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Pulpotomy and Pulpectomy in Pediatric Dentistry

Posted on 12/2/2024 by Nancy Shiba DDS

3D rendered cross-section view of a tooth and its roots

Taking care of your child's teeth is crucial for their overall health and well-being. As a parent, you naturally want the best for your child, and that includes ensuring their oral health is in top shape. Sometimes, however, children experience dental problems that require specialized care.

This article will discuss two common procedures in pediatric dentistry: pulpotomy and pulpectomy. Understanding these procedures can help you make informed decisions about your child's dental care.

What is a Pulpotomy?

A pulpotomy is a procedure that removes the inflamed or infected part of the pulp, the soft tissue inside the tooth that contains nerves and blood vessels. This procedure is typically performed when the pulp is only partially affected, and the tooth can still be saved.

During a pulpotomy, the dentist will numb the area around the tooth and remove the decayed portion. They will then access the pulp chamber and remove the inflamed or infected tissue. The remaining healthy pulp is then disinfected and covered with a protective material. Finally, the tooth is restored with a filling or crown.

What is a Pulpectomy?

A pulpectomy is a more extensive procedure that involves removing the entire pulp, including the root canals. This procedure is typically performed when the pulp is severely infected or damaged, and the tooth cannot be saved with a pulpotomy.

During a pulpectomy, the dentist will follow similar steps to a pulpotomy, but they will remove the entire pulp from the crown and root canals. The canals are then cleaned, disinfected, and filled with a material called gutta-percha. Finally, the tooth is restored with a crown.

Which Procedure is Right for My Child?

The decision of whether to perform a pulpotomy or pulpectomy will depend on the extent of the damage to the pulp. Your child's dentist will carefully examine the tooth and take X-rays to determine the best course of treatment.

In general, a pulpotomy is preferred when the pulp is only partially affected. This procedure can save the tooth and preserve its vitality. A pulpectomy is necessary when the pulp is severely damaged or infected, and the tooth cannot be saved otherwise.

What to Expect After the Procedure

After either procedure, your child may experience some discomfort or sensitivity in the treated tooth. This is normal and can be managed with over-the-counter pain medication. Your child will need to avoid chewing on the treated tooth until it is fully restored.

It is important to follow your dentist's instructions carefully after the procedure. This will help to ensure the best possible outcome for your child.

Conclusion

Pulpotomy and pulpectomy are two important procedures in pediatric dentistry that can help to save a child's tooth. If your child is experiencing dental pain or has been diagnosed with pulpitis, it is important to see a dentist right away to discuss treatment options.

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Dental Blog • Nancy Shiba, DDS
Nancy Shiba, DDS, 125 N Jackson Ave, Suite 103, San Jose, CA 95116-1914 • (669) 306-7669 • nancyshibadds.com • 1/13/2025