Pulpotomy
What Is Pulpotomy?
A pulpotomy is a dental procedure where the infected or inflamed pulp tissue in the crown (top part) of a tooth is removed, while the healthy pulp tissue in the roots is left intact. It is commonly done in children on primary (baby) molars, or in young permanent teeth where the root is still developing.​
What Happens During a Pulpotomy?
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Local anesthesia is administered.
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The dentist removes the infected or inflamed pulp tissue from the crown portion of the tooth.
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The remaining healthy pulp in the root canals is left intact.
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A medication or dressing is placed on the remaining pulp to disinfect and maintain vitality.
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The tooth is then sealed with a filling or stainless-steel crown (common in children).
When Is It Used?
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Deep cavity in a primary molar where the pulp is exposed but not irreversibly infected.
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Trauma or decay in immature permanent teeth where you want to preserve pulp for continued root development (apexogenesis).
When Is It Not Recommended?
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Signs of abscess, fistula, or root canal infection
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Tooth mobility due to pathology
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Pulp tissue in the roots is necrotic (dead)
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How Many Visits?
Pulpotomy is typically single visit procedure.