# Do decayed milk teeth need treatment?

Reviewed by [Dr. Rekha Pandey, BDS (NMC 38136)](https://kashyapdental.com.np/dr-rekha-pandey)

**Short answer:** Yes. Decayed milk teeth can cause pain and infection and affect the permanent teeth growing underneath. At Kashyap Dental & Aesthetics in Butwal, a child's root canal treatment for a milk tooth costs NPR 3,000, done by Dr. Rekha Pandey (BDS). This guide is part of our [children's dentistry in Butwal](https://kashyapdental.com.np/pediatric-dentistry) pages; see all [dental prices in Butwal](https://kashyapdental.com.np/prices).

## How common is milk-tooth decay in Nepal?

WHO estimates for 2019 show untreated decay in 51.2% of milk teeth in children aged 1–9 in Nepal, and WHO rates fluoride toothpaste as unaffordable there ([WHO Nepal oral health profile, 2022](https://www.who.int/publications/m/item/oral-health-npl-2022-country-profile)).

## What does a child's root canal cost?

| Treatment | Price (NPR) | Notes |
|---|---|---|
| [Children's root canal (milk tooth)](https://kashyapdental.com.np/pediatric-dentistry) | NPR 3,000 |  |

Prices last updated: 24 October 2026. Your exact cost is explained and agreed before treatment starts.

## Fluoride toothpaste: what the research says

Toothpaste with 1,000–1,500 ppm fluoride reduces tooth decay compared with non-fluoride toothpaste; for young children, the fluoride concentration should be balanced against the risk of fluorosis ([Cochrane review, 2019](https://doi.org/10.1002/14651858.CD007868.pub3)). Ask the dentist which toothpaste suits your child's age.

## Sugar and tooth decay

WHO recommends keeping free sugars below 10% of total energy, and ideally below 5% (about 25 g, or 6 teaspoons, a day), partly to reduce tooth decay ([WHO guideline, 2015](https://www.who.int/news/item/04-03-2015-who-calls-on-countries-to-reduce-sugars-intake-among-adults-and-children)). Limit sugary snacks and drinks between meals, and don't put a baby to sleep with a bottle of milk or juice.

## Frequently asked questions

### What does a root canal on a baby tooth cost?

NPR 3,000 at Kashyap Dental & Aesthetics.

### Which toothpaste is best for my child?

Toothpaste with 1,000–1,500 ppm fluoride reduces decay compared with non-fluoride toothpaste, but for young children the concentration should be balanced against the risk of fluorosis, so ask the dentist ([Cochrane review, 2019](https://doi.org/10.1002/14651858.CD007868.pub3)).

## Read next

- https://kashyapdental.com.np/pediatric-dentistry
- https://kashyapdental.com.np/guides/child-first-dental-visit
- https://kashyapdental.com.np/guides/tooth-filling-cost-nepal
- https://kashyapdental.com.np/prices

## Sources

- [World Health Organization, Oral Health Nepal 2022 country profile. 2022](https://www.who.int/publications/m/item/oral-health-npl-2022-country-profile)
- [Walsh T et al., Fluoride toothpastes of different concentrations for preventing dental caries. Cochrane Database of Systematic Reviews, 2019](https://doi.org/10.1002/14651858.CD007868.pub3)
- [World Health Organization, WHO calls on countries to reduce sugars intake among adults and children. 2015](https://www.who.int/news/item/04-03-2015-who-calls-on-countries-to-reduce-sugars-intake-among-adults-and-children)

Last updated: 25 Oct 2026

## Clinic details
- **Kashyap Dental & Aesthetics**, Butwal (काश्यप डेन्टल एन्ड एस्थेटिक्स)
- Address: Tilottama Path (Hospital Line), near Gastrocare, Butwal 32907, Lumbini Province, Nepal (तिलोत्तमा पथ (हस्पिटल लाइन), ग्यास्ट्रोकेयर नजिक, बुटवल). On Hospital Line (Tilottama Path), next to Gastrocare. Plus code MFX8+29 Butwal.
- Phone / WhatsApp: +977 974-3679953 (https://wa.me/9779743679953)
- Email: kashyapdcaa@gmail.com
- Opening hours: every day, 8 AM–6 PM
    - Sunday: 8:00 AM–6:00 PM
    - Monday: 8:00 AM–6:00 PM
    - Tuesday: 8:00 AM–6:00 PM
    - Wednesday: 8:00 AM–6:00 PM
    - Thursday: 8:00 AM–6:00 PM
    - Friday: 8:00 AM–6:00 PM
    - Saturday: 8:00 AM–6:00 PM
- Payment: Cash, eSewa, Khalti, Fonepay / bank QR, debit and credit cards
- Doctors: Dr. Rekha Pandey, BDS (NMC 38136), performs every treatment except braces and aligners; Dr. Madhav Pandey, MDS Orthodontics (NMC 15670), plans and treats every braces and clear aligner case.
- Google Maps: https://maps.google.com/?cid=2552023128400234002
- Prices: https://kashyapdental.com.np/prices
- Book an appointment: https://kashyapdental.com.np/book

Source: https://kashyapdental.com.np/guides/milk-teeth-decay