What Is Pulpotomy and When Does My Child Need One?
If you’re asking this question, chances are you’ve recently heard about this procedure from your family’s pediatric dentist. Before we dive into the specifics of a pulpotomy, remember that it is an extremely common and safe procedure. At Pediatric Dentistry of Iowa, we hope that by breaking down the details of a pulpotomy, we can save you and your family from experiencing any fear or anxiety regarding it.
As an experienced pediatric dentist, we specialize in children’s dental care and routinely work with families to prevent and treat decayed teeth. The dentist can be a scary place, for both parents and children, which is why we work hard to maintain a calm, trustworthy environment to ensure that each visit is pleasant.
What Is A Pulpotomy Procedure?
Often referred to as a “baby root canal,” a pulpotomy is the removal of harmful pulp from a tooth. This dental procedure is performed carefully to preserve the tooth’s root while removing infected or decayed tissue. It is typically done on primary teeth, hence the nickname.
A pulpotomy prioritizes the root to keep surrounding teeth from shifting, save space for permanent teeth, and minimize the risk of future dental problems. It also continues the tooth’s natural course by allowing it to heal and eventually fall out.
Why Might My Child Need a Pulpotomy?
A pulpotomy procedure is needed when there is infected or exposed pulp present. This can occur from trauma to the mouth or, more commonly, when a tooth is decaying. It’s important to regularly examine your child’s teeth for any signs of decay/exposure. You always want to be on the lookout for indicators of oral issues in your children, so they can be treated as soon as possible.
Pulpotomy Prevention
While it’s not always possible to prevent tooth decay, especially in children, remaining diligent and aware of potential problems can save your child from unnecessary pain and you from unnecessary bills.
If your child is experiencing pain or sensitivity in the mouth, has symptoms such as bad breath, a swollen jaw, neck, or gums, or even discoloration, take your child to the dentist for an exam.
How Is a Pulpotomy Different From Other Dental Procedures?
Dental procedures can be very similar in name or in process, and it can be confusing to figure out the differences in procedures. Here’s a comparative list of operations that pulpotomies often get confused with.
Root Canal
A pulpotomy focuses on saving the root of the tooth while removing decayed tissue. A root canal removes everything decayed, including the root. It is also typically performed on primary ‘adult’ teeth.
Filling
Dental fillings are less invasive than pulpotomies. Both work to treat decay, but fillings focus on the outer tooth surface, while pulpotomies remove decay on the inner nerve layer.
Pulpectomy
A more invasive procedure, a pulpectomy removes all pulp tissue, while a pulpotomy only removes decayed tissue. This is an extreme effort to prevent the spread of infection and save the tooth.
Is a Pulpotomy Safe and Necessary?
Tooth decay treatments are vital to prevent further dental issues. Pulpotomies and other pediatric oral procedures fix the present issue in your child’s mouth, while creating a healthy environment for their adult teeth to grow and thrive in.
Pulpotomies are very common, and you can trust that pediatric dentists have the education, training, and experience to keep your family comfortable. We want you to feel confident that your child is in the best possible hands during any dental procedure.
Before, During, and After the Procedure
Always remember to ask your pediatric dentist any questions or voice any concerns—whether it’s before a procedure or just a regular check-up!
Before a Pulpotomy
To prep your child for a pulpotomy, make sure you explain in simple language what the procedure entails. Try to avoid any “scary” words and reassure them that the dentist is working to make them and their teeth feel better!
General anesthesia is used for this procedure, which will ease your child of any potential discomfort. Because of this, your pediatric dentist might advise against eating up to a certain time before the pulpotomy.
During a Pulpotomy
When it’s time for the procedure, your dentist will numb the area that is being operated on. After this, anesthesia will be administered, if applicable.
Then, the dentist will remove decay around the tooth and open the pulp chamber. It will then begin to bleed, which is a good sign that the pulp is still healthy. Once this is removed, the dentist will work to stop any bleeding and then treat, cover, and seal the tooth.
After a Pulpotomy
As the numbness and sedative wear off, your child might experience some swelling or discomfort. Both are normal symptoms. Your dentist might prescribe a mild pain medication to help ease aching. They also might give instructions for any foods and activities to avoid within the first few days.
If your child experiences extreme discomfort, heavy or worsening bleeding, or a fever, contact your dentist or urgent care.
Schedule An Appointment with Pediatric Dentistry
Pediatric Dentistry of Iowa has the experience and expertise to successfully treat your child’s decayed teeth in a safe, comfortable environment. Set your child up for oral success with regular checkups and preventative care based on individual needs. Call our Ankeny or Des Moines location today to schedule an appointment!