Caries has many complications even on the milk teeth. Pedodontists in Hawaii can cope with such problems. One of the most serious complications is pulpitis ? inflammation of the tooth pulp. Please, pay attention that pulp in the primary teeth is not so sensitive, so the disease often occurs almost asymptomatic, without pain. This happened due to the anatomical features of deciduous teeth. Treatment of pulpitis is usually done under local anesthesia. Untreated pulpitis can cause severe complications up to the loss of buds of permanent teeth and malocclusion.