Pulpotomies are a therapy that is necessary when a cavity is deep and enters the pulp (nerve and blood supply in the center of the tooth.) Bacteria in the decay enter the pulp and will eventually lead to infection in the pulp. This infection can spread to the jaw and to the developing permanent tooth under the primary tooth. Typically we will recommend a stainless steel crown for a tooth that has required a pulpotomy.
The only other option when a cavity enters the pulp is extraction of the tooth. Depending on the age of the child, extraction may be the better choice. We will review all options to determine the best option for your child.