Difference between Pulpotomy & Pulpectomy in Milpitas

The pulp of the tooth is found at the center of the tooth which can’t be seen by the naked eye. It compromises tissues, nerves, and blood vessel which are responsible for channeling the vital nutrients and oxygen to the tooth. Several factors can damage the pulp which leads to tooth decay, extreme pain and pulp exposure leading to inflammation.

Pulpotomy and Pulpectomy are dental procedures under pediatric dentistry that treats pulp tissue of the damaged permanent tooth. Both are essential in addressing the problems, but they have different processes. In pulpotomy, the coronal part of the pulp is removed while in Pulpectomy procedure, the crown and the root canal of the pulp chamber is removed.

For further understanding, Pulpotomy is a common procedure and can be referred to as baby root canal. Pulpotomy restores and saves the tooth infected by a deep cavity. Deep cavity must be treated to avoid the spreading of inflammation and infection that can cause abscess tooth. Pulpectomy, on the other hand, is similar to a root canal. The dentist removes all the pulp from the damage teeth from the crown to the roots. After the removal of the damaged pulp, the area is cleaned and disinfected and filled.  At TeethBuddies Pediatric Dentistry, we offer Pulpotomy and Pulpectomy services to the community of Mountain View, Cupertino, Santa Clara, San Jose, Los Gatos, Palo Alto, Los Altos, Milpitas, Fremont, and Saratoga.

Pediatric Dentistry

Pulpotomy and Pulpectomy Procedures

Pulpotomy and Pulpectomy differ in their procedure, their step by step process is listed below:


  • Cream or topical anesthetic will be applied to the gums to numb the area. Once the gums are numb, the local anesthetic will be administered.
  • A rubber dam will then be placed to isolate the tooth and reduce saliva moisture.
  • A highspeed and slow-speed handpiece will be used to clean the cavity.
  • The coronal pulp will be removed by excavation
  • A medicament will then be applied to stop bleeding
  • The chamber will be filled with recommended material
  • The tooth is then covered with a crown.



  • Application of local anesthetic to reduce pain and discomfort
  • A hole will be drilled to access the pulp
  • The pulp is then removed from the roots
  • The tooth will be cleaned, disinfected and filled with the prescribed materials
  • A crown will be placed to cover the tooth
  • The dentist will prescribe antibiotics to reduce the risk of infection

Both procedures (Pulpotomy and Pulpectomy) are both essential when it comes to the treatment of the tooth’s pulp. However, it is necessary to know the differences to have an option on what procedure is suited for the patient.


TeethBuddies Pediatric Dentistry is always ready to take action involving you and your child’s oral health. If you want to experience secure and more child-friendly Pulpotomy and Pulpectomy services in Milpitas, contact us and book your appointment at 408-636-2937. We are located at 470 E Calaveras Blvd. Milpitas CA 95035.