If your child is diagnosed with a pulp infection, you might feel frightened or confused. Rest assured that treatment can help resolve the problem. Modern dental procedures can remove infected tissue from inside the tooth. Pulpotomies clear up the infection and get rid of stubborn tooth pain.
Each tooth contains a soft, fleshy material known as pulp. The pulp contains nerves, blood vessels, and connective tissues. If dental pulp becomes infected or inflamed, a child may experience severe dental pain. Without treatment, tooth loss may occur. Pulp often becomes damaged after an injury — a sports or auto accident can crack the tooth and trigger an infection. A severe cavity might also lead to an infection within the tooth. During a pulpotomy, the dentist removes the pulp from the tooth's crown while leaving the roots intact.
"Pulpotomies are particularly helpful for preserving baby teeth."
Although the procedures are similar, a pulpotomy is different from a pulpectomy. During a pulpectomy, the dentist removes all pulp inside the tooth and fills it with a special material. A dentist usually recommends a pulpectomy when the infection has spread below the tooth's crown, often performing these procedures alongside a root canal. A pulpotomy removes only some of the pulp, leaving the roots untouched.
"A dentist usually recommends a pulpectomy when the infection has spread below the tooth's crown."
Treatment begins with an X-ray and examination. The procedure itself usually lasts between one to two hours. Before the procedure begins, the dentist will numb the area with a local anesthetic. In some cases, the provider may suggest general anesthesia or sedation — if the patient needs sedation, they might receive nitrous oxide (laughing gas), which keeps children awake but calm and relaxed. The dentist removes the decayed enamel with a drill, scoops out the infected pulp, fills the empty space with dental cement, seals the tooth, and places a protective cap.
"The dental provider can explain how much pulp will be removed."
Pulpotomies are less invasive than root canals. If the infection has spread throughout the pulp and into the roots, a root canal may be the only option. A pulpotomy is more invasive than a filling — when filling a cavity, the dentist only works on the outer surface of the tooth and does not drill into the pulp. If the child has already had a filling, parents can explain that the pulpotomy will be similar.
"If the child needs a root canal, they might be referred to another provider."
After the procedure is complete, the dental team monitors the child's recovery. They might have the child stay at the office for 30–60 minutes. If the child received a sedative or anesthesia, they might feel groggy or nauseated — these side effects usually wear off within a few hours. Parents should not offer a child anything to eat or drink while their mouth is numb. Once a child feels ready to eat, parents can offer soft foods and room temperature liquids.
"Once a child feels ready to eat, parents can offer soft foods and room temperature liquids."
What is a pulpotomy?
If your child has a damaged or decayed tooth, the dentist may decide to perform a pulpotomy. During a pulpotomy, the dentist removes infected pulp from inside the tooth, then fills the tooth and applies a cap. This procedure usually takes place during one office visit.
What happens if I delay my child's pulpotomy?
Dental problems can worsen quickly. If the pulp becomes infected, the infection can spread throughout the tooth. Without treatment, your child may lose the tooth. In the worst-case scenario, the infection can even spread into their gums or bloodstream. Report any dental injuries or tooth pain to the dentist right away.
My child is nervous about their dental procedure. What can I do to help?
It is normal for children to be nervous about receiving a pulpotomy. Reassure your child that the pediatric dentist can repair their tooth. Let your child know that they will receive medication to keep them calm and comfortable during the procedure. They will not feel pain during their procedure.
Are pulpotomies painful?
During a pulpotomy, the dentist provides a numbing medication. In some cases, the dental team might also give your child laughing gas or anesthesia. These medications help ensure that your child feels no pain during the procedure. Your child might feel some discomfort once the medication wears off, but over-the-counter medications can help ease it.
How much does a pulpotomy cost?
Costs vary depending on the patient's age, the type of sedation needed, and the chosen provider. Your dental insurance provider can offer more information about costs and coverage. Call our office at (215) 942-9090 for more details.
Our team is here to answer your questions and schedule your child's next visit.
Request Appointment (215) 942-9090By visiting us as soon as possible, our team can help get your child the professional treatment they need.