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Pulpotomy and Pulpectomy in Pediatric Dentistry - What You Need to Know


Posted on 4/15/2025 by Riverwind Dental
As a parent, you want what's best for your child's health and well-being. This includes taking good care of their oral health, which can sometimes involve dealing with dental problems. Two procedures you may come across are pulpotomies and pulpectomies.

These terms might sound scary, but understanding what they are and when they're needed can help you feel more confident and informed when making decisions about your child's dental care.

What is the Dental Pulp?


Before diving into pulpotomies and pulpectomies, let's talk about the dental pulp. This is the soft tissue inside the tooth that contains nerves and blood vessels. The pulp helps nourish the tooth and provides sensation, allowing you to feel hot and cold.

When are Pulpotomies and Pulpectomies Needed?


Sometimes, the dental pulp can become inflamed or infected due to deep decay or trauma. This condition is called pulpitis and can cause significant pain and discomfort.

In these cases, a pulpotomy or pulpectomy may be necessary to save the tooth and prevent further complications.

Pulpotomy


A pulpotomy involves removing the inflamed or infected part of the pulp, while leaving the healthy pulp in the root canals intact. This procedure is typically performed on baby teeth that have a healthy root structure. After removing the infected tissue, the dentist will place a filling material over the remaining pulp to protect it and promote healing.

Pulpectomy


A pulpectomy, also known as a root canal, involves removing the entire pulp, including the portion within the root canals. This procedure is usually performed on permanent teeth or baby teeth with significant damage or infection that has reached the root canals. The dentist will clean and shape the root canals and then fill them with a biocompatible material. A crown will then be placed over the tooth to restore its function and appearance.

What to Expect After the Procedure


After either procedure, your child may experience some mild discomfort or sensitivity. Over-the-counter pain medication can usually manage this. It’s important to follow the dentist's instructions carefully, which may include avoiding hard or chewy foods and maintaining good oral hygiene.

Regular follow-up appointments are crucial to monitor the healing process and ensure the success of the treatment.

Conclusion


Pulpotomies and pulpectomies are valuable procedures in pediatric dentistry that can help save damaged teeth and prevent the need for extractions. By understanding what these procedures involve and when they're necessary, you can make informed decisions about your child's oral health care and ensure they maintain a healthy, beautiful smile.

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