Pulpotomy Treatment

Pulpotomy is a baby tooth nerve treatment procedure. It is performed when the cavity is so large that it extends into the nerve of the tooth. Although pulpotomy is sometimes referred to as a "baby root canal," it is much less invasive than an adult tooth root canal. 

Pulpotomy Treatment

Before a pulpotomy is done, the cavity is cleaned out by removing soft and decayed tooth structure. Next, the top portion of the nerve that is affected by the cavity is removed and the remaining tooth structure is thoroughly cleaned out.

After that, a special medicine is mixed and placed into the top part of the tooth where the removed part of the nerve was. The bottom part of the nerve that is located in the roots of the tooth remains intact and is not removed like in an adult tooth root canal procedure. This is why pediatric pulpotomy is much less invasive than am adult tooth root canal procedure and your child should be comfortable and pain-free during and after the procedure. 

Finally, a crown must be placed on the tooth that had pulpotomy treatment. The crown will strengthen and protect the remaining tooth structure. 

Post-Pulpotomy Recommendations

Your child will experience numbness for a couple of hours after treatment. Keep a close eye on your little one so that they do not chew on or damage their delicate tissue. Do not allow them to eat food that requires chewing for two hours after treatment is complete. Reassure your child and let them know that their sleepy tooth will wake up shortly and that what they are feeling is normal.

Because we place crowns on all teeth that have had a pulpotomy, their gum tissue may feel sensitive and appear slightly bruised. Brush and floss the area to assist with healing. This will heal within a few days to a week.

Pulpotomy After-Care

The same rules that apply to taking care of a crowned tooth also apply to a pulpotomy-treated tooth because a crown is always placed on a tooth that has had a pulpotomy. In order to maintain your crowned tooth's good health, it is necessary to properly brush the gums surrounding the crown.

What Is the Pulpotomy Success Rate?

Teeth that require pulpotomy treatment have very large cavities that extend into the nerve. Therefore, the nerve of the tooth is already inflamed by the cavity.  The success of pulpotomy treatment depends on the level of such inflammation of the nerve and the conditions under which the procedure is done.

Overall, pulpotomies have reasonably good prognosis. Occasionally, however, a tooth treated with a pulpotomy may have complications and need to be extracted. This usually happens due to the remaining nerve tissue in the roots of the tooth causing some kind of trouble.

Contact Us to Learn More about Pulpotomy Treatment

Call Wonderland Pediatric Dentistry, the dental office of Dr. Karina, a gentle pediatric dentist, to schedule a dental exam for your child.