Pulpotomy and Stainless Steel Crowns

What happens to teeth with deep decay?

A baby tooth is smaller than an adult tooth, so decay can spread quickly.
Where the decay is deep and involves the nerve of the tooth a pulpotomy is needed. This is where the infected nerve tissue is removed and a medicament placed directly over the nerve tissue of the roots. A protective stainless steel crown is then placed over this.

The success rate for this is 90-95% depending on how infected the tooth was to start with.

If the decay has involved the nerve tissue in the roots, then this infected tissue is removed. A pulpectomy ( root canal therapy) may be needed. Again a medicament is placed and the tooth protected with a stainless steel crown.
The success rate for this is 80% due to the difficult root structure of baby teeth.

Where there is extensive damage and pain, or an abscess (gumboil) is present the tooth is extracted.

A space maintainer may be required from an orthodontist to prevent teeth moving and this allows adequate space for the permanent tooth to erupt.

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Please note: Having a space maintainer does not mean that your child will not require any future orthodontics.

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