
- A “milk tooth root canal” is a procedure called a pulpectomy or pulpotomy to save a baby tooth from infection. It involves removing infected or damaged nerve tissue to relieve pain and prevent the infection from spreading. This treatment helps the tooth remain in place until it is naturally ready to fall out, which preserves the space needed for permanent teeth and prevents bite and jaw issues.
Why a Baby Root Canal Is Necessary
- Severe Decay or Injury: A root canal is needed when decay or trauma reaches the pulp (the innermost part of the tooth containing nerves and blood vessels).
- Pain Relief: It can stop significant pain, discomfort while chewing, and irritability.
- Infection Control: It prevents the spread of infection to other parts of the mouth and the developing permanent teeth.
- Preserves Space: Keeping the baby tooth in place is crucial for proper alignment and spacing of the permanent teeth that will replace it.
What to Expect During the Procedure
- Anesthesia: Local anesthesia is used to numb the area so the child feels no pain during the procedure.
- Removal of Infected Pulp: The dentist will remove the decayed portion of the tooth and the diseased pulp tissue.
- Pulpotomy: If only the pulp inside the crown is infected, a “pulpotomy” is performed. The infected pulp is removed, and the remaining healthy nerve is medicated.
- Pulpectomy: If the infection has spread into the roots, a “pulpectomy” is performed. The pulp and nerve tissue throughout the entire root canal system are removed.
- Restoration: The tooth is then sealed, often with a crown (cap), to protect it and restore its normal shape, size, and function.
Post-Procedure Care
- Discomfort: Some sensitivity or discomfort is normal after the procedure, but it should subside within a few days.
- Pain Management: Over-the-counter pain relievers can be used as directed by the dentist.
- Follow Instructions: It is important to follow the dentist’s aftercare instructions, including good oral hygiene and avoiding hard or sticky foods for a short period.


