When a Baby Tooth Needs a Filling: Pulpotomies vs. Crowns for Kids

When it comes to your child’s dental care, nothing matters more than making sure they feel relaxed, understood, and protected, especially if they need more than just a simple cleaning. At Green Leaf Dental, we’re here to help parents confidently navigate decisions around pediatric dental treatments like pulpotomies and pediatric crowns. 

Understanding what each option involves can make a big difference in your child’s comfort and long-term oral health, and our team is committed to walking you through every step with clarity and compassion.

What Is a Pulpotomy and When Is It Needed?

A pulpotomy is a common pediatric dental procedure often recommended when a baby tooth has extensive decay that reaches the nerve, or pulp, of the tooth, but the infection has not spread more deeply into the tooth. Also known as a “baby root canal,” a pulpotomy involves removing the infected portion of the pulp while preserving the rest of the tooth structure. 

This treatment is a gentle way to relieve pain, stop the progression of infection, and allow your little one to keep their natural tooth until it’s ready to fall out naturally. Signs that your child may need a pulpotomy include:

• Ongoing toothache or night-time dental pain
• Sensitivity to hot or cold foods and drinks
• Visible decay or a darkened tooth

At Green Leaf Dental, Dr. Yoni provides pulpotomies in a friendly, child-centered environment in our Seward Park office. We also offer sedation options tailored to your child’s comfort level to ensure the experience is stress-free from beginning to end.

Why Pediatric Dental Crowns Are Often Recommended

Following a pulpotomy, or in some cases, as a standalone treatment, a pediatric crown is typically placed to protect the damaged tooth and restore its function. Baby teeth might be temporary, but they play a crucial role in your child’s oral development. 

Crowns are especially helpful when a tooth has lost a large portion of its structure to decay and can't be restored with a simple filling. Benefits of using a dental crown on a baby tooth include:

• Preserving proper spacing for incoming adult teeth
• Preventing further decay or damage
• Allowing your child to chew, speak, and smile without discomfort

Depending on your child’s specific needs, Dr. Yoni will recommend a stainless steel or tooth-colored crown. We always take into account both function and aesthetics, especially for teeth that are more visible when your child smiles.

How to Choose Between a Pulpotomy and a Crown

Parents often ask whether their child needs a pulpotomy, a crown, or both. The truth is, these treatments often work together. While a pulpotomy addresses internal tooth infection, a crown ensures the tooth remains strong and functional after the procedure.

A tooth may only need a crown if your child’s tooth decay is significant but hasn't reached the nerve. However, a pulpotomy is usually required if the tooth has become infected. During your child’s visit, Dr. Yoni will conduct a gentle yet thorough examination to determine the best path forward.

Our team communicates clearly and kindly, always taking time to make sure parents and kids alike feel comfortable with the recommended treatment plan. With experience in special needs dentistry and pediatric sedation, we make every effort to keep care as smooth and compassionate as possible.

Preventing the Need for Treatment with Early Dental Care

While pulpotomies and crowns are effective treatments, we know the best approach is always prevention. That's why Green Leaf Dental focuses on early, consistent dental care that fits the needs of the whole family. 

Regular checkups allow us to spot early signs of decay before they become a problem, and with our welcoming, multilingual team and calming spaces, your child can build healthy habits in a place that feels friendly and familiar. Simple tips for preventing decay in children include:

• Brushing twice daily with a fluoride toothpaste
• Using string floss or floss picks once per day when teeth begin to touch
• Limiting sugary snacks or drinks
• Scheduling dental checkups every six months

Whether it’s your child’s first visit or you're seeking expert care for an existing issue, we’re here to support your family every step of the way. From Columbia City to Beacon Hill, parents trust our team to take care of little smiles with a big heart.

Schedule Your Child’s Dental Appointment in Rainier Valley

If your child is experiencing tooth pain or has been recommended for a filling, pulpotomy, or crown, we’re here to help with gentle, personalized care. Green Leaf Dental in Rainier Valley welcomes families from across the community with open arms. 

Plus, access to free virtual consultations makes it even easier to start your journey. Call us today at (206) 316-2351 or request an appointment online to connect with Dr. Yoni and our friendly team. Let’s keep your child’s smile healthy, bright, and confident for the years to come.