Dr. Yury Slepak, DDS
Board-certified pediatric dentist, Diplomate of the American Board of Pediatric Dentistry

When decay reaches the nerve of a baby tooth, pulling it is not the only option. A baby tooth root canal, called a pulpotomy, removes the infected part, saves the tooth, and ends the pain, so your child keeps that tooth until it is ready to fall out naturally. At Bite Squad Dental of NYC, our team specializes in gentle and effective pulp therapy designed to keep your little one comfortable. Contact our team to book a consultation at 2464 Coney Island Ave, Brooklyn, NY 11223.
Dr. Slepak is a pediatric dentist with over a decade of experience. Immediately following his graduation from the New York University College of Dentistry with Honors, Dr. Slepak continued his training at Maimonides Medical Center in the Pediatric Dentistry Residency Program.
During his training, he mastered his knowledge and skills in the treatment of children of all ages.
Baby teeth guide the adult teeth into place, so losing one early can crowd the others and lead to orthodontic work later. In a pulpotomy, we remove only the infected nerve tissue from the top of the tooth, place a soothing medicine, and seal it, usually with a small crown to protect it. Your child is fully numbed, and laughing gas or sedation is available so the visit stays calm.
When decay or injury reaches the soft inner tissue of a baby tooth, the pulp can become inflamed or infected. Several common factors can lead a child to need pulp therapy:
Deep cavities can reach the tooth's pulp, leading to infection and nerve damage.
Some children are born with weaker enamel or dentin, making them more prone to nerve problems.
An untreated infection in one tooth can spread to others, including the nerve.
Frequent exposure to sugary liquids from bottles or sippy cups can increase the risk of deep decay, potentially leading to nerve issues.
Postponing care for minor cracks or chips can allow bacteria to reach the pulp.
Baby root canals, or pulp therapy, treat and save baby teeth with damaged or infected inner tissue (the pulp). The procedure involves:
Examination and X-rays
The dentist may examine the tooth and take X-rays to assess the damage and check for surrounding infections.
Local Anesthesia
The dentist might numb the area to ensure your child is comfortable during the treatment.
Removal of Damaged Pulp
The infected or damaged pulp tissue may be removed to prevent further issues.
Cleaning the Pulp Chamber
The inside of the tooth is often cleaned to eliminate bacteria and lower the risk of infection.
Filling the Space
A biocompatible material may be used to fill the space left by the removed pulp and support the tooth.
Adding a Crown
A protective crown might be placed to restore the tooth's strength and function.
Every case is unique. Our team will customize your child's treatment plan based on the tooth's condition and the extent of the damage.
Ongoing discomfort that doesn't improve could mean the pulp is inflamed or infected.
A baby tooth that looks gray or discolored might have nerve damage or blood flow issues.
A persistent bad smell, even with brushing, may signal an infected pulp.
If your child avoids chewing on one side, it could be due to pain in a specific tooth.
Swelling or redness around a tooth could indicate infection has spread to the pulp.
If you notice these signs, it's a good idea to schedule a consultation with our team to assess your child's needs.
Our clinic is designed to make children feel relaxed with cheerful decor and engaging distractions.
Our experts use simple words and explanations to help your child understand what will happen. This reduces fear and anxiety.
We carefully administer numbing agents to ensure your child feels no pain during the treatment.
We use techniques like positive reinforcement and gentle guidance to make your child feel secure and at ease.
Advanced, minimally invasive tools help shorten the procedure and reduce discomfort.
Our team carefully monitors your child's comfort and adjusts the process as needed to keep them relaxed.
Offer soft foods like yogurt or applesauce for a few days.
Monitor to ensure your child doesn't bite their cheek or tongue while numb.
Use a cold compress if mild swelling occurs.
Encourage fun distractions to keep them comfortable during recovery.
Every parent wants their child to grow up with a healthy, happy smile. At Bite Squad Dental of NYC, we treat every little patient as if they were our own. If your child needs a baby root canal, our experts provide gentle care that prioritizes their comfort. Contact our team to schedule your child's consultation at Bite Squad Dental of NYC, located at 2464 Coney Island Ave, Brooklyn, NY 11223. Let us help your child smile brighter!
Board-certified pediatric dentist, Diplomate of the American Board of Pediatric Dentistry
Board-certified pediatric dentist
Call (718) 998-2424 or request an appointment online.
Request a Free ConsultationBite Squad Dental of NYC is located at 2464 Coney Island Avenue, Brooklyn, NY 11223, and we provide gentle baby root canal and pulp therapy for families across Sheepshead Bay, Brighton Beach, Coney Island, Gravesend, Bensonhurst, Midwood, Flatbush, Borough Park, Canarsie, and Bay Ridge. If your child has a toothache, discolored tooth, or signs of infection, our team is here to help.
Worried about your child's tooth?
Call us to schedule a gentle pulp therapy evaluation.
In some cases, the dentist might recommend antibiotics to prevent or treat infection. You should always follow your dentist's instructions.
Dentists often use stainless steel crowns for durability. In some cases, they might use tooth-colored crowns.
Yes, it's a safe and common procedure that preserves the tooth until it naturally falls out.
Sometimes removal is the right call, but a baby tooth holds space for the adult tooth underneath. When a pulpotomy can save it, your child keeps that spacing and avoids problems later. We walk you through both options honestly.
✓ Medically reviewed by Dr. Yury Slepak, DDS, Board-Certified Pediatric Dentist | 20+ Years Experience | Last Updated: June 2026
Medical Disclaimer: This information is provided for educational purposes and is not a substitute for professional medical advice, diagnosis, or treatment. Please schedule a consultation with our team to discuss your individual needs.