Toothache

The major cause of toothache in children is dental caries.

There are four possible procedures;

1) Dental filling

If the cavities does not expose the dental pulp, simple filling could be done but children have to be co-operative

2) Pulpotomy or Pulpectomy

In case that dental caries are exposed to dental pulp, pulpotomy or Pulpectomy is necessary. There are criteria of each treatment depending on severity. After this pulp treatment, stainless steel crown is advised for final restoration in most cases.

3) Extraction. If the decay is too extensive and possibly involves permanent tooth bud underneath, extraction might as well be a choice. In case that the baby tooth has been removed 6-12 months before the permanent tooth is erupted, space maintainer is recommended in order to preserve a space for permanent teeth.