A pulpotomy procedure usually takes around 30 minutes to 1 hour. However, the time may vary depending on the severity of the tooth decay and the size of the tooth.


A pulpotomy dental operation is done to rescue diseased, decaying teeth. Your dentist might advise Pulpotomy if you or your child has a severe cavity and pulpitis, an infection within the tooth’s pulp.


This surgery is also advised when repairing a deep cavity that exposes the pulp below, placing it at risk for bacterial infection.


The pulp inside the tooth’s crown is extracted using a pulpotomy procedure. The portion of the tooth that is encircled by enamel and visible above the gum line is the tooth’s crown.


The tooth’s innermost layer is called the pulp. It consists of:

  • connective tissue,
  • blood vessels,
  • nerves


A tooth’s pulp may become inflamed, irritated, or infected due to a severely decaying tooth. This may endanger the tooth’s survival and negatively affect the gums and the mouth’s surrounding tissues.


Pulpotomy may not be advised if your tooth has a deep infection that reaches or is close to the root. In root canal operations, the seeds and the entire pulp are removed.


Children and Adults

Because infant (primary) teeth have immature root growth, a pulpotomy is most commonly used on children’s teeth because it preserves the tooth’s roots and allows them to continue to grow.


Baby teeth are essential in maintaining the space for the incoming permanent teeth. Hence keeping them whole is frequently encouraged.



To establish whether you require a pulpotomy or any other operation, your dentist will take an X-ray of your teeth.


Typically, root canals or pulpotomies are carried out by general dentists. However, your dentist will probably suggest an endodontist if a specialist is required.

Your dentist might advise you to take antibiotics three to four days before the procedure and continue taking them for a few days afterward.



For this surgery, tiny toddlers could need general anesthesia or mild sedation. Laughing gas, often known as nitrous oxide, is routinely used during the treatment to provide minor sedation and to make it more comfortable. The dentist or endodontist will give you written preparation instructions if general anesthesia or mild sedation is required. Restrictions on when to cease eating and drinking are part of these instructions. It’s crucial to remember that an oral surgeon might carry out the surgery if general anesthesia is employed.


Preparing a child

Even for young patients, getting ready for dental surgery can cause anxiety. Your child may already be experiencing dental pain if they require a pulpotomy. Tell your youngster that the pain will go away after this operation. Also, let them know that the process won’t hurt and will only take 30 to 45 minutes.


You’re getting Ready.

You can be anxious if you’re the one getting ready for dental surgery. Although studies show that adults can successfully have pulpotomies, your dentist will probably advise a root canal because your teeth have a more developed tooth structure. Remember that whatever operation your dentist recommends, it is being done to preserve your tooth.


How to prepare

  • Your dentist will use a local anesthetic to numb the region before starting the operation. In most cases, this injection is painless, though you might feel a tiny, transient pinch.
  • Your child will be given anesthetic while seated at the dentist, either through a nasal piece for light sedation or an injection in the arm for general anesthesia.
  • Using a drill, the tooth’s decaying region will be removed.
  • The tooth’s pulp is exposed after drilling through the dentin and enamel layers of the tooth.
  • The infected material will be removed from the tooth’s crown by scooping it out.
  • Dental cement will cover the space left by the pulp and seal it shut.
  • The existing tooth will have a stainless steel crown, serving as its new outer surface.


Pulpectomy vs. Pulpotomy

In contrast to Pulpotomy, pulpectomy involves removing the entire pulp and the tooth’s roots. This surgery is necessary when the infection extends below the tooth’s crown.

The term “baby root canal” is sometimes used to describe a pulpectomy. Protect the tooth. It is done with primary teeth. It is typically carried out as the initial stage in a root canal on secondary teeth.



You won’t experience any pain because your tooth, gums, and the surrounding area of your mouth will be suitably numbed.


Children who underwent anesthesia or light sedation will be watched for 30 to 1 hour afterward before they are allowed to leave the dentist’s office. In this period, most kids recover fast. Sometimes, you might feel queasy, sleepy, or even throw up. For several hours, you can also have very slight bleeding. To prevent accidentally biting your inner cheek, avoid eating or drinking when your mouth is numb. When you can eat again, stick to soft foods like soup or scrambled eggs and stay away from anything crunchy.



Once the anesthetic wears off, some pain or discomfort will likely develop. Over-the-counter pain relievers such as acetaminophen (Tylenol) are often enough for pain management.

Eat and drink should not be consumed on the side of the mouth where the treatment was performed until total healing.



The price of this operation will differ depending on several variables. These comprise the need for anesthesia and your location. If you have dental insurance, speak with your provider about expected out-of-pocket expenses and a list of providers you can choose to ensure coverage. If you don’t have dental insurance, the cost of the operation alone could range from $80 to $300. The expense of a crown may raise it to $750, $1,000, or even more. If general anesthesia is required, your out-of-pocket expenses can be higher.


We can assist you with, Pulpotomy is a dental operation used to salvage a severely decaying tooth, and we are located in Little Egypt Pediatric Dentistry. Although it’s most frequently performed on young children who still have baby teeth, it can also be utilized on adults and older kids with permanent teeth. Both the Pulpotomy and the healing process should be painless for you. A permanent adult tooth getting a pulpotomy needs to be observed and monitored. Give us a call right away!