Pulp therapy is referred to as a baby tooth (milk tooth) root canal treatment. This therapy is indicated in children with pulpal inflammation/ infection due to decay. It is of two types pulpotomy and pulpectomy.

Pulpotomy is a procedure involving removal of portion of pulp and placement of a medicament with the intent of maintaining the vitality of the remaining pulpal tissue. It is a very common procedure done on children teeth and has a reasonably good prognosis of success.

  • Extensive caries approximating the pulp.
  • Cariously exposed tooth, when their retention is more advantageous.

The aim of pulpotomy is to save your child’s milk tooth so that it can function as long as possible. This procedure removes the infected part of pulp within the crown portion of the tooth to prevent further inflammation and spread of disease. In milk teeth molars, this procedure is used to save and restore the tooth by maintaining vitality (blood and nerve supply) at least in the root portion.

Once pulpotomy procedure is completed, blood and nerve supply of the crown is cut off. This will make the crown portion brittle and prone to fracture. Thus, to prevent this fracture by chewing forces, the tooth has to be restored with a stainless steel crown.

Pulpotomies have good prognosis. Although a very reliable procedure, sometimes, a tooth with a pulpotomy may persist with pain. This can be seen because the remaining pulp tissue in the root canals may already be infected beyond your dentist’s control. Then your dentist might suggest you to undergo pulpectomy procedure to save the tooth.

Last updated on 29 November, 2018.

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