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← All guides · Dental care

Baby tooth pulpotomy

baby tooth nerve treatment · pulpotomy · child tooth nerve removal · pulpitis treatment in a child

The dentist removes the inflamed part of the nerve in the crown of a baby tooth. The roots stay alive, and the tooth is closed with a filling or a crown.

When a cavity has reached the nerve of a baby tooth, but the roots are still healthy.

⏱ Duration: usually 30 to 60 minutes

Be sure to tell your doctor

How to prepare

  • Mood. Calmly explain to your child that the doctor will fix the tooth. Do not promise that there will be no feeling at all.
  • Food. Feed your child 1 to 2 hours before the visit.

What to bring

  • Your child's document
  • A favorite toy
  • The tooth X-ray, if one was done

How it goes

  1. Sometimes an X-ray of the tooth is taken
  2. Numbing is done, first with a gel, then an injection
  3. The tooth is kept dry and isolated from saliva
  4. The cavity and the top part of the nerve are removed
  5. The nerve is covered with a healing material
  6. A filling or crown is placed

What you'll feel

  • A feeling of pressure and the sound of the drill
  • The lip and cheek feel numb for 1 to 2 hours
  • The tooth may ache a little for 1 to 2 days

Afterwards

  • Do not feed your child until the numbness is gone
  • Make sure your child does not bite the lip or cheek
  • If the tooth aches, a children's pain reliever can be used. Ask the doctor about the dose
  • Come for a follow-up X-ray at the set time

Contact a doctor straight away if

  • Swelling of the cheek or gum
  • Severe pain that does not go away
  • Fever above 38

Common questions

Does treating the nerve hurt?

With numbing, a child usually feels only pressure.

Why not just remove the tooth?

A baby tooth holds the space for the adult tooth. Losing it early can upset the bite.