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
- Sometimes an X-ray of the tooth is taken
- Numbing is done, first with a gel, then an injection
- The tooth is kept dry and isolated from saliva
- The cavity and the top part of the nerve are removed
- The nerve is covered with a healing material
- 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.