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What to Expect during Pulp Therapy for the Primary Dentition

Posted on 2/20/2023 by Tiny Teeth Pediatric Dentistry
What to Expect during Pulp Therapy for the Primary DentitionThe primary dentition is the first set of teeth one first get. These teeth are gradually replaced by permanent teeth, carried onto adulthood. They are twenty, comprised of incisors, canines, premolars, and molars. The pulp cavity is the innermost chamber of the teeth, comprised of nerve endings, blood vessels, and tissue. Pulp therapy is crucial as it ensures the preservation of the primary teeth until the right time for their shedding.

Visual Examinations and X-rays

The affected area will need to be examined by your dentist to locate the extent and location of the pulp damage so that the best treatment can be agreed on. The amount of damage and the location determine whether the patient will get a pulpotomy, direct pulp capping, or a pulpectomy procedure.

Direct Pulp Capping

Direct pulp capping is mainly done to stop caries progression, protect the pulp, encourage the pulp to create new dentin, and eliminate harmful bacteria. During direct pulp capping, the dentist places a treating agent, more so a mineral, directly on the damaged pulp. This could be Calcium Hydroxide, trioxide aggregate, or formocresol. This then ensures the pulp's health and restoration.


Pulpotomy is the removal of the portion of the pulp that is damaged or decayed, leaving the healthy part alone. The empty space is then filled with a material, a biocompatible and effective material that should soothe the pulp root. Crowning on the tooth can be done afterward to cover up the pulp.


A pulpectomy is the extraction of all the pulp in cases where the pulp has undergone extensive damage. The orthodontist is, therefore, tasked with emptying the pulp chamber and thereafter refilling it with a biocompatible agent. This material should be able to allow the permanent tooth to grow in. This material should then have the ability to be reabsorbed by the body. A filling or crowning is done afterward to strengthen the tooth's structure.

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Blog - Wichita, KS • Tiny Teeth Pediatric Dentistry
At Tiny Teeth Pediatric Dentistry, Dr. Healy created this informative blog to assist with educating the community about various topics of pediatric dentistry.
Tiny Teeth Pediatric Dentistry, 3933 N. Maize Road, Suite 200 Wichita, KS 67101 | (316) 202-9629 | | 5/23/2024 | Related Phrases: Pediatric Dentist Wichita KS |