my kids upper premolars get decayed... should i do rootcanal for that

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Accepted Answer

The decision to perform a root canal on a child’s decayed molars depends on the extent of the decay and the condition of the teeth. Here’s what you need to consider:

### 1. **Extent of Decay**:
   - **Minor Decay**: If the decay is superficial and hasn't reached the pulp (the innermost part of the tooth where the nerves and blood vessels are), less invasive treatments like fillings may be sufficient.
   - **Severe Decay**: If the decay has reached the pulp, a root canal may be necessary to save the tooth and prevent infection or abscess.

### 2. **Function of Primary Molars**:
   - **Importance**: Primary (baby) molars play a crucial role in maintaining the space for permanent teeth and aiding in chewing and speech development. Therefore, preserving these teeth when possible is important.
   - **Age of the Child**: If the child is close to losing their baby teeth naturally (around 10-12 years old), a dentist may consider other options, like extraction, depending on the situation.

### 3. **Root Canal for Baby Teeth**:
   - A root canal on a baby tooth, also known as pulpotomy or pulpectomy, involves removing the infected or damaged pulp and sealing the tooth to prevent further infection. It helps maintain the tooth until it naturally falls out to make way for the permanent tooth.
   - This procedure is relatively common and is performed to prevent the spread of infection and avoid the premature loss of the tooth, which can cause alignment issues with the permanent teeth.

### 4. **Alternative Options**:
   - **Extraction**: If the tooth is too damaged and cannot be saved, extraction might be recommended. In such cases, a space maintainer might be used to prevent shifting of the surrounding teeth until the permanent tooth comes in.
   - **Stainless Steel Crowns**: After a root canal, or even in some cases of significant decay, the dentist may place a stainless steel crown over the tooth to protect it and restore its function.

### 5. **Consult with a Pediatric Dentist**:
   - It’s crucial to consult with a pediatric dentist, as they specialize in treating children’s dental issues. They can evaluate the severity of the decay and recommend the best course of action.

### Conclusion:
If your child's upper three molars are decayed, a root canal may be necessary to save the teeth, especially if the decay has reached the pulp. However, this decision should be made in consultation with a pediatric dentist, who can assess the situation and discuss the best treatment options with you, including whether a root canal, filling, or extraction is the most appropriate solution.