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If your child has been diagnosed with a cavity in a baby tooth, your first instinct might be to question whether treatment is even necessary since the tooth will eventually fall out on its own. That is a completely reasonable thought, and you are not alone in having it. The honest answer from a clinical standpoint is that yes, treatment is almost always necessary. A pediatric dentist will typically recommend filling or restoring the cavity rather than pulling the tooth, except in cases where the decay has progressed so far that saving the tooth is simply no longer possible. Understanding why that decision is made the way it is can help parents feel far more confident walking into their child’s next dental visit.