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pulpotomy for kids

Pulpotomy and pulpectomy (baby root canals)

When a cavity reaches the nerve of a baby tooth, a pulpotomy or pulpectomy can save the tooth instead of removing it.

At a glance

Baby root canals: the essentials

TreatsInfected nervedecay that reached the pulp
GoalSave the toothinstead of removing it
Followed byA crownzirconia or stainless steel
ComfortAsleepdone under sedation
How it's done

Step by step

  1. 01

    Remove decay

    The dentist removes the decay to reach the inflamed nerve.

  2. 02

    Treat the pulp

    Infected pulp is removed from the crown (pulpotomy) or the roots too (pulpectomy).

  3. 03

    Medicate and seal

    A medicated material is placed to keep the tooth healthy.

  4. 04

    Protect with a crown

    A crown is placed so the tooth can last until it falls out naturally.

Pulpotomy vs. pulpectomy

PulpotomyPulpectomy
What's removedPulp in the crownAll pulp, incl. roots
When it's usedHealthy rootsInfection in roots
Followed byA crownA crown
01

Pulpotomy vs. pulpectomy

Inside every tooth is the pulp, which holds nerves and blood vessels. When decay reaches the pulp, the tooth can hurt or become infected.

Pulpotomy

the infected pulp in the crown of the tooth is removed, the healthy root pulp is kept, and a medicated material is placed to keep the tooth healthy.

Pulpectomy

when the infection extends into the roots, all of the pulp is removed and the canals are filled with a material that dissolves naturally as the baby tooth gets ready to fall out.

Either way, the tooth is then protected with a stainless steel or zirconia crown.

02

Signs your child may need one

  • Toothache, especially at night or with hot and cold
  • Swelling or a pimple-like bump on the gum
  • A large, dark cavity visible on a tooth

Some teeth need treatment even without pain, so X-rays are important.

03

Where we provide baby root canals

littleGRINS pediatric dentists provide baby root canals under sedation at EMU Health in Glendale / Ridgewood, Queens, South Brooklyn Health in Coney Island, Brooklyn, Queens Surgical Center in Flushing, Queens, and Advanced Surgery Center in Pearl River, Rockland County. Families come to us from across New York City and Rockland County.

Medically reviewed by the littleGRINS pediatric dental team. This page is general information and does not replace an exam.

Frequently asked questions

Questions about baby root canals

Read all parent questions →

Is a baby root canal painful?

When treatment is done under sedation or general anesthesia, your child is asleep and comfortable. Some soreness afterward is normal and can be managed as described in our after-care guide.

Why not just pull the tooth?

Keeping the baby tooth holds space for the adult tooth, helps with chewing and speech, and avoids the need for a space maintainer in many cases.

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Schedule your child's consultation

Call (917) 979-6579 or send a request online. We'll explain the plan and book the facility closest to you.