Pediatric endodontics

Milk teeth, like permanent teeth, have roots, nerve endings and can be affected by pulpitis or periodontitis. Ignoring such processes threatens with inflammation, pain, complications of the eruption of permanent teeth and the formation of an incorrect bite.

In the Astra Dent dental network, treatment of milk teeth canals is performed painlessly, under the control of specialized equipment. Doctors use delicate techniques that allow us to save the tooth until its physiological change, and therefore — to support the correct formation of the jaw and the child’s future smile.

Young patients receive treatment in a comfortable environment, with psychological preparation, and if necessary — under anesthesia.

Parents have the right to confidence. At Astra Dent, we provide a free consultation so that you can calmly weigh all the pros and cons and choose the best option for your child.

Why do parents choose Astra Dent for root canal treatment in their children?

The network employs narrow-profile doctors with experience in root canal treatment in children. They take into account the peculiarities of the development of milk teeth, treat young patients with care and explain each stage in a way that is understandable to the child.

Advantages of root canal filling in children at Astra Dent:

• Comfortable children’s offices. Dental offices are equipped so that the child feels safe. Everything – from toys to “magic” anesthetic instruments – is adapted to children’s perception. Bright walls, fairy-tale characters, small chairs – everything creates an atmosphere of play, not treatment.
• Psychological preparation before the appointment. Before any procedure, the doctor conducts psychological adaptation – introduces the child to the office, allows them to hold the instruments, explains what is happening. This approach helps to avoid stress even in the smallest patients.
• Possibility of treatment in medicated sleep. Endodontic treatment under medical anesthesia is possible for medical reasons. Astra Dent uses modern drugs that act gently and are quickly excreted from the body without side effects. The child wakes up without pain and stress. Treatment under anesthesia takes place in the Astra Clinic inpatient unit, equipped taking into account the needs of the child and parents. In comfortable wards, young patients can rest after the procedure under the supervision of doctors. Parents are allowed to be nearby at all stages – both before and after the intervention. A quiet, calm atmosphere is maintained in the premises.
• Free consultation. Parents can get a qualified opinion without financial obligations. During the consultation, the doctor will examine the teeth, explain the condition of the canals and draw up a treatment plan taking into account the age and characteristics of the child.
• Modern optics for accurate treatment. Microscopes or magnifying systems are used to treat canals in children. This allows the doctor to work as accurately as possible, preserve healthy tissues and reduce the risk of re-infection.
• Psychological support for the child and parents. During all stages of treatment, specialists support the child, help to cope with anxiety, communicate with parents and explain how to continue care at home.
• Individually selected anesthetics. All painkillers are adapted to the age and physiology of the child. Astra Dent uses drugs that ensure complete painlessness and do not cause complications.

How is root canal treatment for children at Astra Dent performed?

Root canal treatment of baby teeth is a dental procedure that requires an accurate diagnostic approach, modern equipment and taking into account the age characteristics of the child. The Astra Dent dental network adheres to international protocols to preserve the tooth until its physiological change to a permanent one, avoid chronic inflammation and ensure the correct formation of the bite. Below we will consider exactly how root canal treatment is performed in young patients step by step.

Diagnosis: the first and key stage

Before the start of endodontic intervention, the pediatric dentist conducts:

• Clinical examination – the doctor assesses the general condition of the tooth, the presence of caries, swelling of the gums, the child’s complaints of pain or sensitivity.
• X-ray diagnostics – a targeted image is taken, which allows the doctor to see the structure of the root, the depth of the lesion, the presence of changes in the periapical zone.
• Cone-beam computed tomography (CT) – is used in complex or controversial cases, in particular when multiple canals or infectious complications are suspected.

Based on the data obtained, the doctor chooses the optimal treatment method.

Choosing a method: amputation, extirpation or mummification?

Three main methods are used in pediatric endodontics:

• Amputation (vital/devital). This is the removal of only the coronal part of the pulp (nerve), when the root canals are not yet affected. The method allows us to preserve the viability of the root pulp. It is performed in cases of superficial lesions without periodontal changes.
• Extirpation. Complete removal of the pulp from the crown and roots of the tooth. Indicated for deep inflammation or necrosis of the pulp. Performed under a microscope or with magnification to ensure accurate cleaning and eliminate relapses.
• Mummification. A technique that involves applying a special preparation to the affected pulp with its subsequent “preservation”. It is used only in exceptional cases when other options are unavailable or have contraindications. At Astra Dent, this method is practically not used, since its effectiveness is inferior to modern approaches.

