Milk teeth have a very specific physiology. They contain much more pulp (the fleshy part inside the tooth containing the nerves) than permanent teeth.
Sometimes a micro-aperture can appear on one of the corners of the pulp cavity when decay is being removed. X-rays taken during the initial visit are not sufficient to forewarn of the need for this additional treatment since the x-ray image is earlier than the actual state of decay when the treatment is actually performed.
The pulp in children’s teeth is fragile and reacts badly to any kind of perceived aggression. The best way to prolong the tooth’s life expectancy is to complete a pulpotomy. This is basically a “partial devitalisation”: the pulp is only removed from the upper section of the tooth, and kept alive in the roots.
At Dentist Kids we apply a special mortar to replace this pulp, before restoring the tooth using the most suitable filling material.
Our paediatric dentists complete annual clinical and x-ray checks on all teeth which have been subjected to a pulpotomy.
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