Category Archives: Pediatric dentistry

Have you heard of pulpotomy?

I was wondering if you could tell me what a pulpotomy is in regard to dental care for children?

– Sam in Washington


When a child has an infection in a baby tooth, a pulpotomy can take care of it. What happens is that most of the pulp is removed from the baby tooth all the way down to the tooth root. Then a disinfectant is used on the tissue inside the root. The final step used is a sealant that is applied, then covered with a crown.

Essentially, it would be considered a root canal treatment for baby teeth. Although, it is a more temporary fix than a true root canal procedure. This type of treatment would typically be done for a child’s molars. This is because the molars need to stay in place until the permanent teeth are ready to come in. If the molars were removed then space becomes an issue and there could be crowding when the permanent teeth erupt.

Space maintainers can also be used when a child’s tooth is infected. The molar is extracted and the space maintainer holds its spot.

This post is sponsored by Lafayette dentist Theriot Family Dental Care.

Links: pediatric dentist, dental tips for parents

Child’s baby teeth won’t fall out

I have a child that is six years old now. His permanent teeth have erupted and are in, but the baby teeth won’t fall out. They haven’t even begun to get loose yet. What do I do? Do I wait for them to get loose or do I have them extracted? I have been putting it off because I figured they would eventually fall out.

– Tina from Nebraska


If they are not loose and you cannot get them out yourself, then it’s time to take him into the dentist. If the permanent teeth are in, the baby teeth can affect the way the permanent teeth are developing.

Good luck.

This post is sponsored by Lafayette dentist Theriot Family Dental Care.

Related Links: Pediatric dentist, Dental Tips for Parents, Gentle dentist

Cavities in Children’s Teeth

I have two kids, ages six and four. They both brush their teeth daily in the morning and evening. They are also really good about flossing too and they take fluoride treatments. Sadly, our oldest already has six cavities and our youngest has 11!

I don’t feed them very much sugar, either. Is this a taste of what is to come as they get their permanent teeth I sure hope this is not the case because I really hope that their dental health improves and they have beautiful teeth. Can you give me any advice?

– Jan from Washington


From what you have described, it sounds like you are doing a good job with daily teeth cleaning.

Below if a list of risk factors and pediatric dentistry tips that can help prevent tooth decay. Brushing and flossing and little sugar intake are all important, but there is another factor you need to be aware of.

1.Carbohydrate consumption is the number one risk factor for tooth decay. Carbohydrates are transformed into sugar by saliva. Any type of carbohydrate has the potential to cause tooth decay. It’s also important to note that it isn’t the total amount of sugar or carbohydrates consumed. The problem is in how often they are eating carbohydrates. Frequent snacking is the common culprit.

2. Tooth decay can be prevented on the surface of your tooth by brushing and flossing daily. This has very little if no effect on what is known as pit decay or fissure decay that takes place in protected areas. But keep up the good brushing and flossing habits because it will reduce cavities.

3. If you don’t have enough fluoride protection it can be a problem.

4. Other problem foods are sticky foods like raisins, chips, and caramels that stay on the teeth. Better foods for consideration may be fruits, soups, drinks, even chocolate. Again, it is the frequency that is the biggest concern. For example, if your kids drank soda at meal-times only than it really doesn’t matter the amount consumed. But if they drank soda throughout the day, that can be a major cause for tooth decay.

We hope you found these pediatric dentistry tips helpful.

This post was provided by Lafayette dentist Theriot Family Dental Care.

My daughter broke her front tooth off

My nine-year-old daughter had an accident last night. She fell down and broke one of her upper front teeth and the other one in front is cracked. When we took her into the dentist today, we were told that they don’t have any time to fix it right now and that we need to wait a few weeks. This is not sitting well with me because I think she should be able to have it fixed right away. The dentist made it sound like there was no rush because the root needs to be able to desensitize. Do you think we need to wait or can I take her somewhere else?

– Gina from Nevada


There should not be any reason to wait to get your daughter’s tooth repaired. If you can find the broken off piece you can find an experienced cosmetic dentist and they should be able to repair it for you.

Make sure you visit an expert cosmetic dentist and not just a general dentist. The re-attachment of this kind of situation will require someone with true artistic ability to match the other front tooth. The truth is that 98% of general dentists will not be able to do this.

If you can’t locate the missing part of the tooth, then a dental bond will work to fix the broken tooth since she is so young. When she is older it may need to have a single dental crown placed due to the size of the pulp. This all depends on the extent of the damage.

Best of luck.

This post was provided by Lafayette dentist Theriot Family Dental Care.

Other links you may be interested in:

Pediatric dentistry

Dental tips for parents

Emergency dentist

Discolored baby teeth


I have a question about my four year old son. His front teeth have become discolored. Should I be worried? Is there anything I can do to help them regain their normal color? Will making changes in his diet help?

– Leslie from Texas

Dear Leslie,

A child’s teeth are so small at that age that there really isn’t anything I would recommend that seems practical. Diet will not affect the color and chances are that his baby teeth are already starting to loose their roots. Therefore, if the discolored teeth you are referencing are actually his front teeth then doing any cosmetic work may cause them to grow loose before they are ready. I would just wait it out until they come out. It may be a few more years before the permanent teeth are ready.

You can see a pediatric dentist that specializes in the dental health of children for more information.

Check out these dental tips for parents.

This blog was brought to you by Lafayette Dentist Theriot Family Dental Care.

Should I get my baby’s teeth pulled?


I have a son who will be two years old in February. Recently he injured his front teeth (top and bottom) while climbing the stairs and all four teeth have become become really discolored. Not only are the teeth now a greenish color, but I’m afraid that his tooth enamel is starting to wear off.

So far I’ve been giving him a daily children’s multivitamin, but I haven’t noticed any improvement. When should I start thinking about getting those teeth pulled? Thanks for answering my questions!
-Nicole from Louisiana


It would help to know more about the accident. Severe trauma, like cracking a tooth on the bathtub, can injure the nerves in the teeth. Sometimes the best course of action is to get the teeth extracted, but I do not recommend you do this. In children who are just learning to talk, teeth are useful for developing speech, so don’t take them out unless absolutely necessary.

As for the green discoloring, I would guess that the problem isn’t trauma. It’s probably from bacteria. As children’s mouths come in contact with naturally-occurring bacteria, they can develop unsightly stains. As the body adjusts, the discoloration typically goes away by itself.

I would recommend a professional cleaning at your dentist to get everything checked out.

As a side note, you are probably doing the right thing by giving your son a multi-vitamin, but this will have no effect on his teeth once they’ve already come up.

For more information:
Visit Dr. Theriot’s Lafayette pediatric dentist page. He is a general dentist, but he loves caring for children’s smiles.
Read his pediatric dental care tips for parents.