{"id":3047,"date":"2026-09-15T09:40:00","date_gmt":"2026-09-15T07:40:00","guid":{"rendered":"https:\/\/wiloo.es\/?p=3047"},"modified":"2026-11-09T20:02:43","modified_gmt":"2026-11-09T19:02:43","slug":"pulpotomy-children","status":"publish","type":"post","link":"https:\/\/wiloo.es\/en\/blog\/pulpotomia-ninos\/","title":{"rendered":"Pulpotomy in Children: What It Is, When It's Done and Whether It Hurts"},"content":{"rendered":"
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La pulpotom\u00eda es un tratamiento que se hace en dientes de leche cuando una caries profunda llega a la pulpa, la parte interior del diente conocida como \u00abnervio\u00bb. Consiste en retirar solo la pulpa afectada de la corona para conservar el diente sano hasta que se caiga de forma natural.<\/strong> It's done under local anaesthetic, so it doesn't hurt.<\/p>\n<\/div>\n\n\n\n\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n<\/div><\/div>\n\t\t

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What Is a Pulpotomy<\/h2>\n

Inside every tooth there is soft tissue containing nerves and blood vessels: the pulp. It fills the crown (the visible part) and extends down into the roots.<\/p>\n

In a pulpotomy, only the pulp in the crown, which is the inflamed part, is removed. The pulp in the roots, which is still healthy, is kept. A material is then placed to protect what remains and the tooth is sealed.<\/p>\n<\/div>\n\n\n\n\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n<\/div><\/div>\n\t\t

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When Is It Needed<\/h2>\n

It's recommended when decay has progressed so far that, once cleaned out, it reaches the pulp. It may also be needed after a knock that leaves the pulp exposed.<\/p>\n

In these cases a filling isn't enough, because the infection would keep spreading. Without treatment, the tooth can become painful, develop an abscess and end up being lost early.<\/p>\n<\/div>\n\n\n\n\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n<\/div><\/div>\n\t\t

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At wiloo, we specialise in children's dental health. Find out how we work in paediatric dentistry and prevention<\/a>.<\/p>\n<\/div>\n\n\n\n\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n<\/div><\/div>\n\t\t

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What the Appointment Involves, Step by Step<\/h2>\n
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  1. Local anaesthetic<\/strong> in the area, applied gently while explaining each step to your child.<\/li>\n
  2. Isolating the tooth<\/strong> to keep the area clean and dry.<\/li>\n
  3. Removing the decay<\/strong> and the pulp in the crown.<\/li>\n
  4. Placing a medicated material<\/strong> over the pulp in the roots.<\/li>\n
  5. Restoring the tooth<\/strong>, often with a preformed crown, which is the longest-lasting option for baby molars.<\/li>\n<\/ol>\n

    It's usually done in a single 30-45 minute appointment.<\/p>\n<\/div>\n\n\n\n\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n<\/div><\/div>\n\t\t

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    Does It Hurt?<\/h2>\n

    No. With local anaesthetic your child won't feel pain during treatment, just some pressure. In paediatric dentistry we work at their pace and explain everything in words they understand, so they stay calm.<\/p>\n

    Once the anaesthetic wears off they may feel slight discomfort for a few hours, which can be managed with their usual pain relief if the paediatric dentist recommends it.<\/p>\n<\/div>\n\n\n\n\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n<\/div><\/div>\n\t\t

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    Pulpotomy vs Pulpectomy: The Differences<\/h2>\n\n\n\n\n\n\n\n
    <\/th>\nPulpotomy<\/th>\nPulpectomy<\/th>\n<\/tr>\n<\/thead>\n
    What is removed<\/strong><\/td>\nOnly the pulp in the crown<\/td>\nAll of the pulp, including the roots<\/td>\n<\/tr>\n
    When it's recommended<\/strong><\/td>\nThe pulp in the roots is healthy<\/td>\nThe infection has reached the roots<\/td>\n<\/tr>\n
    Adult equivalent<\/strong><\/td>\nNo direct equivalent<\/td>\nSimilar to a root canal<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n\n\n\n\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n<\/div><\/div>\n\t\t
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    Aftercare<\/h2>\n