Pulpotomies in Tinton Falls

What Is A Pulpotomy?

A pulpotomy is also sometimes called a “nerve treatment.” Pulpotomies are used to treat deep cavities that touch the nerve of a tooth, that may be causing pain or sensitivity. A pulpotomy from our Tinton Falls practice is not the same as a root canal, since only a portion of the nerve is removed and the tooth remains “alive.”

In this procedure, Dr. Britni Kearns or  Dr. Jocelyn Bruno will remove the part of the nerve that the decay has reached, and restore your child’s tooth. This protects the tooth until it falls out naturally and is replaced by an adult tooth. Contact us now to schedule a consultation and learn more about pulpotomies.

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Did you know…

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Even though they fall out naturally, baby teeth should remain in place until the adult teeth start to erupt. Baby teeth help form the paths that adult teeth take as they emerge!

Ready to schedule your child’s appointment?

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How It Works: The Pulpotomy Treatment Process

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Numbing and sedation

First, Dr. Kearns or Dr. Jocelyn will examine your child’s mouth and numb the area. We also offer sedation to keep your child feeling comfortable during their treatment at Sycamore Smiles Pediatric Dentistry.


Prepping and opening the tooth

Next, your child's doctor will remove the decayed tooth structure and open up the nerve chamber. This allows visibility inside the tooth and removes any inflamed or affected pulp inside the tooth.

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Removing decayed pulp

Then Dr. Kearns or Dr. Jocelyn will remove any damaged or decayed pulp from your child’s tooth. She will place a special medication that will help the tooth heal after treatment.

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Restoring the tooth

 Lastly, Dr. Kearns or Dr. Jocelyn will seal the tooth and then cover it up with a stainless steel dental crown. This protects the baby tooth from any further damage and keeps it intact until it falls out naturally when your child’s adult teeth emerge.

Benefits Of A Pulpotomy

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Pain Relief

Deeply decayed teeth may cause your child a lot of pain. With a pulpotomy from our Tinton Falls pediatric dental office, the source of the inflammation and pain will be removed. Your child will feel relief after their procedure is complete, and can get back to their normal routine.

Preserve The Tooth

With a pulpotomy, you can preserve your child’s tooth. Even if it’s a baby tooth, it’s important for your child’s tooth to remain in place until it falls out naturally and is replaced by an adult tooth. If they don’t get a pulpotomy in time, it may not be possible to save your child’s tooth. Your child’s only option may be a tooth extraction and a space maintainer.

Fast Treatment

Your child can usually get a pulpotomy and a dental crown in just one appointment at our Tinton Falls office. That simplifies their treatment, saves you time in your busy schedule, and allows your little one to spend less time in the dentist’s chair overall.

Have questions about Pulpotomies? Get the answers.

What Are The Signs My Child Need A Pulpotomy?

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If your child is complaining of an occasional toothache, they may have a deep cavity that requires treatment with a pulpotomy. Other signs of a deep decay may include sensitivity to temperatures or sweets, or a large pit or hole in the tooth.

What Is The Healing Process After A Pulpotomy?

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Your child won’t need to do anything special to recover. They may feel a small amount of discomfort, but this should go away within a day or two. It’s also a good idea to stick to softer foods for a few days as the tooth begins to heal.

If Dr. Kearns or Dr. Jocelyn has scheduled a follow-up for your child, make sure to come in as directed. While it’s unlikely that your child will continue to experience any pain after a few days, contact our Tinton Falls team immediately if any issues arise.

When Is A Pulpotomy Necessary?

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A pulpotomy is necessary when your child’s baby tooth has deep decay that reaches the nerve of the tooth. This can happen due to extensive, untreated tooth decay, or if your child chips or breaks their tooth, exposing the inner “pulp” inside the tooth to oral bacteria.

When the pulp is exposed to oral bacteria, it can cause serious pain and discomfort. And, if the decay is left untreated, your child’s baby tooth will become infected and die. With a pulpotomy, you can relieve your child’s pain, preserve their tooth, and put their oral health back on track.

What Is The Healing Process After A Pulpotomy?

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If your child’s baby tooth is infected, but the infection has not yet spread into the roots of their teeth, a pulpotomy may be the right choice to remove the bacteria and restore their oral health. With a pulpotomy, your child can keep their baby tooth. After their procedure, the baby tooth will heal and recover, allowing their adult tooth to erupt without any problems.

However, a pulpotomy may not always be the right choice. If your child’s tooth is seriously damaged, or the infection extends throughout their entire tooth, it may not be possible to save their tooth with a pulpotomy. If this is the case, the best choice is usually to extract your child’s tooth.

With a tooth extraction, you can relieve your child’s pain, and prevent further complications related to their tooth infection. After their extraction, Dr. Kearns or Dr. Bruno may place a “space maintainer” in the gap where their missing tooth used to be. As the name suggests, this small prosthetic stops your child’s teeth from shifting, allowing proper spacing for the eventual eruption of their adult tooth.

What Is The Healing Process After A Pulpotomy?

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First, make sure your child has great oral hygiene habits. Brushing their teeth twice per day for two minutes with fluoride toothpaste helps remove bacteria, food particles, and acid. The fluoride in toothpaste also helps strengthen their teeth and prevents decay. You should floss your child’s teeth once per day, too.

You should also look at their diet. Sugar is the primary cause of tooth decay, and starchy foods like potato chips and crackers can also contribute to cavities. Don’t give your child sugary drinks like juice and soda. Give them water and milk instead. And in general, try to limit their consumption of sugary, starchy, and processed foods. Their diet should mostly consist of fresh fruits and veggies, whole grains, lean meats, and healthy dairy products.

Lastly, make sure you bring your child into Sycamore Smiles Pediatric Dentistry for a consultation every six months. Six-month teeth cleanings can help prevent cavities, and an oral exam from Dr. Kearns or Dr. Bruno will ensure that any potential cavities are caught early, and you can seek appropriate treatment for your child.