Ever heard of a pulptomy or doctors recommending you get a pulpotomy treatment? This is actually quite a common method which you can adapt so to save a very badly decayed tooth.

This is a tooth which is actually in a very distressful condition. It is coming with an infected pulp which is getting worse if treatment is not done soon enough on it.

People even consider it is as having a ‘baby root canal’. The procedure is done so on baby teeth and that is why it is referred like that.

But how common is this?

The procedure is gaining momentum in recent times. People often get this treatment done for their children to help to save their teeth.

It is becoming quite common and the results can be lasting. You will be needing to clean and remove the infection part of it. As there is a deep cavity which exposes the pulp underneath.

This will then leave the wound open for bacterial infection.

In this article, we will be talking in detail about what is pulpotomy, how is the treatment done and ways to make sure the teeth are kept in good and healthy condition.

So let’s start:

What is a Pulpotomy?

treating infected teeth

Pulpotomy means having a dental procedure done which will be saving the decayed and highly infected teeth.

If you are suffering from a severe cavity, also there is infection in the tooth’s pulp then your dentist will be recommending you get a pulpotomy done.

The procedure is especially useful when there is a very deep cavity which is exposing the pulp that is underneath. This will be causing you to suffer from bacterial infection which will only get worse if proper treatment is not done soon.

So what happens in a pulpotomy treatment ?

It is when pulp is scooped out properly and removed completely from the tooth. To be specific, it is removed from the tooth’s crown.

This crown is actually that part of the tooth which is actually surrounded by the complete enamel. You see it above the gum line.

The pulp is actually coming within the tooth. You can call it as being the most inner part of the tooth which needs to be set right.

Difference Between Root Canal and Pulpotomy

Root canal treatment is something which is done as a routine process. It is  one of the most common dental procedures. The process will be removing the inner pulp as when it becomes highly infected.

It is basically kind of a disease. The whole tooth pulp is taken out.

While the two treatments are very similar to one another, they differ in their reasons and how they are actually conducted.

A pulptomy is when you will be performing a partial root cabal. It means that the pulp and tooth are properly treated but the procedure is only done on the upper part of the tooth.

Meaning the part which is exposed. The nerve part that you can actually see.

But since this treatment is more so focusing on that of milk teeth, I want to talk about how it specifically caters to that.

Pulpotomy in Milk Teeth

This is a process in which you will see that the affected baby tooth is actually the child’s baby tooth. The pulp in this case is also more important as we are focusing on growing teeth.

And how the tooth continues to grow in that area.

Here the teeth are not permanent. There is limited effort to take on when trying to save a tooth.

As with root canal you have to do plenty of work done to see results, with a pulpotomy it will not be requiring heavy measures to have to save them.

But both treatments will be needing local anesthesia. Also your dentist will be making use of dental implements like drills.

Both of these are very effective in showing results. Also they are not painful because you will be getting the local anesthesia.

However it is common to feel a certain level of soreness. Also it is not uncommon to have to go through certain discomfort as you try to recover.

You have to figure out which treatment is best for your tooth’s condition.

How to Prepare for Treatment

getting proper treatment done

When it comes to preparing yourself for this treatment, your dentist will be carrying an X-ray of the teeth.

This helps to decide and determine if you need a pulpotomy or you need to have another procedure done on the teeth.

While general dentists are able to conduct pulpotomies as well as root canals, which treatment you need to have done is something decided by the teeth specialist.

In some cases, your dentist will also be prescribing even antibiotics which you have to start taking within 3-4 days after your treatment.

This will help in the recovery of your teeth. So to make sure they are in optimal condition and are well looked after even after the procedure is done with.

Now let’s talk in a little more detail on how anesthesia is administered and how:

Using Anesthesia

Since pulpotomy is usually a method which is more so common in younger children, it requires that light sedation is applied.

Another element used is called nitrous oxide. This is also known as laughing gas. And you also make use of make of it as it helps to calm you soon enough.

The pulpotomy treatment also becomes more so comfortable.

But there are certain restrictions and precautions you have to follow so that the treatment is done in an appropriate way.

This includes when you have to stop eating and drinking. And this usually falls in the timeframe of 6 hours before general anesthesia.

It also comes and should be practiced at least 2 to 3 hours before the light sedation sets in.

How to Get Ready

When getting yourself ready for a pulpotomy treatment, you might get nervous. But don’t worry, its a common dental procedure.

You do not have to worry as it can be done properly in a matter of a few hours.

It has a good success rate provided you are also taking care of your health afterwards. Your dentist will also be recommending a root canal in case of adults and if you have a mature tooth structure.

But the main thing to remember is that whatever treatment you go for, it is being done so that your tooth can be saved.

Your dentist will determine which treatment is best for you and how to process it properly.

Getting a Child Ready

getting dental treatment

If you are preparing yourself for a treatment, you may be getting anxious.

This is especially in the case of children.

In case your child is needing a pulpotomy treatment, then you will also be suffering from a toothache.

But the pain goes away as soon as you have the treatment done on the teeth.

Also you should let your child know that the procedure itself does not cause any pain.

And it usually lasts for maximum an hour. It can also be very well under an hour.

So what to expect when the treatment begins:

What to Expect in the Treatment

There are a few set guidelines which you should be following in order to make sure that you are getting complete results. Here’s what you can do:

  • Before the onset of the procedure, the dentist will be numbing your area using local anesthesia. This injection will not be hurting.
  • But you will be feeling a certain pinch.
  • If anesthesia is needed it will be done so in the dentist’s chair itself. It is either done with a light sedation or it will be via an injection. Which is put into your arm.
  • The infected part of your tooth’s crown is monitored and is taken out and completely removed.
  • This empty space is not left open like that, in fact it will be filled with dental cement.
  • It is done in such a way so that it is completely sealed and there is no chance of suffering from any setbacks.
  • A stainless steel crown is also cemented onto the existing tooth. This will be becoming the new outer surface.


ensuring pulpotomy is done right

Pulpotomy treatment is a common dental procedure. It is very important and helps in taking care of the severely damaged tooth.

It is also more so common in children who have baby teeth. But it is also used in adults and older children who are having permanent teeth.

You should be experiencing no pain as during a pulpotomy and has certain discomfort which also eventually goes away on its own.

When it comes to getting the procedure done on permanent teeth, you will be asked to keep a close monitor on the recovery. This will allow you to have a complete recovery which ensures that the treatment is yielding complete results.

This article gave a complete overview on this procedure. How the treatment is done and why it matters that you have done from a proper specialist which yields complete results.