Home / Pediatric Dentistry / Restorative Dentistry / Baby Root Canals




The term "root canal" often sounds scary to adults, but in pediatric dentistry, it is a very different experience. A Baby Root Canal (technically called a Pulpotomy) is a common, gentle, and much simpler procedure than the adult version.

When a cavity gets very deep, it can touch the "pulp" (the nerve and blood vessels) inside the tooth. This causes toothaches, sensitivity to hot and cold, or even waking up at night in pain. If left untreated, the bacteria can cause a serious infection or abscess. A pulpotomy allows us to remove the infection while keeping the tooth alive and functioning.


Why Not Just Pull the Tooth?

Many parents ask, "Since it's a baby tooth, why don't we just extract it?" Baby molars are critical placeholders. They hold the space open for permanent teeth that may not erupt until age 10, 11, or 12. If a baby molar is pulled too early, the surrounding teeth can drift into the gap, blocking the permanent tooth and leading to severe crowding or the need for complex orthodontics later.

Saving the tooth is usually the best, most natural "space maintainer."


The Procedure: Fast & Relieving

A pulpotomy is often described as a "deep filling."

  • Numbing: We use local anesthesia to ensure the tooth is completely asleep. Your child will feel no pain.
  • Removal: Dr. Jumani removes the decay and the infected part of the nerve (only the top part in the crown of the tooth).
  • Medication: The healthy nerve tissue in the roots is left untouched. We place a soothing medication over the roots to calm the nerve and prevent bacteria from returning.
  • Protection: Because the tooth has been hollowed out, it is now fragile. We place a strong Crown (Zirconia or Stainless Steel) over it to seal it and prevent it from breaking.













Frequently Asked Questions
Expert Answers to Your Common Questions
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Is a baby root canal painful?
No. In fact, it is the cure for pain! Most children who need a pulpotomy are already suffering from a toothache. The procedure removes the inflamed nerve tissue causing that pain. Once the anesthesia wears off, most children report feeling much better than they did before the appointment.
How does this differ from an adult root canal?
In an adult root canal (Pulpectomy), the dentist removes the nerve from the entire tooth, including the roots, and fills the canals with rubber. In a baby root canal (Pulpotomy), we only remove the top part of the nerve chamber. The vital tissue in the roots remains. This makes the procedure much faster—usually taking only about 15-20 minutes.
Will the tooth turn black after the procedure?
In the past, dentists used a medication called formocresol, which could sometimes cause the tooth to darken over time. We use modern, biocompatible medicaments (like MTA or Ferric Sulfate) that do not stain the tooth. Plus, since the tooth is covered by a crown, it will look white and healthy.
What is the success rate?
Pulpotomies have a very high success rate (over 90%). However, diagnosis is key. If the infection has already spread deep into the jawbone or if the root is naturally dissolving (resorbing), the tooth may not be saveable. Dr. Jumani will check the X-rays carefully to ensure a pulpotomy is the right choice.
Disclaimer: Please note that the provided information above is based on general knowledge, and it's always recommended to consult with Dr. Ketan Jumanji or our dental team for personalized advice and recommendations regarding your or your child's specific dental needs and conditions.












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