Pulpotomy Treatment for Children: Saving a Decayed Baby Tooth

By Dr. Rajat Sachdeva, MDS, MBA

Delhi Dentist | Family & Preventive Dentistry

Baby teeth are temporary, but they are extremely important for a child’s chewing, speech, jaw growth, and proper eruption of permanent teeth.

When a cavity is not treated on time, it may reach the soft inner portion of the tooth called the pulp. This can lead to pain, sensitivity, and infection. A pulpotomy may be recommended to save the affected baby tooth.

What Is a Pulpotomy?

A pulpotomy is a dental procedure in which the infected pulp tissue from the upper portion of a baby tooth is removed. The healthy pulp present inside the roots is preserved.

The tooth is then cleaned, treated with a suitable medicament, and sealed to prevent further infection.

When Is Pulpotomy Needed?

A pulpotomy may be advised when:

The cavity has reached the pulp

The child experiences sensitivity to hot, cold, or sweet foods

There is no swelling or dental abscess

There is no continuous or severe spontaneous pain

The tooth has enough structure to be restored

A dental examination and X-ray are required before confirming the treatment.

How Is the Procedure Performed?

The tooth is numbed with local anaesthesia to keep the child comfortable. The decayed portion and infected pulp tissue are removed carefully.

The remaining healthy pulp is protected with medication, and the tooth is sealed. In most cases, a stainless-steel crown is placed to strengthen the tooth and protect it during chewing.

Why Should a Baby Tooth Be Saved?

Saving a milk tooth helps:

Relieve pain and discomfort

Prevent the spread of infection

Maintain space for permanent teeth

Support normal chewing and speech

Reduce the chances of crowding and bite problems

Pulpotomy is a simple and effective treatment that can preserve a deeply decayed baby tooth until it falls out naturally.Early dental treatment can protect your child from pain, infection, and more complicated procedures in the future.

Dr. Rajat Sachdeva’s Dentistry's

Delhi