If your child has a toothache, your first call should be to their pediatric dentist. Not all toothaches are alike. Some respond to simple treatment like a filling or cleaning, while some require a more involved procedure called a pulpotomy.
Pulpotomies are very similar to root canals. When performed on a primary tooth, they are often called "baby root canals." However, the difference between a pulpotomy and a root canal is that a pulpotomy only treats the pulp chamber, while a root canal treats the roots as well. Children with permanent teeth may need a complete root canal procedure.
Why Does My Child Need a Pulpotomy?
One primary reason for a pulpotomy is to treat inflammation or infection in the pulp chamber. When the pulp inside a baby tooth is compromised, your child may experience severe discomfort, gum swelling, and sensitivity.
In many cases, untreated deep tooth decay is the root cause of inflammation in the pulp chamber. Decay breaches the enamel and dentin, allowing contaminants like food, bacteria, and saliva to reach the tooth's interior. Dental trauma leading to cracks or fractures can cause similar issues.
Symptoms Indicating the Need for a Pulpotomy
- Toothache
- Sensitivity to heat and cold
- Swollen gums near the affected tooth
- Cracked, chipped, or fractured tooth
The Pulpotomy Process
A pulpotomy is very similar to a root canal. The first step is providing local anesthesia to ensure your child's comfort.
Next, your child's pediatric dentist will make an opening in the tooth's crown. Through this opening, the dentist will remove all inflamed or infected pulp from the crown and thoroughly clean the tooth's interior. They place a medicated dressing inside the tooth and reseal the crown, allowing the tooth to stay in place until it naturally sheds.
Frequently Asked Questions About Pulpotomies
Why does my child need a pulpotomy if the tooth is going to fall out eventually?
A pulpotomy relieves severe discomfort and restores your child's healthy smile. If parents choose to extract the tooth rather than undergo a pulpotomy, the child's bite and tooth alignment could shift. To prevent this issue, dentists can place a small device called a space maintainer between the teeth. However, keeping the natural tooth in position is generally the best choice for a pediatric patient.
How long does a pulpotomy take?
A pulpotomy typically takes about half an hour to 45 minutes. It is a well-tolerated procedure, but if your child is anxious or has difficulty sitting still, you can choose from our sedation options.
At Orange County Pediatric Dentistry, we provide a full spectrum of oral health care for children and teens. We expertly treat infected teeth and restore your child's comfort and brilliant smile. If your child has a toothache, schedule an appointment as soon as possible.