Fillings and pulpectomy ( RCT ) for milk and young permanent teeth

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Fillings and pulpectomy ( RCT ) for milk and young permanent teeth

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Pulpectomy

Pulpectomy is a procedure to remove all the pulp from the crown and roots of a tooth. Pulp is the soft inner material that contains connective tissue, blood vessels, and nerves.

Pulpectomy is usually performed in children to save a severely infected baby (primary) tooth, and is sometimes called a “baby root canal.” In permanent teeth, pulpectomy is the first part of the root canal procedure.

When is a pulpectomy needed?

Pulpectomy is used to save a baby tooth that has been severely damaged by decay or trauma. While baby teeth may not seem important enough for a dental procedure like this, there are valid reasons for pulpectomy.

The baby tooth is reserving a space for the permanent tooth. Premature loss of a baby tooth can cause problems like:

difficulty chewing
speech development issues
having adjoining teeth move into the space, affecting the alignment of permanent teeth (this can lead to crooked, overcrowded teeth that are difficult to clean)

Material used to fill the tooth after a pulpectomy is designed to be reabsorbed by the body when the permanent tooth begins to erupt.

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What is a partial pulpectomy?

A pulpectomy is removal of all the pulp from the tooth’s upper chamber and the roots. A partial pulpectomy is when the dentist removes only the damaged portion of the pulp or all the pulp in the upper chamber of the tooth without touching the roots.

Once the damaged pulp is removed, the tooth is cleaned, disinfected, and filled.

A partial pulpectomy is also called pulpotomy, or pulp therapy. This procedure may an option when damage to the tooth is less severe.

Can a pulpectomy be avoided?

Pulpectomy is performed when tooth enamel is damaged by decay. You may be able to prevent decay by practicing good oral care:

Brush your teeth (or your child’s teeth) at least twice a day.
Drink water with meals to wash away sugar and acids.
Replace sugary drinks with water or milk.
Have regular exams. Catching decay early may mean the difference between a standard filling and a pulpectomy.

Trauma to a tooth can also lead to decay. You can help lower the risk of injury during athletic activities by wearing a mouth guard. Be sure to visit the dentist following an injury to the mouth.

Once the damaged pulp is removed, the tooth is cleaned, disinfected, and filled.

A partial pulpectomy is also called pulpotomy, or pulp therapy. This procedure may an option when damage to the tooth is less severe.

Have a perfect smile!