Pulpotomy is a word that may sound intimidating to parents whose children need dental treatment. This procedure treats decay in baby teeth and prevents further damage. Pulpotomy is an endodontic treatment that focuses on preserving the healthy part of a tooth’s pulp and removing the infected portion.
A pulpotomy is a dental procedure that removes infected pulp tissue from a child’s tooth while preserving as much of the healthy pulp as possible. The pulp is the soft tissue inside a tooth that contains blood vessels, nerves, and connective tissue. This is a more conservative alternative to pediatric root canal therapy for children having trouble with their primary teeth.
Pulpotomy procedures may also be performed on permanent teeth in specific cases where the pulp is damaged but the root structure is still healthy enough to support the tooth. However, root canal therapy is typically the preferred option for treating pulp-related issues in permanent teeth.
A pulpotomy is usually necessary when a baby’s tooth is affected by tooth decay. The tooth typically has extensive caries that have affected the pulp in the crown of the tooth but have not yet reached the roots, and it causes pulpitis.
Pulpitis is inflammation of the pulp tissue and can cause pain, sensitivity to temperature, and difficulty eating. If left untreated, pulpitis can lead to the spread of infection to the roots of the tooth, which can cause an abscess, swelling, and pain.
A pulpotomy has several benefits for children’s dental health, including:
The dentist will first numb the area around the affected tooth with a local anesthetic to ensure your child won’t feel any pain during the procedure.
They’ll isolate the primary tooth with a rubber dam to keep it dry and free of saliva and other contaminants.
They’ll then remove the decayed or damaged tissue from the pulp chamber of the tooth using special dental instruments.
Next, the dentist will apply medication to the remaining healthy pulp tissue to help it heal and prevent further decay or infection.
The dentist will fill the pulp chamber with a dental restoration material, usually a stainless steel crown, to protect the tooth and provide structural support.
Finally, they’ll remove the rubber dam and explain to the child and parent what to expect after the
After a pulpotomy, follow the dentist’s instructions for proper aftercare to ensure that the tooth heals and remains healthy. Here are some tips for pulpotomy aftercare:
As with any other dental procedure, there are risks present and the possibility of complications occurring:
A pulpotomy typically takes about 30 to 60 minutes to complete. This depends on the extent of the decay and the child’s cooperation during the procedure. Your dentist will provide a treatment timeline at your initial consultation.
A pulpotomy is similar to a root canal treatment but is typically performed on baby teeth. In a root canal treatment, the entire pulp chamber and root canal system of the tooth is removed and filled with dental restoration material. In a pulpotomy, only the infected pulp tissue is removed, and the remaining healthy pulp is left in place.
Yes. It’s recommended to place a dental restoration material, usually a stainless steel crown, after a pulpotomy to protect the tooth and provide structural support. The crown is placed over the remaining tooth structure and is cemented in place. The dental crown will also help prevent future decay or infection in the tooth.
By removing the infected pulp tissue and preserving the healthy pulp, a pulpotomy can help maintain the child’s oral health and development. If your child is experiencing pain or sensitivity in their baby teeth, seek dental care promptly to determine if a pulpotomy is necessary.