Pulpotomy Vs. Pulpectomy: What’s the Difference

Pulpotomy and pulpectomy are both dental procedures that get rid of decay or infection in the tooth pulp. Both of these procedures are different and it is best to inform yourself before a treatment so that you know what to expect.

Pulpotomy Vs. Pulpectomy


During a pulpotomy, we at Carolina Smiles Family Dentistry will only remove the coronal pulp form the tooth. This is the top portion of the pulp that is above the gum line. The purpose of a pulpotomy is to ensure the tooth remains alive and vital, meaning it will have blood flow, sensation and respond to temperature.
This procedure can only be done if there is no spontaneous pain, bone loss under the tooth or a tooth abscess. Most of the time, pulpotomy is performed on primary tooth but they can also be done on permanent teeth, in which the infection has only reached the top of the pulp.
Pulpectomy, however, is a procedure that excavates the entire pulp from inside your tooth, including the roots. This is done on a tooth that is non-vital and has dead or dying pulp. The goal is to clean the entire tooth chamber and the root canal and then disinfect, fill, and seal the cavity to prevent further contamination.
At Carolina Smiles Family Dentistry, and can determine whether your tooth pulp is alive and what treatment is best for you.

What To Expect During A Pulp Procedure


Both pulpotomy and pulpectomy involve a local anesthesia injection to numb the area near the tooth. We will then drill a hole in the crown of the tooth and clear out as much pulp as is required in both the procedures.
After receiving a pulp procedure, you may experience slight discomfort due to the inflamed tissue. However, the pain is only mild and can easily be managed with pain medication.
Additionally, your tooth may be weakened or discolored so you may also require an artificial crown.

The goal of both these procedures is to preserve your real tooth, relive pain, and restore the form and function of your tooth. So if we recommend either of these procedures, there is no need to feel alarmed.

If your tooth is severely decayed, chances are that you may require any one of these procedures. If so, call us at (803) 310-4707 to schedule an appointment today.