What is Pulp?
The pulp is a soft tissue found at the center inside each tooth. It consists of tissue, nerves, and blood vessels that work to provide the tooth with oxygen and nutrients and keep it healthy. Inconsistent or absent oral health care, or traumatic injury to the teeth and gums can lead to pulp exposure, pain, and inflammation. When this occurs the primary objective of pulp therapy is to maintain the integrity and health of the tooth and the supporting tissues. This is especially important in young permanent teeth with immature roots, the pulp is integral to the normal development of the apex of the root of a tooth.
What are the Signs of Injured or Damaged Pulp?
The pulp can be exposed when the tooth is damaged by injury or decay. The exposed pulp can swell, cause severe pain, and become infected. Some warning signs of inflamed or infected pulp are:
- Constant or unexplained pain
- Nighttime pain
- Sensitivity to hot or cold food temperatures
- Swelling around the infected tooth
If your child has any of these symptoms, please call our office.
What is Pulp Therapy?
There are different methods of treatment for infected pulp, but the most common for children is a pulpotomy. If Dr. Shafiei has decided that the best course of treatment is a pulpotomy, they will describe the process to your family before the procedure. A pulpotomy removes diseased pulp while preserving as much of the healthy pulp and pulp root as possible.Â
Once the diseased portion has been removed an agent is placed in the tooth to prevent bacteria growth and infection and calm the nerve of the tooth. Finally, a crown is placed on the tooth. The crown strengthens the tooth and minimizes the risk of future fractures. Pulpotomy can be used as a treatment on the baby or permanent teeth.
Frequently Asked Questions
Hearing that your child may need pulp therapy or treatment for an infected tooth nerve can feel overwhelming. Many parents have questions about safety, comfort, and what this means long term. Below are answers to common questions families search when their child is facing nerve or pulp treatment.
Is pulp therapy the same as a root canal?
Not exactly. In children, pulp therapy (often called a pulpotomy) is different from a traditional adult root canal. A pulpotomy removes only the infected portion of the pulp while preserving the healthy root structure whenever possible. It’s designed specifically for growing teeth and developing roots.
Can a baby tooth really need nerve treatment?
Yes. Even though baby teeth eventually fall out, they still have nerves and blood supply. If infection reaches the pulp, treatment is necessary to relieve pain and prevent the infection from spreading to surrounding tissue or developing permanent teeth.
What happens if an infected tooth nerve is not treated?
Untreated pulp infection can lead to worsening pain, swelling, abscess formation, and potential damage to nearby teeth. In some cases, infection can affect overall health. Early treatment helps prevent more serious complications.
Will my child be in pain after pulp therapy?
Most children feel relief after treatment because the source of infection is removed. Some mild soreness is normal for a day or two, but this can usually be managed with recommended over-the-counter pain relievers. Our team provides clear aftercare instructions to ensure a smooth recovery.
Is pulp therapy safe for young children?
Yes. Pulp therapy is a common and safe pediatric dental procedure when performed by trained professionals. It is specifically designed to preserve natural teeth and support healthy oral development.
