What Is A Pulpotomy?

A pulpotomy, sometimes called a baby root canal, is a procedure used to treat a primary tooth that is infected. Since primary teeth are eventually shed, a less permanent procedure provides adequate treatment to preserve the tooth. A pulpotomy is typically only used as an endodontic treatment for children. 

Does your child have a toothache? This is often an indication of an infection and the need for a pulpotomy. Learn more about the procedure and what to expect in this overview of a pulpotomy. 

The Pulpotomy Procedure 

A pulpotomy is similar to a root canal, but it is less complex. A small hole is made in the crown of the tooth to access the top of the root canal system, the inner chamber that contains the dental pulp. The infected pulp is removed and a medicated dressing is applied to eliminate the existing infection and prevent it from spreading or worsening. The tooth is then sealed off to protect it from contamination from saliva and bacteria. 

Symptoms That Indicate the Need for a Pulpotomy 

Your child may need a pulpotomy if they exhibit any of the following signs or symptoms: 

• Tooth pain. Pain coming from a certain tooth or a concentrated area of the mouth often indicates an infected tooth. 
• Discoloration. A tooth that is discolored, such as gray or brown compared to the other teeth, may have damaged dental pulp. 
• A deep cavity. A cavity that is deep enough to reach the dentin, the soft layer below the enamel, is at a high risk of infection. 
• Sensitivity. A tooth that is highly sensitive to heat or cold may have a cavity that is deep enough for the nerves to be exposed, indicating a high risk of infection. 
• Swelling. Swelling of the gum tissue around a tooth is often a symptom of an infection. 

Pulpotomy vs Extraction

Is a pulpotomy worth it or should the tooth be extracted? This is a common question asked by many parents whose children are in need of a pulpotomy. If the tooth can be saved with a pulpotomy, it is typically in the best interest of the child’s oral health to have the procedure. 

However, if the tooth is close to being shed and the permanent tooth is ready to come in, it may be better to extract the tooth. In some cases the damage is too significant to save the tooth, and extraction may be necessary. 

Frequently Asked Questions About Pulpotomies 

How long does a pulpotomy take? 

The procedure is relatively simple and can typically be completed in under an hour. Most pulpotomies take between 30 and 45 minutes. 

Is anesthesia required for a pulpotomy?

Local anesthesia is typically sufficient to ensure your child’s comfort during a pulpotomy. If needed, mild sedation is available to help with relaxation. 

Need a Pulpotomy? Contact Elite Endodontics of NH

An endodontist is a dental specialist who primarily treats infected teeth. Elite Endodontics of NH provides pulpotomy procedures for children who need to preserve a baby tooth until it is ready to come out. After the procedure the tooth will be fitted with a temporary restoration and your general or pediatric dentist can provide a permanent filling or crown. 

Contact us today to learn more and schedule an appointment.