When decay in a milk tooth reaches the soft inner tissue (the pulp), it can cause pain, swelling or infection. Removing the tooth too early can create space and alignment problems later, so wherever possible we treat the pulp and save the tooth. A pulpotomy removes only the infected portion of the pulp inside the crown of the tooth, while a pulpectomy cleans the entire pulp, including the root canals, when the infection has spread deeper.
Both procedures are performed gently under local anaesthesia, and the tooth is then sealed and usually protected with a crown so your child can chew comfortably again. Treating the tooth keeps it functioning naturally until it is ready to fall out on its own, guiding the permanent tooth into its correct place.
Children with deep cavities, toothache, sensitivity to hot or cold, swelling near a tooth, or a milk tooth infection where saving the tooth is preferable to early extraction.