Pulpotomies in Winter Garden

What Is a Pulpotomy?

A pulpotomy is considered a “baby root canal” because it is performed on deciduous teeth when they become infected. Tooth infections can occur from untreated tooth decay spreading through the tooth or from dental trauma.

A pulpotomy is a less invasive treatment for an infection than a root canal but can only be performed on teeth when the infection is isolated to the crown of the tooth. Once an infection has spread to the root, a root canal will be necessary.

 In a pulpotomy, we only remove the infected portion of the pulp within the crown, leaving the roots intact. A special medicated filling is placed in the tooth which kills any remaining bacteria to prevent what’s left of the pulp from becoming infected. 

Then, a permanent filling or crown is placed to protect the tooth. A pulpotomy prevents an infection from worsening, requiring more invasive treatment. This stops the spread and can prevent tooth loss. Contact us at Pediatric Dentistry of Horizon West to schedule a consultation.

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Did you know…

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If your child has pulpitis which is inflammation of the pulp, they may need a pulpotomy.

Ready to schedule your child’s appointment?

Call (407) 554-4222 to schedule today!

What To Expect From the Pulpotomy Process

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Dr. Azer will examine your child’s tooth to look for signs of an infection. An x-ray will reveal how much of the pulp is infected and if a pulpotomy is suitable.

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Pain Relief & Sedation Options

Before drilling an access hole into the tooth, we will administer local anesthesia to numb the mouth. If your child has dental anxiety or special needs, we also offer IV sedation to make them feel more comfortable.

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Pulp Removal

A hole is drilled into the tooth to gain access to the pulp chamber. Then, we will scrape out the crown portion of the dental pulp, but leave the roots intact.

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A medicated dressing is then applied to the remaining pulp to kill bacteria and prevent the remaining pulp from becoming infected. 

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Crown Placement

The access hole will be sealed with a permanent filling or a dental crown depending on where the tooth is located.

Benefits of Getting a Pulpotomy

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Minimally Invasive

A pulpotomy is a much more conservative approach to treating an infection compared to the more invasive root canal which involves removing all of the tooth’s pulp, including the roots. We can preserve more of the existing dental pulp which is good for the long-term health of the tooth because it keeps the tooth alive.

Prevents Spread of Infection

Once a tooth is infected, the source of the infection needs to be removed or it will only get worse. The infection can travel to the deeper layers of the tooth, making restorative treatment no longer viable and requiring extraction. The infection can also spread to the other teeth or through the bloodstream, leading to health problems.

Treats Tooth Pain

A tooth infection can be incredibly painful because the dental pulp is connected to the tooth’s nerves which are responsible for sensation. When the pulp becomes inflamed, it can lead to hypersensitivity, sharp pain, difficulty chewing, and tenderness. The tooth may even feel loose. Once we remove the infected portion of the pulp, the pain and sensitivity will dissipate.

Preserves Healthy Teeth

Your child’s baby teeth are important to their smile aesthetics, tooth functionality, and orthodontic alignment. Baby teeth help your child chew, speak, and maintain space in the mouth for the permanent tooth to erupt. If you don’t treat an infection, they can lose the tooth and this can cause bone loss, shifting teeth, and an impacted permanent tooth.

Dental Sealants

Dental sealants use a transparent liquid resin, which is applied directly to the teeth and is hardened using a UV light. This creates an impenetrable seal on your child’s tooth, which stops bacteria, acid, and food particles from causing cavities. This treatment is usually recommended specifically for the cavity-prone rear teeth.

Oral Cancer Screenings

Oral cancer screenings are an essential part of preventive care, even for children. Screenings are a part of your child’s oral exams and can be performed quickly, safely, and usually without your child noticing. 

The dentist will examine your child’s mouth, gums, and oral tissues, and look for discolored patches, lumps, growths, and other such abnormalities. In the rare case that an issue is found, a biopsy may be taken and sent to a specialist for further analysis, or the dentist will refer you to a specialist directly. 

Dental visits every 6 months allow your child’s dentist to become familiar with their oral health, so they can address any issues before they become larger problems.

Night Guards

Kids of all ages can grind their teeth. Custom night guards are created to fit over your child’s teeth perfectly, and prevent direct tooth-to-tooth contact at night while they sleep. This can help reduce teeth grinding, and also prevents premature tooth wear and tear caused by grinding.

Sports Mouthguards

If your child plays any contact sports, custom-fitted mouthguards help protect their teeth from damage. We offer comfortable mouthguards that cushion and protect the teeth and gums, and help your child avoid oral injuries like cracked, broken, loose, or avulsed (knocked-out) teeth.

Did you know…

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A pulpotomy is a painless procedure.


Call (407) 554-4222 to schedule today!