Root Canal Alternatives: What Parents Need to Know

When a child’s tooth becomes severely decayed or injured, a root canal is often the suggested treatment. This procedure involves removing the infected tissue inside the tooth, known as dental pulp, and then cleaning, disinfecting, and sealing the tooth.

While root canals are a common and effective way to save a child’s tooth, many parents may have concerns or questions about the procedure and wonder if there are alternatives to root canal therapy.

In this blog, we will explore some potential root canal alternatives and what parents need to know about them.

Alternatives to a Root Canal

Pulpotomy vs. Pulpectomy

For baby teeth (primary teeth), dental professionals may recommend different procedures from those used on permanent teeth. Two common alternative treatments for young children are pulpotomy and pulpectomy:

• Pulpotomy: This dental procedure involves removing only the infected portion of the pulp, leaving healthy pulp intact. It’s less invasive compared to a traditional root canal procedure.
• Pulpectomy: Used when the infection spreads to the pulp in the roots of the tooth, this procedure involves removing the entire tooth pulp. It’s similar to a root canal but designed for primary teeth.

Pulp Capping

For both primary and permanent teeth, another alternative to root canal therapy is pulp capping. Materials used for this procedure are calcium hydroxide and mineral trioxide. This procedure involves placing a protective dressing over the exposed pulp. There are two types:

1. Direct pulp capping: Used when the pulp is slightly exposed due to accidental injury or deep cavity.
2. Indirect pulp capping: Applied when decay is very close to the pulp but not actually exposed, helping to protect the pulp from further injury and infection.

For more information on root canals for primary teeth, read Baby Root Canal and Crown Procedure for Kids: What Parent’s Should Know.

Alternative Treatment for Permanent Teeth

For permanent teeth, there are some alternative treatments that may be considered before a root canal. These include:

• Tooth extraction: In severe cases, when the tooth cannot be saved, it may need to be extracted. However, this should always be the last resort as it can lead to other dental problems down the line.
• Take preventive measures: As mentioned earlier, maintaining good oral hygiene and regular check-ups can help prevent the need for a root canal in the first place.

Tooth Extraction and Replacement

If the tooth is extracted, your dentist may recommend the following tooth replacement options:

1. Dental implant: An artificial tooth root placed into your jawbone.
2. Bridge: A fixed dental restoration used to replace one or more missing teeth.

Natural Remedies and Preventive Measures

Of course, your best defense is good oral hygiene habits. A root canal is only needed when a tooth becomes significantly infected. Therefore, the best way to avoid root canal therapy is to prevent infection in the first place. Here are some preventive measures you can take:

• Brush and floss: Good oral hygiene habits are the best way to prevent tooth decay. You should start brushing your childs teeth as soon as they start coming in. As they continue to get more teeth, involve them in the process. When they are old enough to brush and floss, supervise them to make sure they are doing it correctly.
• Regular dental check-ips: Make sure your child sees their dentist regularly for cleanings and check-ups. This will help catch any potential issues early on, before they become bigger problems.
• Fluoride treatments: Fluoride helps strengthen enamel, making it more resistant to bacteria and decay.
• Dental sealants:  These are thin, protective coatings applied to the chewing surfaces of back teeth. They help prevent bacteria from getting into the grooves and crevices where decay often starts. 
• Healthy diet: Limit sugary and acidic foods and drinks, which can contribute to tooth decay. Encourage a healthy, balanced diet for your child that includes plenty of fruits, vegetables, and calcium-rich foods. When your child eats or drinks something sweet or high in sugar, make sure they rinse their mouth with water right after. Ideally they should brush their teeth after eating foods that are high sugar.

For more information about dental hygiene, read Dental Education for Parents:Your Guide to Healthy Smiles and 6 Ways to Prevent Tooth Decay in Children. 

Your Trusted Kids Dentist in Denver

While root canals are often the best option for saving a child’s tooth, there are alternatives available. It’s important to discuss these options with your child’s dentist and weigh the pros and cons of each treatment.

Remember, good oral hygiene habits and preventive measures are key to avoiding the need for root canal therapy in the first place.  By taking care of your child’s teeth and being proactive about their dental health, you can help ensure they have a happy, healthy smile for years to come.

We are committed to making dental care affordable and accessible to everyone. We accept Medicaid and most insurance plans. We have four locations to serve you better: Denver, Aurora, Hampden and Thornton.

If you are searching for a kids dentist in Denver or a kids dentist near me, trust Denver Youth Dentistry. Call (303) 953-8801 to book an appointment at any of our locations.

💡Did you know? We have Spanish-speaking staff at all our locations!