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Operative Instructions For Pulpotomy of a Primary Tooth | D'Amico & Mauck, DDS

Operative Instructions For Pulpotomy of a Primary Tooth

March 24, 2017 by david0
  1. Your child’s tooth has had the nerve partially removed from one of the primary or baby teeth and a permanent restoration has been placed over the top.
  2. Some minor discomfort in the area is normal following the pulpotomy. It is normal for the tooth to be uncomfortable for 2-3 days after today’s treatment. However, most children do not complain of pain following this procedure.
  3. When your child receives a nerve treatment it is usually not necessary to prescribe any pain medication. Children that do experience discomfort usually do fine with either Tylenol or Motrin (follow the directions on the bottle)
  4. If you are given any prescription medications related to this treatment please take them as instructed by your doctor. Please keep in mind that when taking antibiotics for pain and/or swelling due to infection, it generally takes at least 48 hours for the antibiotics to become effective before the symptoms and/or swelling begin to subside.
  5. Your child has been given an injection of local anesthesia to numb his/her teeth in order for us to work on them. Your child’s mouth (tooth, lip & tongue) will be numb for approximately 2 to 3 hours. It is imperative that you watch your child and have him or her not chew on their lip or tongue as this may cause serious damage and profound pain later on.
  6. You/your child may floss and brush their teeth as normal, unless told otherwise by the doctor.
  7. Your child should have his/her diet limited to soft foods for 2 hours following the dental procedure to prevent biting the lip or tongue while numb. The following foods are acceptable: milk shake, ice cream, pudding, jello, soup, mashed potatoes, noodles, yogurt or any other foods of this consistency.


Following a pulpotomy of a primary/baby tooth, the nerve has been partially removed and the remaining portion can become agitated and hyper-excitable. This state can lead to a heightened sense of pain and sensation on the tooth. These are commonly referred to as “flare-ups.” They mostly occur on badly infected teeth, teeth that are extremely irritated, or teeth that have a history of prior treatment. Sometimes, however, they occur randomly, even on patients that have previously been without any problems.

If your child has a flare-up they may experience moderate to severe pain, swelling (can get as large as a golf ball), bruising, throbbing, and general discomfort, which usually begins a few hours after treatment and may last 2 to 3 days.

Please contact our office if your child experiences any of these symptoms and we will do everything we possibly can to get them some relief. He/She may be prescribed antibiotics, stronger pain medication, and/or you may be asked to come to the office to receive further therapy including possible extraction.

If you have any questions or concerns please call us.

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