Fillings & Pulpectomy (RCT) for Milk and Young Permanent Teeth
Pulpectomy is a pediatric dental procedure performed to remove infected or damaged pulp from both the crown and root canals of a tooth. The pulp is the soft tissue inside the tooth that contains nerves, blood vessels, and connective tissue.
This treatment is commonly referred to as a "baby root canal" when performed on primary (milk) teeth and serves as the first phase of root canal therapy in young permanent teeth. At Pedo Pearlz, we ensure that this critical treatment is done gently and efficiently, preserving your child’s smile and oral function.
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Fillings & Pulpectomy (RCT) for Milk and Young Permanent Teeth
When is a Pulpectomy Needed?
A pulpectomy is recommended when a baby or young permanent tooth is severely decayed, infected, or traumatized and cannot be restored through simpler procedures like fillings.
Common signs and reasons include:
Severe tooth pain or sensitivity
Swelling or pus near the affected tooth
Deep dental decay reaching the pulp
Trauma to the tooth
Difficulty chewing and speaking
Preventing shifting of adjacent teeth due to premature tooth loss
Premature loss of a baby tooth can cause:
Misalignment of permanent teeth
Chewing and speech problems
Need for future orthodontic treatment
What is a Pulpectomy?
Benefits of Pulpectomy for Children
Preserves primary teeth until natural exfoliation
Maintains proper spacing for permanent teeth
Reduces risk of future orthodontic issues
Prevents infection from spreading to other teeth
Supports proper chewing and speech development
Pain relief and improved oral health
Types of Fillings & Pulpectomy Materials
Glass Ionomer Cement (GIC):
✔️ Releases fluoride to prevent further decay.
Zinc Oxide Eugenol (ZOE):
✔️Common for temporary fillings and calming the pulp.
Composite Resins:
✔️Tooth-colored, aesthetically pleasing, and durable
Stainless Steel Crowns:
✔️Often placed after pulpectomy for long-term protection
The pediatric dentist will examine the tooth for signs of deep decay, swelling, or pain.
X-rays are taken to assess the extent of pulp damage, root condition, and any underlying infections.
A treatment plan is created and discussed with the parents or caregivers.
Step 1: Clinical Examination & Diagnosis
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Step 2: Local Anesthesia
The affected area is numbed using child-friendly local anesthesia to ensure the procedure is completely pain-free.
The dentist will wait a few minutes to ensure the child is comfortable before proceeding
Step 3: Tooth Isolation
The tooth is isolated using a rubber dam (a small sheet of rubber) to prevent saliva contamination and provide a dry working area.
This also helps keep the child safe and improves procedural accuracy.
Step 4: Removal of Decay & Pulp
The dentist will drill through the crown of the tooth to access the pulp chamber.
All infected pulp tissue is removed from both the crown and root canals using sterile dental files.
Step-by-Step Guide to Pulpectomy (RCT)
The root canals are carefully cleaned, shaped, and disinfected to eliminate all bacteria and prevent reinfection.
A child-safe disinfectant solution is used during this stage.
Step 5: Cleaning & Shaping the Canals
Step 6: Filling the Root Canals
safe and naturally absorbed by the body as the child grows.
In case of young permanent teeth, gutta-percha may be used for long-term filling.
Step 7: Crown or Restoration Placement
A filling or stainless steel crown (SSC) is placed to restore the tooth structure and protect it from further damage.
Crowns are especially common if a large portion of the tooth was removed or if long-term durability is needed.
Step 8: Post-Treatment Instructions
Parents are given care tips and guidance for their child’s post-procedure care.
A follow-up appointment may be scheduled to ensure healing and check restoration stability.
Why Choose Pedo Pearlz for Pulpectomy?
🔹Child-Centered Care: Specialized in treating young patients with compassion and patience
🔹 Advanced Technology: Latest tools for accurate and comfortable procedures
🔹 Kid-Friendly Environment: Soothing setup that reduces anxiety
🔹 Expert Pediatric Dentists: Trained to handle young and special needs patients
🔹Personalized Treatment Plans: Every child gets tailored care based on their condition
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Why Choose Pedo Pearlz for Pulpectomy?
🔹Child-Centered Care: Specialized in treating young patients with compassion and patience
🔹 Advanced Technology: Latest tools for accurate and comfortable procedures
🔹 Kid-Friendly Environment: Soothing setup that reduces anxiety
🔹 Expert Pediatric Dentists: Trained to handle young and special needs patients
🔹Personalized Treatment Plans: Every child gets tailored care based on their condition