Pulpectomy: Cost, Indications, Materials, Procedure, and Aftercare - pvpd

Pulpectomy: Cost, Indications, Materials, Procedure and Aftercare

Blood vessels and connective tissues nourish our teeth and travel from the tooth’s root to inside the pulp chamber. Pulp is a soft material that contains nerves, blood vessels, and connective tissues.

When a baby’s teeth are severely affected due to infection or tooth decay, a pulpectomy is performed to save it.

Protecting a baby’s teeth is essential since it keeps the baby safe from developing future biting, chewing, and speech issues.

But how is this procedure performed, and what’s its cost? Let’s learn the details in this guide. Yet, if you need personalized advice for your baby, it’s better to contact a dentist!

Exploring Dental Anatomy: Tooth Structure Diagram

A Brief Comparison of Pulpectomy vs. Pulpotomy:

Before we dive into the details of pulpectomy, it’s essential to understand the distinction between pulpectomy and pulpotomy.

Although these treatments’ names look similar, their procedures and purposes differ.

During a pulpotomy, the dentist removes the infected pulp tissue in the visible part of a tooth, known as the crown, while preserving the pulp in the root.

Dentists usually perform this procedure on primary (baby) teeth.

In contrast, a pulpectomy is a more complex process where the dentist removes the pulp in the crown and tooth root.

Dentists typically perform this procedure on permanent teeth to ensure complete infection removal, preserving the tooth without further complications.

Read: Crown Vs Root Canal: Understand The Difference!

Is Pulpectomy Painful?

A dentist uses local anesthesia and ensures the area around the tooth is numb, minimizing discomfort during the procedure.

However, it’s essential to remember that as the anesthesia wears off, you may experience some expected discomfort or minor pain.

Your dentist may prescribe pain relief medication to manage this post-procedure discomfort.

Following the post-operative care guidelines your dentist provides for a smooth recovery is crucial.

Differences Between Pulpectomy and Root Canal

A common question is whether a pulpectomy is the same as a root canal. While these procedures share similarities, they are not identical.

Exploring Tooth Anatomy: Enamel, Dentin, Pulp, and Roots

A pulpectomy is typically performed on primary (baby) teeth and involves completely removing both crown and root pulp, ensuring the tooth is infection-free.

In contrast, a root canal is a procedure conducted on permanent teeth.

It entails the removal of infected or damaged pulp from the root canals, followed by filling and sealing the space.

Finally, the tooth is capped with a crown.


The cost of this treatment may vary, depending on factors such as the tooth’s position, procedure complexity, and geographic location.

Also, dental costs can differ between regions and even among dental practices.

It’s advisable to consult your dentist to obtain an accurate estimate for your specific case.

Your dental insurance may also cover some costs, so reviewing your policy and discussing payment options with your dental provider is essential.

To give you an idea, the cost of this procedure can vary between $80 to $300.


Common reasons include:

  • Extensive tooth decay that has reached the pulp.
  • Tooth injury or trauma affecting the pulp.
  • Pulp infection or abscess.
  • Persistent inflammation and pain were unresponsive to other treatments. Then, your dentist will assess your situation and may suggest a pulpectomy.

Materials Used:

Various materials are used to ensure thorough tooth treatment during a pulpectomy procedure. These include:

  • Disinfectants to clear the infection.
  • Specialized tools for extracting the pulp tissue.
  • Filling materials to seal the tooth after pulp removal. The choice of materials may vary based on the dentist’s preference and the individual case.

The Procedure:

This dental treatment involves several essential steps to effectively remove the infected or damaged pulp from a tooth. The basic steps include:

  • The dentist administers local anesthesia to ensure a pain-free procedure and numb the area.
  • They employ a rubber dam to isolate the tooth, maintaining a clean and dry environment during the procedure.
  • To access the pulp, your dentist creates an opening in the top part of the tooth, known as the crown.
  • They carefully remove the infected pulp from the crown and root canals using specialized instruments.
  • The canals are meticulously cleaned and disinfected to eliminate any remaining bacteria.
  • After cleaning, they fill the canals with a safe material to seal the space.
  • The dentist often restores the tooth with a crown to provide protection and support.

Aftercare Tips for Speedy Recovery of Your Kid

Pain and discomfort can occur after a pulpectomy in children. However, the following considerations can help avoid after-procedure complications and ensure an effective recovery.

  • Although children can continue their normal activities right after the procedure, they should avoid eating or drinking until the anesthesia your dentist used loses its effect.
  • Dentists can prescribe some medications. If there is a risk of infection, never skip a single dose of recommended antibiotics. He can also prescribe you analgesics to relieve the pain occurring after the procedure.
  • Ensure the child maintains healthy oral hygiene by brushing twice daily and flossing. Never hesitate to consult the dentist if the child experiences increasing pain, swelling, or sensitivity in teeth after the pulpectomy.


Shortly, a pulpectomy is a well-established dental procedure that effectively addresses irreversibly damaged or infected pulp in a tooth.

It’s not as painful as it may seem, and the cost can vary, making it accessible to those needing this treatment.

If you’re experiencing dental issues, don’t hesitate to contact us to explore the best solution for your oral health.

Remember that maintaining good oral health plays a role in your overall well-being.

Addressing dental problems promptly is a stride towards a healthier and happier you, so why are you waiting for?

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