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Pulpectomy and Pulpotomy

When a tooth has been damaged badly with extensive bacterial infection and decay, or by trauma, the first course of action taken is to restore the integrity of the tooth. The dentist diagnoses the teeth by examining the X-rays to assess the extent of the infection and damage and may recommend one of two options, a pulpotomy or a pulpectomy. If the infection has damaged only the Crown of the teeth, then a pulpotomy is performed and if the tooth decay is spread to deep Root Canal, then a pulpectomy is required to save the teeth. Usually pulpectomy is performed for kids. Pulpectomy Often referred as Baby root canal or peadiatric root canals.

When a tooth is decayed and the cavity gets really close to the pulp of a tooth, the pulpal tissue becomes irritated and inflamed. A pulpotomy is recommended when the pulp chamber becomes inflamed and the chamber is removed. In this, all the infected material in the pulp of the crown is removed leaving the tooth root intact. The removed chamber space is then filled with dental cement and a crown is placed to restore the tooth.


When the Infection involves tissue in both the tooth crown and the tooth root, the entire pulp material has to be removed and the process is known as pulpectomy. The affected tooth is numbed and the pulp (nerve and blood vessels) is removed from the crown and the roots. Later, the pulp chamber is thoroughly cleaned and disinfected and filled in with dental cement, and finish with a crown that fully cover the portion of the tooth above the gum line to protect them. High quality crowns should be used as the teeth are more brittle after the treatment procedure. The new crowned tooth structure looks and functions as natural teeth and requires regular brushing and flossing.

What are the symptoms of pulp injury and infection?

When a tooth is attacked with bacterial infection or trauma, the tooth pulp becomes inflamed causing exceptional pain. The person experiences unexplained pain especially during night, with swelling or redness around the affected tooth. The teeth will be sensitive to warm and cold foods and may loosen up.

Bluetooth Dental Studio offers both pulpotomy and pulpectomy procedures, as the primary goal of these procedures is to treat, restore, and save the affected tooth. Both these treatments are extremely versatile and can be performed as a standalone treatment or followed with a definitive root canal treatment. For any queries related to pulpotomy and pulpectomy, please contact our office for your appointment with our dentist.


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