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Home Pediatric Dentistry Restorative Dentistry Extractions & Pulpotomies

Extractions & Pulpotomies


Young boy sitting in dental chair and smiling.When it comes to taking care of children's teeth, a lot of what you will be taught is preventative. You will want to teach your child how to brush, and you will also want your child to visit our office every six months. That does not mean that there will not be problems, even if you have taught your child to brush three times a day. Here at NC Pediatric Dentistry, we will examine your child's teeth, and if there is something besides a cleaning that needs to be done we will talk it over with you.

Extractions and Pulpotomies in Children


Baby teeth are not as strong as adult teeth. They are also more susceptible to tooth decay. Often, we will fill a cavity in a baby tooth with a tooth-colored filling. Sometimes, that just is not going to be enough.

If the decay has spread and is inside of the tooth, a filling will no longer take care of the problem. If we think that the tooth can be saved, we will most likely suggest a pulpotomy. This is also known as a baby root canal. We will remove the top part of the tooth, and then remove anything that is inside the tooth that is decayed. We will then fill the tooth with a special material that will ward off infection. Finally, we will fit the tooth with a crown. If a tooth is decayed and left untreated, it could lead to more decay, as well as infections of both the tooth and in other parts of the body.

If there is no healthy tissue left inside the tooth, a pulpotomy might not be the answer. We will often then decide to extract the tooth. If an adult tooth is extracted, very often we will replace it with a dental implant. That is not the case if it is a baby tooth, because a new tooth will eventually come in. We might use a space maintainer to hold the place of the tooth that was extracted. It depends on how close the adult tooth is to erupting. A space maintainer will hold the space open for the adult tooth and will make sure that the other teeth do not shift in your child's mouth.

In an adult, we will often use Novocaine so that the patient will not feel the procedure. With a child, that is not our first choice. We will often use nitrous oxide instead. This will relax the child, make sure that he or she feels no pain, and put any fears and anxieties to rest.


FAQs




What is a pulpotomy and when is it needed?



A pulpotomy, also known as a baby root canal, is a procedure used to treat decay that has spread to the inside of a child's tooth. It involves removing the decayed portion, disinfecting the area, and filling it with a special material to prevent infection. A crown is typically placed on the tooth to protect it. This procedure is performed to save the tooth and prevent further decay or infection.



When is a tooth extraction necessary for children?



A tooth extraction may be necessary if the decay is too severe and there is no healthy tissue left inside the tooth. It may also be required for teeth that are causing crowding or are damaged beyond repair. For baby teeth, extractions are often performed without the need for replacements, as adult teeth will eventually erupt to fill the space.



What happens if a baby tooth is extracted too early?



If a baby tooth is extracted before the adult tooth is ready to erupt, a space maintainer may be used to hold the space open. This ensures that the surrounding teeth do not shift and that there is enough room for the adult tooth to grow in properly.



What type of sedation is used for children during these procedures?



For children, nitrous oxide (laughing gas) is often used as a sedation option. It helps relax the child, ensures they feel no pain, and eases fears or anxieties. This makes the procedure more comfortable for both the child and the dentist.



Why is it important to treat decay in baby teeth if they are not permanent?



Treating decay in baby teeth is important to prevent pain, infections, and the potential spread of decay to other teeth or parts of the body. Healthy baby teeth are essential for proper chewing, speech development, and holding space for adult teeth to grow in correctly.



What should I do if my child needs a pulpotomy or extraction?



If your child needs a pulpotomy or extraction, our dental team will explain the procedure and provide detailed instructions for before and after the treatment. We prioritize your child’s comfort and will ensure the process is as smooth and stress-free as possible.


Contact Us Today!


Even though baby teeth are not meant to last forever, that does not mean that there will never be problems with them. Here at NC Pediatric Dentistry, we will make sure that your child has a healthy mouth. If there are any signs of decay, we will talk to you about your child's options. Call one of our locations to make an appointment or if you have any questions. We are here to help.

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Extractions & Pulpotomies for Kids in NC - Expert Care
Learn about extractions and pulpotomies for children at NC Pediatric Dentistry. Discover how we treat decayed baby teeth to maintain oral health.
NC Pediatric Dentistry, 202 Williamson Rd. Suite 200, Mooresville, NC 28117 • tbd • ncpediatricdentistry.com • 2/19/2025 • Page Terms:pediatric dentist •