Gentle, Thoughtful Dental Care for Growing Smiles

A pulpotomy removes affected pulp tissue from the crown portion while managing the tissue remaining inside the roots.

• Decay has reached or nearly reached the pulp
• The root pulp is considered suitable to retain
• The tooth is restorable
• No findings require complete pulp removal

A pulpectomy removes pulp tissue from both the crown and root canals. The canals are cleaned and filled with material intended for primary teeth.

• The pulp is irreversibly inflamed or non-vital
• Infection has affected the root canals
• The tooth is important to retain
• Adequate tooth structure and root support remain
• The developing permanent tooth can be protected

A strip crown commonly uses a clear crown-shaped form filled with tooth-coloured composite. The form is removed after placement, leaving the tooth-coloured restoration.

It is often considered for selected damaged or decayed front primary teeth.

A pediatric zirconia crown is a prefabricated tooth-coloured crown considered for selected front or back primary teeth requiring full coverage.

• Tooth location
• Amount of tooth structure remaining
• Moisture control
• Bite and available space
• Gum condition
• Child’s cooperation
• Aesthetic expectations
• Time remaining before natural tooth shedding

• Premature loss of a primary molar
• Extraction of a severely decayed primary tooth
• Early tooth loss due to trauma
• Loss of more than one primary tooth
• Identified risk of unwanted tooth movement

• Which tooth has been lost
• The child’s dental age
• Development of the permanent successor
• Existing tooth alignment
• Available space
• Bite relationship
• Oral hygiene
• Ability to attend follow-up visits

• Chipped or fractured tooth
• Loose or displaced tooth
• Knocked-out tooth
• Bleeding around a tooth
• Injury to the gums, lips or tongue
• Tooth discolouration after trauma
• Pain while biting
• Swelling following an injury
• A tooth pushed into or out of position
• Facial injury involving the mouth or jaw

1. Hold the tooth by its white crown, not by the root.
2. If visibly dirty, gently rinse it without scrubbing.
3. Do not scrape or remove tissue from the root.
4. Place it in milk or a tooth-preservation medium if available.
5. Seek urgent dental care immediately.

Do not attempt to put a knocked-out primary tooth back into the socket, as this may affect the developing permanent tooth. Arrange an urgent dental examination.