Pulpotomy is a common and effective procedure primarily performed on primary (baby) teeth. It is designed to preserve a child’s natural tooth when decay or trauma has affected the pulp, which is the innermost part of the tooth containing nerves and blood vessels. When the pulp becomes inflamed or infected, children may experience pain, swelling or sensitivity. If not addressed in a timely manner, the condition can worsen, leading to abscesses or the need for tooth extraction.
How Pulpotomy Works
This treatment involves removing the infected portion of the pulp from the crown of the tooth while leaving the healthy pulp tissue in the roots intact. The goal is to maintain the vitality of the remaining tooth structure. After the decayed pulp is removed, the area is disinfected and treated with a medicated dressing that promotes healing and prevents further infection.
In most cases, a baby tooth crown is placed over the tooth following the procedure. This crown helps restore strength and function while protecting the remaining tooth structure until the permanent tooth is ready to erupt.
Benefits of Pulpotomy for Children
Pulpotomy in Randolph, NJ, provides several key benefits for children:
- Preserves natural teeth, supporting proper chewing and speech development
- Maintains space for permanent teeth, reducing the risk of crowding or alignment issues
- Reduces pain and infection without requiring tooth extraction
- Encourages normal oral development and confidence
Because the tooth roots in primary teeth are still developing, saving the tooth through pulpotomy helps ensure a healthier oral environment as your child grows.
Pulpotomy Versus Other Treatments
Pulpotomy is often called a “baby tooth root canal” as it is designed to do for baby teeth what a root canal does for adult teeth. However, pulpotomy is less invasive and is specifically intended for younger patients to preserve their primary teeth until the adult teeth are ready to come in. Our pediatric dentists typically recommend this procedure only when the infection is confined to the crown portion of the pulp and the root pulp remains healthy. In permanent teeth, pulpotomy is less common but may be considered under special circumstances, particularly when the root development is incomplete.
If your child is experiencing tooth pain or if your our pediatric dentists and team have identified deep decay, pulpotomy may be the right solution. It is a safe and efficient way to preserve the health of baby teeth and prevent more serious dental issues in the future.
For more information about pulpotomy in Randolph, NJ, or to schedule a consultation with Dr. Matt Mannella and associates, please contact Pediatric Dental Associates of Randolph at 973-989-7970 today.
Frequently Asked Questions About Pulpotomy
What is a pulpotomy and when is it needed for children?
A pulpotomy is a treatment used to preserve a baby tooth when the inner pulp becomes infected or inflamed. It is often recommended when tooth decay reaches the nerve but the root is still healthy. This helps maintain the tooth’s function until it naturally falls out.
How is a pulpotomy different from a root canal?
A pulpotomy is less invasive than a root canal and is used only on baby teeth. Instead of removing all the pulp tissue, only the infected portion in the crown of the tooth is removed. This allows the remaining healthy root tissue to stay intact and continue supporting the tooth.
Will my child feel any pain during a pulpotomy?
Our pediatric dentists use gentle techniques and local anesthesia to keep your child comfortable during the procedure. Most children feel little to no discomfort, and we take every step to ensure a positive and calm experience.
How long does the pulpotomy procedure take for children?
The procedure is typically completed in one visit and usually takes less than an hour. After the infected pulp is treated, the tooth is restored with a protective crown to strengthen it and prevent future issues.
Is it safe to keep a baby tooth with a pulpotomy?
Yes. Preserving the baby tooth helps guide proper speech development and chewing, and maintains space for the permanent tooth. A pulpotomy allows the tooth to stay in place until it is ready to fall out naturally.
