What is a Pulpotomy?
A pulpotomy is a conservative endodontic procedure performed primarily on primary (baby) teeth, especially molars, when the tooth pulp (the soft tissue inside the tooth) becomes inflamed or infected due to deep cavities or trauma.
Instead of removing the entire pulp, only the infected upper portion (coronal pulp) is removed. The healthy root pulp (radicular pulp) is left intact, and the space is filled with a biocompatible material to allow the tooth to function normally until it naturally falls out.
It’s often referred to as a “baby root canal” and is widely used to relieve pain, prevent infection, and preserve baby teeth until the permanent ones are ready to emerge.
Who Needs a Pulpotomy?
A pulpotomy is ideal for children with:
- Deep cavities close to or involving the pulp
- Persistent toothache or sensitivity to hot/cold
- Mild swelling or gum tenderness near a baby tooth
- Dental trauma resulting in pulp exposure
- No signs of infection in the root portion (based on X-rays)
At CRAFT32 Dental Clinic, we conduct digital X-rays and clinical evaluation to determine if pulpotomy is the right solution.
Difference Between Pulpotomy and Pulpectomy
While both are pulp therapies, they serve different purposes:
- Pulpotomy – Removes only the infected coronal pulp, keeps the root pulp intact
- Pulpectomy – Removes both coronal and root pulp when infection has spread throughout the pulp
Pulpotomy is less invasive and typically preferred when the damage is confined to the crown portion of the tooth.
Pulpotomy Procedure at CRAFT32 Dental Care
Here’s what to expect during a pulpotomy procedure with Dr. Sushila Malik at our child-friendly clinic:
Comprehensive Examination
We begin with a painless consultation and X-rays to evaluate the extent of decay and confirm pulpotomy suitability.
Local Anesthesia or Sedation (if needed)
To keep your child relaxed and pain-free, we use child-safe anesthesia and behavior management techniques.
Decay Removal
The dentist carefully removes decayed portions of the tooth and accesses the infected coronal pulp.
Coronal Pulp Removal
The infected pulp chamber is cleaned, and the bleeding is controlled.
Pulp Dressing
A biocompatible material (commonly MTA or formocresol alternatives) is placed to seal the pulp and protect the remaining healthy tissue.
Tooth Restoration
A crown, usually stainless steel or zirconia, is placed over the tooth to restore function and protect it from further decay.
The entire procedure takes about 30 to 45 minutes and is done in a calm, child-friendly environment.
Why Choose Pulpotomy Over Extraction?
While extraction may seem like a quicker fix, preserving the primary tooth through pulpotomy offers many advantages:
Maintains space for permanent teeth
Supports proper speech and chewing
Prevents misalignment and crowding
Avoids early use of space maintainers
Less traumatic for the child compared to extraction
At CRAFT32, we always aim to save the natural tooth whenever possible.
Aftercare Instructions for Parents
Following a pulpotomy, children usually recover very quickly. Here’s how you can help:
- Avoid sticky, crunchy, or hard foods for the first 24 hours
- Help your child maintain good oral hygiene
- Use a soft-bristled brush and fluoride toothpaste
- Watch for signs of swelling, prolonged pain, or discomfort
- Attend follow-up visits as scheduled
Dr. Sushila Malik and our team will provide clear, customized aftercare guidance to ensure smooth healing.
What If Pulpotomy Is Delayed?
Untreated pulp infections can lead to:
- Severe pain and dental abscesses
- Spread of infection to nearby teeth or jawbone
- Premature loss of primary teeth
- Improper eruption of permanent teeth
- Long-term orthodontic issues
Timely intervention with pulpotomy helps avoid complications and supports overall oral development.
Technology That Makes It Safer
CRAFT32 Dental Clinic integrates modern pediatric dental tools to make pulpotomy safer and more effective:
- Digital X-rays with minimal radiation
- Child-focused operatories with colorful visuals
- Advanced materials like MTA for superior healing
- High-precision instruments to ensure comfort and efficiency
- Behavior management & positive reinforcement
Your child’s smile is safe in the caring hands of our experienced dental team.
Why Choose CRAFT32 Dental Care for Pulpotomy in Baner, Pune?
At CRAFT32, we don’t just treat teeth — we treat children with empathy, patience, and gentle care. Dr. Sushila Malik is known for her expertise in pediatric dentistry and child-friendly communication, making the dental experience smooth and stress-free for both children and parents.
Here’s why we’re trusted by families across Pune:
Experienced Pediatric Dental Care
Pain-Free, Calm & Relaxing Setup
Highest Standards of Sterilization & Safety
Cutting-Edge Tools & Techniques
Focus on Conservative & Preventive Dentistry
Friendly Staff & Comfortable Ambience
Q1: Is pulpotomy painful for my child?
No. At CRAFT32, we use local anesthesia and child-friendly behavior techniques to make the procedure pain-free and comfortable.
Q2: How long does a pulpotomy-treated tooth last?
With proper care, it can last until the natural exfoliation (falling out) of the baby tooth, making space for the permanent tooth.
Q3: Are there any risks or side effects?
When done correctly, pulpotomy is very safe. Rarely, if the infection persists, further treatment like a pulpectomy may be required.
Q4: What material is used to fill the pulp chamber?
We use biocompatible materials like MTA, which promote healing and have excellent success rates.
Q5: Can permanent teeth undergo pulpotomy?
In very rare cases, pulpotomy may be used for immature permanent teeth. However, standard root canal therapy is preferred for adult teeth.