Is It Common for Kids to Need a Root Canal Treatment? Causes and Considerations

Is It Common for Kids to Need a Root Canal Treatment? Causes and Considerations By Maylands Dental Centre | October 24, 2025

Is It Common for Kids to Need a Root Canal Treatment? Causes and Considerations

Root canal therapy is a dental procedure that removes infected or damaged tissue from inside a tooth to help manage discomfort and maintain its natural structure. It helps restore a natural tooth that might otherwise require extraction due to trauma or decay. By cleaning and sealing the affected canal, dentists restore function and prevent further infection. This treatment is a common dental procedure used to manage severe tooth pain or deep infection.

Patients often ask, “How much is root canal treatment in Perth?” Understanding potential costs helps them make informed dental care decisions. Cost transparency matters because every case is unique and influenced by tooth complexity, diagnostic needs, and required restorations. Discussing fees during a consultation helps establish realistic expectations and prevents financial misunderstandings. Personalised assessment by a qualified dentist provides the most accurate estimate based on the patient’s individual oral health requirements.

Summary of the Content:

  • Root canal therapy for children aims to remove infection and preserve the natural tooth to maintain oral health and proper dental development. It can be performed on both baby and adult teeth, depending on the child’s stage of growth.
  • Children may need root canal treatment due to deep decay, dental injuries, or developmental issues that affect tooth vitality and structure. Early professional assessment helps prevent complications and supports long-term dental stability and comfort.
  • Common signs that may indicate a problem include persistent toothache, swelling, sensitivity, or visible changes in tooth colour. These symptoms require prompt evaluation by a registered dentist.
  • The procedure involves numbing the area, removing infected tissue, cleaning and sealing the canals, and restoring the tooth with a filling or dental crown.
  • Prevention focuses on maintaining good oral hygiene, attending regular dental checkups, and protecting teeth from injury. Professional dental care supports a child’s healthy oral development.

What Is Root Canal Therapy for Children?

Maylands Dental Centre

A root canal treatment for children is a dental procedure designed to preserve an affected tooth by removing infected pulp and bacteria. This treatment involves cleaning the root canals inside the tooth and sealing them to prevent further infection or complications. In children, a root canal procedure can be performed on either a primary tooth or an adult tooth, depending on the child’s age and dental development. The goal is to preserve the natural tooth structure and maintain proper function and alignment as the child grows.

The root canal procedure aims to control the spread of infection and protect a child’s oral health from long-term issues like tooth loss or abscess formation. This dental treatment is typically performed under local anaesthesia to promote comfort and a relaxed experience for young patients. Preserving the natural tooth supports normal chewing and speech development, contributing to overall oral function and health. Early treatment by a qualified dentist can help reduce discomfort and may reduce the need for more complex dental procedures later.

When Might a Child or Teenager Need Root Canal Therapy?

While it may not be the first thing parents expect, “Is it common for kids to need a root canal treatment?” In some cases, children or teenagers may require this procedure when the inner part of a tooth — known as the pulp — becomes infected or damaged. Below are some of the most common reasons why this might occur in younger patients.

Deep Tooth Decay

When tooth decay is not managed, bacteria can penetrate through the enamel and dentine layers, eventually reaching the dental pulp. Once the pulp becomes infected, inflammation develops, causing persistent pain and sensitivity to temperature or pressure. If this infection continues, it can spread beyond the tooth root, leading to swelling or an abscess in surrounding tissues. Early dental assessment and treatment are essential to prevent these complications and preserve the affected tooth’s health.

Dental Injuries

Dental injuries in children can occur from everyday activities such as falls, sports, or accidental impacts to the mouth. These incidents may crack, chip, or dislodge a tooth, exposing the inner pulp tissue. When the pulp becomes inflamed or infected, prompt dental assessment is essential to prevent further complications. Early professional care helps reduce discomfort, protect developing teeth, and support long-term oral health outcomes.

Developmental Factors

Children’s teeth are still growing, and their roots may not yet be fully formed. This developmental stage influences how dentists plan and perform root canal treatments. For example, preserving tooth vitality is often prioritised to allow normal root development and strengthen long-term dental function. Dentists carefully select treatment methods, such as apexogenesis or apexification, to support healthy growth while addressing infection or damage.

Signs Parents Should Look Out For

Parents play an important role in protecting their child’s oral health, and recognising early signs of dental problems can help prevent more serious complications. While these symptoms do not always mean a root canal treatment is necessary, they do indicate the need for a prompt dental checkup and professional assessment.

