Home Ask The Dentist Medicaid Polls Procedure Descriptions FAQ's Consultants Schools Directories Research


Dental Health Directory Library

FAQ:  Pediatric - Children's Dentistry

Childrens Dentists
Pediatric Facts - Growth Tables
Kids Dental Phobias
Pediatric Frenectomy Lasing
Orthodontic Gummy Smile Hyperplasia
Do's and Dont's for New Parents
Pediatric Migraine Headaches
How Cavities Destroy Adult Teeth Before they Erupt
Baby Cavities: Implications for Adult Teeth
Tongue Frenectomy
Laser Fibroma Removal
Tooth Uncovering

My four-year-old son needed to have a pulpotomy done on his two lower rear molars. His teeth were subsequently capped and the next day he woke up with a swollen cheek.

He went to the dentist and was found to have an abcess on the rear tooth that was capped. He was placed on penicillin and the tooth now needs to be extracted.

My question is, is this a common occurence on a tooth that has had a pulpotomy, and would the abcess have been detectable before the cap was placed? I feel that my chld has gone through a number of procedures that at this point, since the tooth needs to be pulled, have been unneccesary, in both cost and the emotional toll on my son. ...Visitor from NJ

This is indeed unfortunate, especially for such a young child.

The pulpotomy procedure is intended to clear up an abcess (the same as a root canal procedure on an adult tooth). I'm sure that the pulpotomy and crown would not have been completed if the dentist felt that the prognosis for successful healing was not good. Unfortunately if a pulpotomy is not successful then extraction of this primary (baby) tooth becomes necessary as well as a method of "space maintenance" to hold that space for the eruption of the permanent teeth.

As far as how this is dealt with financially, that is going to differ office to office. In my office patients don't pay additionally in the rare event of a treatment being unsuccessful after a reasonable amount of time. The amount paid toward the original treatment is credited toward additional treatment with a few exceptions.

The most important thing is that hopefully all this treatment at a young age is not traumatizing your son. I hope he's either very comfortable with his dentist and accepting of the treatment, or sedated so it's easier for him.. I'd hate to see a modern dentist developing a future phobic dental patient.

Editorial Staff
Return to Pediatric FAQ

Return to FAQ Index

You also have the option of using Google search technology to conduct a specific search within our databases to find more specific information. Adjust search terms as needed to refine search results:

Page copy protected against web site content infringement by Copyscape

[Home]   [Ask The Dentist]   [FAQ's]   [Polls]   [Consultants]   [Directories]   [Articles]  
Contact the Editor
Technical Treatment Protocol Diagnosis Error Assessment
Free No Cost Dentist Advice
Featured in
Part of the Dental Network
Health Issues in Dentistry
Pediatric Childrens Dentistry FAQ
All rights reserved - 1999-2016
Powered by DentMedHost
Dental Pros and Cons

Free Dentistry
Bad Teeth Gums Gallery