Pulpal Therapy • Silverdale, WA

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Pulpal Therapy

Baby teeth are small but the nerve and blood vessels, or ‘dental pulp’, inside them are much larger in proportion than in adult teeth. Often cavities in baby teeth progress quickly towards the pulp and cause pulpal inflammation in the area. Sometimes this can cause some discomfort on that tooth, other times your child will have no symptoms.

The purpose of pulpal therapy is to remove the affected pulpal tissue and place an inert material inside the tooth that allows the tooth to remain in the mouth until it is naturally lost. These procedures are often called a “baby root canal”, “indirect pulp cap”, “pulpotomy”, or “pulpectomy”.



A pulpectomy is the removal of all pulpal tissue from the crown and root of the tooth. The space is then disinfected and a restorable material is placed to allow normal eruption of the permanent tooth underneath.


A pulpotomy removes the effected portion of the pulp and places an agent that calms the remaining nerve and removes any residual bacteria. The tooth is restored with a full coverage stainless steel crown to help seal the pulp from further injury.

Indirect Pulp Cap

An indirect pulp cap is the removal of nearly all of the cavity, leaving only a small portion over the nerve of the tooth. A medicine is placed that allows the tooth to heal itself from the inside out and prevents further growth of the bacteria. The tooth is then filled with a restoration to help prevent bacteria from re-invading the tooth.

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COVID-19 Status Message

As of May 19th we are open for full-service, non-urgent dental treatment.

Our community has been through a lot over the last few months, and all of us are looking forward to resuming our normal habits and routines. While many things have changed, one thing has remained the same: our commitment to your safety.

Infection control has always been a top priority for our practice and you may have seen this during your visits to our office. Our infection control processes are made so that when you receive care, it’s both safe and comfortable. We want to tell you about the infection control procedures we follow in our practice to keep patients and staff safe.

Our office follows infection control recommendations made by the American Dental Association (ADA), the U.S. Centers for Disease Control and Prevention (CDC) and the Occupational Safety and Health Administration (OSHA). We follow the activities of these agencies so that we are up-to-date on any new rulings or guidance that may be issued.

You may see some changes when it is time for your next appointment. We made these changes to help protect our patients and staff. For example:

Thank you for being our patient. We value your trust and loyalty and look forward to welcoming back our patients, neighbors and friends.

Dr. Jason Niemeyer, Dr. Jeffrey Phillips and the rest of the SDC team