A pulpectomy is required when the entire pulp is involved (into the root canal(s) of the tooth) or when there is damage to the pulp which becomes visible when a pocket of pus forms at the tip of the tooth root (abscess). During this treatment, the diseased pulp tissue is completely removed from both the crown and root. If left alone, the infection in the tooth will spread and cause additional damage to the bone around the tooth. This can lead to the tooth falling out. The procedure for pulpectomy consists of making a small hole in the tooth. From there the dead nerves blood vessels and debris are removed from each canal in the tooth. The root canals are then reshaped, disinfected and filled with an inert material.

Primary teeth or baby teeth are important for three reasons:

  • They promote proper chewing and eating.
  • They provide space for the permanent teeth and guide them into the correct position.
  • They permit normal development of speech and add to an attractive appearance.

It is very important to maintain the health of the primary teeth. Neglected cavities can and frequently do lead to problems, which affect developing permanent teeth.

A pulpectomy may be recommended when decay or fracture has extended deep into a baby tooth, reaching the tooth’s nerve, or when there’s a swelling due to an infection. It is vital to maintain the child’s baby teeth in order to get the space required for their permanent teeth to come in as straight as possible.

The procedure is different as the baby teeth have short roots, so there is not as much to remove. The material which is placed in the canals of primary roots and permanent are different.

A pulpectomy is performed when there has been carelessness to the teeth. To avoid issues, the child should be taken to the dentist for regular checkups, and made sure he/she brushes and flosses to avoid cavities. The child should not be given overdose on energy drinks and soda, since those are full of tooth-damaging acids and sugars that prevents from getting enough fluoride to strengthen the child’s tooth enamel and prevent cavities.

Last updated on 29 November, 2018.

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