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Pulpotomy

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Overview

If your child has a deep cavity or dental injury, a pulpotomy may help preserve the affected baby tooth and relieve discomfort. At Northside Pediatric Dentistry in Ann Arbor, MI, Dr. Minjoo Sanker and our team explain why treatment may be recommended, what happens during the procedure, and how we help children stay comfortable throughout their visit.

A pulpotomy is a pediatric dental treatment that removes affected pulp tissue from the crown of a primary tooth while preserving healthy tissue in the roots when appropriate. The goal is to keep the tooth functional until it is ready to fall out naturally.

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What Is a Pulpotomy?

Inside every tooth is soft tissue called dental pulp, which contains nerves and blood vessels. When deep decay or an injury reaches the pulp of a baby tooth, treatment may be needed to prevent the condition from worsening.

During a pulpotomy, the affected pulp inside the crown of the tooth is removed while healthy tissue in the roots is preserved when possible. The tooth is then restored to protect it and help it continue functioning.

Keeping a primary tooth in place can support comfortable chewing and help maintain space for the permanent tooth developing underneath it.

When Does a Child Need a Pulpotomy?

Not every deep cavity requires a pulpotomy. Dr. Minjoo Sanker evaluates the tooth, your child’s symptoms, and digital X-rays when needed to determine the appropriate treatment.

A pulpotomy may be considered for:

  • A deep cavity that reaches or closely affects the dental pulp
  • A baby tooth with pulp exposure after an injury
  • A primary tooth that can still be preserved until it naturally falls out

If the infection or inflammation extends into the root tissue or surrounding area, another treatment may be more appropriate. We explain the available options in clear language so you can understand the recommended next steps.

How Does a Pulpotomy Work?

We use child-friendly explanations and careful numbing to help make treatment as comfortable and predictable as possible.

A typical pulpotomy may include:

  • Removing decay from the tooth
  • Removing the affected pulp tissue from the crown of the tooth
  • Placing a protective or medicated material over the remaining tissue
  • Restoring the tooth with a filling or stainless steel crown, depending on the tooth’s needs

Treatment is often completed in one visit. We may use digital X-rays during diagnosis or follow-up to evaluate the tooth and surrounding structures.

Does a Pulpotomy Hurt?

The treatment area is numbed before the procedure to reduce discomfort. Our team also uses calm explanations and age-appropriate distraction techniques to help children feel more at ease.

Some children may experience mild tenderness after treatment. We provide aftercare instructions based on your child’s procedure and let you know what symptoms to monitor at home.

Is a Pulpotomy the Same as a Root Canal?

A pulpotomy and a root canal both involve the dental pulp, but they are not the same procedure.

A pulpotomy removes affected pulp tissue from the crown of the tooth while leaving healthy root tissue in place when appropriate. A root canal involves removing pulp tissue from the root canals as well.

For children with primary teeth, the recommended treatment depends on how far the pulp has been affected and whether the tooth can be safely preserved.

Why Treat a Baby Tooth?

Baby teeth eventually fall out, but they still play an important role in your child’s oral development.

Preserving a primary tooth when appropriate can help:

  • Maintain normal chewing function
  • Hold space for the developing permanent tooth
  • Reduce the risk of worsening dental problems
  • Avoid premature tooth loss when the tooth can still be restored

Treating the tooth early may also help prevent your child from needing more extensive dental care later.

Recovery and Aftercare

Most children return to their normal routine quickly after a pulpotomy. Aftercare instructions may vary depending on the tooth and the type of restoration placed.

We will explain:

  • When your child can eat normally again
  • How to brush around the treated tooth
  • When to return for follow-up care
  • Which symptoms should prompt a call to our office

Contact Northside Pediatric Dentistry if your child develops worsening pain, significant swelling, fever, or other symptoms that concern you.

Pediatric Pulpotomy Care in Ann Arbor, MI

At Northside Pediatric Dentistry, we focus on making dental care understandable and comfortable for both children and parents. Dr. Minjoo Sanker guides treatment decisions based on your child’s individual needs, while our team uses clear communication and comforting techniques throughout the visit.

We also use digital X-rays when appropriate to help evaluate teeth efficiently and support accurate diagnosis and follow-up care.

Schedule a Pulpotomy Evaluation in Ann Arbor

If your child has dental pain, a deep cavity, or an injured baby tooth, schedule an evaluation with Northside Pediatric Dentistry in Ann Arbor, MI. Dr. Minjoo Sanker can examine the tooth, explain whether a pulpotomy or another treatment is appropriate, and help you understand the next steps.

Call Northside Pediatric Dentistry today to schedule your child’s visit.

Questions?

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Call our New Patients at (734) 627-6038, and our team will help you choose the next right step.

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