What is a pulpotomy, and what does it address?
Our pediatric dentists, Drs. John De Lorme, and Sam Wu of Mission Viejo, California, describe pulpotomy as a procedure that can be done to relieve a child of pain and discomfort caused by an infected tooth. The pulpotomy treatment is best designed to address the problem while preserving the tooth, keeping it healthy and functioning until it naturally falls out and is replaced by an adult tooth.
What happens during a pediatric pulpotomy?
The procedure is done primarily on a baby, or primary teeth, in children. Sometimes, a tooth with decay may become infected. When this occurs, it can reach the soft pulp inside of the tooth, which is filled with nerves. This causes the pain often associated with a toothache. Oral trauma, such as a blow to a tooth, can also cause an infection.
Bacteria in the tooth can become problematic. It needs to be addressed immediately upon discovery for the best outcome. Drs. De Lorme and Wu will often recommend the pediatric pulpotomy procedure, during which an access point is made in the natural tooth enamel, allowing our dentist to reach the dental pulp inside. The infected portion is removed, and a special medication is applied to the inner canals of the tooth. The tooth is sealed, and the procedure is complete. In the event, the tooth needs an extra layer of protection, a dental crown or a large filling may be placed as well to maintain the tooth in place until it is ready to come out on its own.
Is a pulpotomy a root canal?
In a way, yes, but it is specifically performed on a child’s tooth. Unlike a root canal, the dental pulp is preserved as much as possible, allowing the tooth to stay “alive.”
How do I learn more about the pulpotomy procedure?
If you suspect your child has an infected baby tooth, it might be time to talk to our team about the pulpotomy procedure in a child. Call the South OC Pediatric Dentistry and Orthodontics team at (949) 581 5800 to request a consultation visit with our team, conveniently located in Mission Viejo, CA, at 26302 La Paz Road, Suite #114.
Pulpotomies FAQs
What is a pulpotomy, and why would my child need one?
When the pulp, the tooth’s soft tissue, becomes infected or inflamed, generally due to extensive decay or trauma, a pulpotomy is a dental surgery done on infant teeth. It’s similar to a mini root canal but less invasive. The dentist removes only the infected portion of the pulp in the crown of the tooth, leaving the root canals intact. This treatment helps save the baby tooth, reducing pain and preventing the need for extraction.
Why not just pull the tooth instead of doing a pulpotomy?
Baby teeth are essential for speech, proper chewing, and maintaining space for permanent teeth. Pulling a baby tooth too early can lead to alignment issues as neighboring teeth shift into the gap. A pulpotomy preserves the natural tooth until it’s ready to fall out independently, supporting normal development and minimizing the risk of future orthodontic complications.
What are the signs that my child may need a pulpotomy?
Symptoms can include prolonged toothache, sensitivity to hot or cold, swelling around the tooth or gums, and pain when chewing. However, in many cases, children don’t express discomfort clearly, which is why regular dental checkups are so important. X-rays and a clinical exam will help the dentist determine if a pulpotomy is necessary.
Is a pulpotomy painful for my child?
No—modern pulpotomies are performed with local anesthesia to ensure your child is comfortable and pain-free throughout the procedure. Most children tolerate it very well. Afterward, there may be mild soreness that typically resolves within a day or two and can be managed with over-the-counter pain relief.
What happens during the procedure?
After numbing the area, the dentist opens the top of the tooth and removes the infected portion of the pulp. The area is then cleaned and treated with a medicated material to calm the remaining healthy pulp tissue. Finally, the tooth is sealed and usually covered with a stainless steel crown to protect and restore function. The entire process typically takes under an hour.
How successful are pulpotomies?
Pulpotomies are successful when performed early, with high success rates in treating primary teeth. The treated tooth can last until it naturally falls out, assuming proper aftercare. Regular dental visits will help monitor the tooth and ensure no further problems develop. Most kids continue to eat, speak, and smile normally after recovery.
How do I care for my child’s tooth after a pulpotomy?
After the procedure, your child should avoid eating until the numbness wears off. For the first 24 hours, steer clear of sticky or hard foods. Continue brushing and flossing gently, especially around the treated tooth. Keep up with regular dental checkups to ensure the tooth remains healthy. Contact the dental office immediately if your child experiences swelling, fever, or persistent discomfort.