  • Persistent Toothache:
    Continuous or severe pain in a child’s tooth may signal that decay or infection has reached the pulp, the inner tissue containing nerves and blood vessels. When this occurs, the dentist may assess whether a root canal procedure or another dental treatment is needed to restore the natural tooth.
  • Increased Sensitivity:
    If your child feels discomfort or pain when eating hot, cold, or sweet foods, it may indicate exposed nerves or early tooth decay. Sensitivity should not be ignored, as unaddressed dental issues can spread and lead to infection or tooth loss.
  • Swelling and Gum Tenderness:
    Swelling of the gums near an affected tooth or the presence of a small pimple-like abscess can be a sign of infection beneath the surface. This inflammation can be painful and may require endodontic treatment to prevent further complications.
  • Changes in Tooth Colour:
    A dark or greyish tint in a child’s tooth could mean the pulp is damaged or dying. While discolouration can have several causes, it often occurs after an injury or infection, and early treatment may help restore the tooth’s function and appearance.
  • Pain When Chewing or Touching the Tooth:
    If your child experiences discomfort while biting or chewing, it may be due to inflammation around the tooth roots. This symptom should be checked by a dentist promptly, as it may point to an infected tooth that requires professional dental care.
  • Unexplained Abscess or Pus Formation:
    A visible pocket of pus or recurring bad taste in the mouth can indicate a tooth infection. In most cases, antibiotics alone are not sufficient to address the underlying dental infection. A root canal treatment or tooth extraction may be required to remove the source of infection and protect the surrounding teeth and gums.
  • Interrupted Sleep or Irritability:
    Tooth pain that disturbs your child’s sleep or causes irritability may suggest a deeper problem, such as an infected pulp or developing abscess. A visit to the dentist can help determine the extent of the issue and provide relief through the right treatment option.

By watching for these symptoms and scheduling an early dental checkup, parents can help prevent pain, infection, and unnecessary tooth extraction. Timely professional care helps maintain your child’s oral health and supports the development of a healthy smile.

What Happens During the Root Canal Procedure?

Root canal treatment in children is carefully planned and carried out to address infection and preserve the natural tooth whenever possible. Each step is performed with your child’s comfort and well-being as the main priority.

  • Initial Assessment:
    Before treatment begins, the dentist examines the affected tooth and may take an X-ray to see how deep the problem is. This helps determine the most appropriate approach for managing the infection or damage.
  • Comfort and Numbing:
    A local anaesthetic is used to numb the tooth and surrounding area so your child feels comfortable throughout the procedure. The dentist will check that the tooth is fully numb before starting any treatment.
  • Removing the Infected Pulp:
    The dentist removes the damaged or infected pulp tissue from inside the tooth. This step helps prevent the spread of infection.
  • Cleaning and Shaping the Space:
    After removing the infected tissue, the dentist carefully cleans and shapes the inside of the tooth using dental tools. This step aims to remove any remaining bacteria so the tooth can heal properly.
  • Filling the Tooth:
    The cleaned space inside the tooth is filled with a biocompatible material that seals it and prevents reinfection. This step restores strength to the tooth’s structure.
  • Protecting the Tooth:
    A filling or a small crown is placed to protect the tooth. The dentist will explain whether additional restoration will be needed once healing is complete.
  • Follow-Up and Care:
    After treatment, the dentist will provide instructions on caring for the tooth and may schedule a follow-up appointment to check healing and comfort.

Root canal therapy in children is a dental procedure that helps preserve natural teeth and support the healthy development of the mouth and jaw.

How Is Root Canal Therapy Different in Children vs Adults?

Root canal therapy for children differs from adult treatment because it considers the child’s stage of tooth and jaw development. The primary aim is to preserve the natural tooth for as long as possible to support proper growth and function. The approach depends on whether the tooth is a baby (deciduous) tooth, an immature tooth, or a mature tooth.

