Why is Pulpectomy Done?
Pulpectomy is done when the pulp is irreversibly infected or necrotic (dead) due to:
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Deep dental caries (cavities)
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Trauma (e.g. after a fall or blow)
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Abscess or swelling
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Severe pain (especially spontaneous or night pain)
In primary teeth, the goal is to:
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Remove infection
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Preserve the tooth until it naturally falls out
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Maintain space for permanent teeth
How is Pulpectomy Done?
Step-by-step outline:
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Examination & X-ray – To assess extent of infection and root condition.
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Local Anesthesia – To numb the tooth and surrounding area.
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Access Opening – A hole is made in the crown to access the pulp.
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Pulp Removal – The infected or dead pulp is removed from both the pulp chamber and root canals.
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Canal Cleaning & Shaping – The root canals are cleaned, disinfected, and shaped.
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Filling the Canals – Filled with a resorbable paste (in primary teeth) or gutta-percha (in permanent teeth).
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Final Restoration – Tooth is sealed with a filling or crown (e.g., stainless steel crown for primary molars).
Number of Visits Required
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Typically 1 to 2 visits
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Single visit: If infection is minimal and child cooperates well.
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Two visits: If infection is extensive or drainage is needed.
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