What is a Pulpotomy?

A pulpotomy involves partial removal of the inner pulp of a tooth. When decay has been allowed to reach the pulp, or nerve, of the tooth, it compromises it and causes an infection. A pulpotomy is done on pediatric patients as a way to maintain a portion of the blood supply and nerves to the tooth. This prevents the tooth from breaking or cracking if it had undergone a full root canal.

Why would your child need a Pulpotomy?

Your child may require a pulpotomy if they have had a cavity that was ignored or aggressive in nature. The decay will eventually reach the innermost core of the tooth, which contains the pulp. The pulpotomy only removes a small portion of this pulp, which allows blood supply to still reach the tooth and make it less likely to break. To determine if your child needs a pulpotomy, they’ll need to come in for an exam and x-ray.

What makes your child a good candidate for a Pulpotomy?

Most children are good candidates for a pulpotomy. The procedure itself saves the overall integrity and structure of the tooth because some of the blood supply is left intact. Teeth that have been fully root canaled will typically break and need crowns and other restorative work. A tooth that has had a pulpotomy will typically stay in one piece and provide your child with a full, healthy smile.

What can your child expect with a Pulpotomy?

Your child will come in and have x-rays to determine the health of the pulp. If only the top portion of the pulp has been affected, a pulpotomy can be done. Your child will receive local or partial sedation to make the procedure comfortable. Dr. Mina will remove all of the decay from the tooth and then remove only a small portion of the pulp. The hole is then filled with a medicated filling material and packed into place. This medicated filling helps to calm down any pain in the area as well as prevent further infection of the pulp. A pulpotomy takes about an hour or so in our office and can be performed on children of all ages.

If your child is in need of a pulpotomy or you want to learn more about this procedure, call our office and our helpful staff members will be happy to assist you.