  • Treatment Goals and Developmental Stage:
    In children, the primary objective of root canal therapy is to maintain the natural tooth’s function and space in the mouth while the child’s jaw and teeth continue to develop. In adults, the focus is on eliminating infection and preserving the tooth for long-term stability.
  • Root Canal Therapy in Baby (Deciduous) Teeth:
    For baby teeth, treatment is tailored to the size and structure of the tooth roots. A pulpotomy involves removing only the infected pulp tissue from the crown portion of the tooth, preserving the vitality of the remaining pulp. A pulpectomy removes all pulp tissue from the root canals when infection has spread deeper, allowing the tooth to remain in place until it naturally falls out.
  • Root Canal Therapy in Immature Teeth:
    Immature teeth have open root ends, known as apices, which make it difficult to seal the root completely. In these cases, apexogenesis is performed on teeth that still have living pulp to encourage continued root development and closure. Apexification is used for teeth with non-vital pulp to create a calcified barrier at the root end, enabling a complete and stable root canal filling later.
  • Root Canal Therapy in Mature Teeth:
    In mature teeth, the roots are fully developed, and the treatment process mirrors that of adult patients. The procedure involves cleaning, shaping, disinfecting, and sealing the root canals to prevent reinfection.
  • Long-Term Focus on Preservation:
    Across all stages, the guiding principle in children’s root canal treatment is to preserve the natural tooth to support proper oral function, alignment, and jaw development. The treatment approach also prioritises the child’s comfort and promotes long-term dental health.

Understanding these differences helps parents appreciate why dental assessments and treatment plans are individually tailored for children. Every decision aims to balance effective care with the child’s ongoing growth and oral development.

Preventing the Need for Root Canal Treatment

Root canal treatment in children is sometimes necessary to preserve a tooth affected by decay or injury. Parents can help reduce this risk by encouraging consistent oral hygiene habits and supporting their child in receiving regular professional dental care.

  • Daily Oral Hygiene:
    Encourage your child to brush their teeth twice daily using fluoride toothpaste to help strengthen tooth enamel and reduce the risk of decay. Support them in flossing each day to remove food particles and plaque from between the teeth, where brushing alone cannot reach.
  • Healthy Diet Choices:
    Limit sugary snacks and drinks, as frequent sugar exposure increases the risk of cavities that can progress to the tooth’s nerve if not managed.
  • Regular Dental Checkups:
    Schedule regular dental visits every six months to help identify early signs of decay and monitor your child’s tooth development. During these visits, the dentist can provide preventive treatments such as fluoride application or fissure sealants to help protect the teeth from cavities.
  • Early Treatment of Cavities:
    Address small cavities promptly to prevent them from spreading deeper into the tooth structure, which can help avoid the need for more complex treatment later.
  • Use of Protective Mouthguards:
    Encourage the use of a custom-fitted mouthguard during sports or physical activities to prevent trauma that may damage a tooth’s nerve or root.
  • Parental Guidance and Education:
    Teach children about the importance of caring for their teeth and make oral hygiene a consistent part of their daily routine under parental supervision.

By maintaining regular preventive care and encouraging healthy habits at home, parents can reduce their child’s risk of needing root canal treatment. Consistent attention to oral hygiene and routine dental visits helps support long-term oral health and development.

Final Thoughts

Root canal therapy in children is less common than in adults, but it can be essential to preserve a developing tooth and maintain oral health. Each case requires careful assessment, as factors like decay, injury, or infection vary between children. Parents should not assume treatment without a professional diagnosis, as early intervention often prevents complications. Visiting a qualified dentist provides the most appropriate care for your child’s needs.

If you’re wondering, “Is it common for kids to need a root canal treatment?”—the answer depends on individual dental circumstances and professional evaluation. At Maylands Dental Centre, our dental practitioners provide evidence-based care to help preserve children’s natural teeth. Families receive clear explanations about treatment options, comfort measures, and long-term oral health planning. We encourage parents to schedule a consultation for tailored advice and early management of any dental concerns.

Root canal procedures at Mayands Dental Centre are performed by our team of registered general dentists. A consultation is required to determine your needs. Treatment outcomes vary depending on your oral health and other individual factors.

Maylands Dental Centre
Maylands Dental Centre
Content published on Maylandsdentalcentre.com.au is intended to be used and must be used for informational purposes only. It is very important to do your own analysis before making any decision based on your own personal circumstances. You should take independent medical advice from a professional or independently research and verify any information that you find on our Website and wish to rely upon.

Related Blogs

Is It Common for Kids to Need a Root Canal Treatment? Causes and Considerations
Many parents are surprised to learn that children can sometimes require root canal therapy to restore a tooth affected by deep decay or injury. This treatment aims to preserve toot
Read more
How Do I Know If I Need Root Canal Therapy? Common Signs You Shouldn’t Ignore
Many people feel anxious when they hear they might need root canal therapy, often imagining discomfort or complicated treatment. Modern dental care, however, focuses on patient com
Read more
How Much Is Root Canal Treatment in Perth? Understanding Costs and What to Expect
Root canal therapy is a dental procedure that removes infected or damaged tissue from inside a tooth to help manage discomfort and maintain its natural structure. It helps restore
Read more