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In primary teeth, when deep cavities are in or close to the nerve, it's sometimes necessary to perform a pulpotomy. A pulpotomy is the removal of the irritated part of the pulp, while leaving the healthy root canals intact. A pulpotomy usually involves three steps:
To get at the irritated tissue, the dentist makes an opening through the top of the tooth down into the pulp chamber, and carefully cleans out the nerve tissue. He then places a medicated packing material into the opening. Sometimes the medicated packing is removed and sometimes it's left in place.
The last step in the procedure is a crown to seal and protect the tooth.