Pain relief: complete safety for the child

All stages of treatment are painless, taking into account the individual reaction of the child and the type of intervention. Astra Dent offers:

• Application anesthesia – superficial anesthesia in the form of a gel or spray, used before the injection or during enamel treatment.
• Infiltration and conduction anesthesia – injected into the gum near the diseased tooth, providing insensitivity. It is selected depending on the localization of the tooth.
• Treatment under medical sleep – recommended for children with a high level of anxiety, as well as for long or extensive interventions. Inhaled or intravenous drugs are used under the control of an anesthesiologist.

Modern means provide the onset of action after 30-60 seconds, the child does not feel pain, and after the procedure quickly returns to their usual state.

Control systems during sedation

During treatment, the condition of the small patient is carefully monitored by anesthesiologists using high-precision equipment. In real time, the following are monitored:

• blood oxygen saturation level (pulse oximetry),
• heart rate via ECG,
• respiration and blood pressure indicators,
• depth of drug-induced sleep thanks to BIS-monitoring – a special technology that analyzes the electrical activity of the brain.

This comprehensive control allows the doctor to immediately respond to the slightest changes and ensure the maximum level of safety for the child.

Canal treatment: sterility and accuracy

After anesthesia, the doctor performs the following stages of canal cleaning:

• Mechanical treatment – the canal is expanded using special flexible instruments that take into account the structure of milk teeth. Astra Dent uses nickel-titanium files with depth control.
• Antiseptic treatment – rinsing with a hypochlorite or chlorhexidine solution is performed, which destroys bacteria inside the canal.
• Interoperative control – in some cases, an apex locator or control image is used to ensure complete cleaning to the physiological apical opening.

All equipment is sterilized according to protocols approved by the Ministry of Health and international standards.

Canal filling: protection against infection

After cleaning the canals, they are hermetically sealed:

• Biocompatible materials are used – pastes based on calcium hydroxide or iodoform, which have bactericidal properties.
• The materials are easily removed when changing the tooth – the filling does not interfere with the growth of the permanent tooth and does not cause allergies.
• Filling is performed under a microscope or with optical magnification – this allows you to fill even the thinnest canals without voids.

The final stage is the restoration of the tooth crown with a filling material or onlay.

Post-procedural care: recommendations for parents

After treatment, the doctor must explain to the parents how to care for the tooth:

• Refrain from hard or hot food for 1-2 hours after the procedure.
• Maintain oral hygiene, but avoid intensive brushing near the treated tooth in the first few days.
• Attend follow-up examinations according to the schedule set by the doctor (usually every 3-6 months).

At the slightest changes in the child’s behavior, for example, in case of repeated pain or swelling, immediately consult a specialist.

How much does endodontic treatment for children cost in the Astra Dent network?

The price of root canal treatment of primary teeth depends on the diagnosis, the complexity of the clinical situation, the number of canals and the chosen treatment method. To make the cost understandable and predictable for parents, the Astra Dent network has introduced comprehensive packages:

• The “Baby Tooth Pulpitis” package — covers the treatment of pulp inflammation, including diagnostics, anesthesia, medication and filling. It can be carried out in 1 or 2 stages, depending on the condition of the tooth.
• The “Baby Tooth Periodontitis” package — is intended for cases with infection of the tissues around the root. It includes up to 3 stages of treatment with interplant medications and final filling.

All stages are performed taking into account the child’s age, individual sensitivity, using safe anesthesia and certified materials.

In addition, the network regularly offers promotions — discoun ts on root canal treatment, special conditions for complex treatment, bonuses for new patients. Current promotions are published on the Astra Dent website and social networks.

The doctor will be able to announce the exact cost of your child’s treatment after a free consultation, during which an examination will be conducted, if necessary, X-ray diagnostics, and the scope of the intervention will be determined.

You can find out more about the prices in the “Price” sec tion.

How to make an appointment at Astra Dent?

Parents often worry about whether they will be able to quickly find a convenient place for quality treatment. Everything is organized in the Astra Dent network for your comfort. There are 14 modern dental offices in Kyiv, so you can easily choose the one closest to school, home or work. You can make an appointment conveniently – online or by phone, without queues and waiting.

How to make an appointment:

• By phone: (044) 222 33 33, (066) 222 33 33, (073) 222 33 33.
• Through the online form on the website: choose a convenient date, time and department.
• In messengers (Viber, Telegram) – chat with the administrator.

The appointment always starts with a free consultation. The doctor explains the situation, answers all questions and offers the best solution for your child. You do not pay anything until you are sure of the feasibility of the treatment.

Please note!

The Astra Dent network has specially adapted departments for barrier-free access. It is comfortable for both children with disabilities and parents with strollers. These departments are located at:

• Svyatoshynska St., 3a.
• Kharkivske Shosse, 152.
• Vasylkivska St., 100-A.
• Budivelnykyv St., 40 (there is a special elevator).

We work where it is convenient for you. Just choose a location – and come to the appointment in comfortable conditions.