What Is a PulpotomyReston, VA

Pulpotomy vs. Pulpectomy

Although the procedures are similar, a pulpotomy is different from a pulpectomy. During a pulpectomy, the dentist removes all pulp inside the tooth. Next, they fill the tooth with a special material. A dentist usually recommends a pulpectomy when the infection has spread below the tooth's crown. They often perform these procedures alongside a root canal. A pulpotomy removes only some of the pulp, leaving the roots untouched.

What Happens During the Procedure

Treatment begins with an X-ray and examination. The dentist discusses the treatment goals and expected outcome. The dental provider can explain how much pulp will be removed. They can also determine whether the child needs antibiotics to combat the underlying infection.

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, also known as "laughing gas." With this form of sedation, children remain awake. But they will stay calm and relaxed.

The dentist removes the decayed enamel with a drill. They penetrate past the decay and into the pulp. Next, they scoop out the infected pulp. The dentist fills the empty space with dental cement, then seals the tooth. Finally, the dentist places a cap on the tooth. This cap protects against future decay or damage.

Comparing Pulpotomy to Other Dental Procedures

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. During a root canal, the dentist removes all pulp to clear the infection. Afterward, they fill the tooth and apply a crown. If the child needs a root canal, they might be referred to another provider.

A pulpotomy is more invasive than a filling. When filling a cavity, the dentist only works on the outer surface of the tooth. They do not drill into the pulp. Instead, they remove the decayed enamel and dentin and then fill the space. If the child has already had a filling, parents can explain that the pulpotomy will be similar.

Pulpotomy Aftercare

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. Once they are confident the recovery is going smoothly, the child can be taken home.

If the child received a sedative or anesthesia, they might feel groggy or nauseated. These side effects usually wear off within a few hours. The numbing medicine will wear off soon.

Parents should not offer a child anything to eat or drink while their mouth is numb. Children might bite their numbed cheeks or tongue without realizing it. Once a child feels ready to eat, parents can offer soft foods and room temperature liquids. The dentist will explain when the child can resume their normal diet.