoms in order to facilitate the future pulpotomy or pulpectomy procedure. It helps in case of a hyperalgesic pulp, when the adequate analgesia is not achieved, or when the non-compliant child requires inhalation sedation for future treatment.

A pulpotomy entails the removal of the coronal pulp and maintenance of the radicular pulp. It can be made in three ways. The first preserves the radicular pulp in healthy state. The second one renders the radicular pulp inert, and the last one encourages tissue regeneration and healing at the site of radicular pulp amputation.

Pulpectomy is used to remove irreversible inflamed or necrotic radicular pulp tissue and gently clean the root canal system. Then this is filled with a material that will resorb. This pulp of a tooth treatment is recommended when the non-vital radicular pulp in associated with or without infection and only with a good patient’s compliance.

It should be mentioned that all of the described above methods begin with a local anaesthetic that make your child’s tooth nerves lose their sensitivity, and ends with a definitive restoration to achieve optimum external coronal seal. It should assure you that your kid won’t feel pain while pulp treatment and the whole process will end successfully.