Pulpotomy

What Is a Pulpotomy?

A pulpotomy is a dental procedure used to treat decay or damage in the pulp chamber of a tooth, particularly when the infection or irritation is confined to the crown and has not spread into the roots. This treatment is most frequently used in pediatric dentistry to preserve primary (baby) teeth until they fall out naturally, but it may also be performed on permanent molars in certain cases to avoid full root canal therapy.

Unlike a root canal, which removes all pulp tissue, a pulpotomy preserves the healthy pulp in the roots, helping to maintain tooth vitality and support normal development or continued function.

Why Is a Pulpotomy Necessary?

• In children, saving a baby tooth until it naturally falls out helps maintain proper spacing for permanent teeth, aids in speech development, and supports a child’s ability to chew comfortably.

• In adults, a pulpotomy may be used as an emergency or interim solution to relieve pain and inflammation in a permanent molar, especially if root development is still ongoing.

Pulpotomies are ideal when:

• A cavity has reached the pulp, causing sensitivity or mild pain

• The tooth shows no signs of root infection or abscess

• A less invasive option than a root canal is preferred

The Pulpotomy Procedure: What to Expect

1. Evaluation and Imaging – Our dentists will examine the tooth and take digital X-rays to determine if a pulpotomy is appropriate.

2. Local Anesthesia – The area is numbed for a comfortable, pain-free experience.

3. Removal of Affected Pulp – The infected or inflamed pulp tissue in the crown of the tooth is carefully removed.

4. Disinfection and Sealing – The remaining pulp in the root is treated with a medicated dressing (like MTA or formocresol), then sealed with a biocompatible material.

5. Final Restoration – In most cases, a crown (usually stainless steel for children) is placed to protect the tooth and restore full function.

Pediatric Care That Feels Good

We understand that dental visits can feel intimidating for little ones. That’s why Cornerstone Dental Arts is committed to making pediatric visits comfortable and even enjoyable. Our team is trained to provide reassurance and gentle care, using calm, kid-friendly language and a supportive approach.

FAQs About Pulpotomy

Q: What’s the difference between a pulpotomy and a root canal?
A: A pulpotomy removes only the damaged pulp from the crown, preserving the root pulp. A root canal removes all pulp from both the crown and root. Pulpotomies are less invasive and commonly used for children.

Q: Is a pulpotomy painful?
A: Not at all. The area is fully numbed, and the procedure is quick and gentle. Most children return to normal activity the same day.

Q: Will my child need a crown afterward?
A: Yes, a crown is typically placed to protect the tooth and restore full chewing function after a pulpotomy.

Q: How do I know if my child needs a pulpotomy?
A: Signs include persistent toothache, sensitivity to hot or cold, or visible decay. A dental exam and X-ray will confirm if a pulpotomy is appropriate.

Q: Can adults receive pulpotomies too?
A: Yes, in some cases. Pulpotomies may be used as a temporary or diagnostic step in adult molars, especially if root development is incomplete or full root canal therapy isn’t yet necessary.