Understanding pulp treatment

Understanding Pulp Treatment: What are a Pulpotomy and a Pulpectomy?

Pulpectomy and pulpotomy are endodontic procedures used to treat pulp issues in teeth. This article will provide information about both of these treatments, the benefits they provide, and some risks that are associated with them.


A pulpotomy is a dental procedure that can preserve the health of a child’s primary teeth. It involves removing the injured or diseased pulp of the tooth while keeping the healthy portion intact. The remaining healthy tissue is then disinfected using a mixed biocompatible material to restore normal functioning and relieve any lingering discomfort experienced by the patient. By performing this procedure, further damage to the tooth, such as infection or decay, can be prevented. It will assist in allowing the child to have normal and healthy oral development when permanent teeth come in.

Benefits of Pulpotomy

  • By safely removing the decayed area of the tooth while maintaining the bulk of it, pulpotomy helps children keep their permanent teeth longer.
  • It also helps to reduce the need for more invasive procedures in the future.
  • During a pulpotomy, local anesthesia is used to help ease any discomfort that may be present.
  • It’s a relatively quick procedure that can drastically increase the health and longevity of your child’s teeth.

What is a Pulpectomy, and What Does it Involve

Pulpectomy involves the removal of infected tissue from the central core of a tooth, known as its pulp. The aim is to save the tooth rather than extract it, which is why this procedure is typically used when a cavity has been left untreated and penetrated through to the nerve chamber. To perform a pulpectomy, a dentist numbs the area with local anesthesia and then drills through the tooth’s crown to access the pulp. The infected tissue is removed, and medicated pulp filler can be added before the area is sealed with one or more fillings. This process allows for healthy teeth over time; however, an extraction may be necessary if an infection cannot be controlled.

Benefits of Pulpectomy

  • This innovative procedure can save damaged teeth and eliminate the need for a more complicated root canal procedure.
  • By removing only the infected tissue and retaining the rest of the natural tooth structure, a pulpectomy can help save the tooth from extraction.
  • Pulpectomy helps to alleviate pain and discomfort in a tooth previously infected by severe infection or trauma.
  • With proper oral hygiene and regular checkups, a pulpectomy can provide long-lasting relief and prevent the recurrence of infection or decay.

Risks Associated with Pulpectomy and Pulpotomy

Pulpectomy and pulpotomy are generally safe, but they have risks that must be considered. The primary risk is post-operative pain, typically caused by a reaction between the root canal filling material and bacteria still present in the tooth. Other risks can include infection and root resorption, both of which can cause the need for further dental treatment and potential loss of the tooth. Additionally, if too much tissue is removed during either procedure, it could mean complications further down the line. For this reason, it’s important to have an experienced endodontist handle your treatment plan to lessen the likelihood of any risks associated with these procedures.

Pulpectomy and Pulpotomy Next Steps

If you believe your child might need a Pulpectomy and Pulpotomy procedure, the best thing to do is set up a proper consultation.

The team at PVPD has decades of experience with Pulpectomy and Pulpotomy procedures to ensure not only the safety of your child but the most comfortable experience possible. This includes post-procedure care and follow-up visits, providing the most seamless process possible.

We want not only your children to feel at ease but also you as parents. Feel at ease and book your appointment today!

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