Smiling Little Boy in Dental Chair Pulpotomy/

Inside a tooth, under the enamel and dentin, lies the nerve, or pulp. If this delicate nerve dies due to decay or trauma (like getting hit by a baseball or hockey puck) the nerve may become compromised and die. When this happens, a pulpotomy or a pulpectomy may be done to save the remaining tooth structure.


A pulpotomy removes a portion of the diseased nerve from the top (or crown) of the tooth in hopes that the nerve will heal itself without the need for a complete root canal.


A pulpectomy, or root canal therapy, is slightly more involved, requiring the removal of the entire nerve from the both the crown and root(s) of the tooth, followed by the shaping the canals and putting a rubbery material called gutta percha in its place, to not only maintain shape and stability in the root of the tooth, but to also seal the end of the root from bacteria within the mouth.


Both procedures can be done on baby and permanent teeth.  The need for one procedure over the other depends on a few factors including the extent of the decay and/or trauma done to the tooth, time available during the visit and the long-term prognosis of the tooth overall.


After the procedure is finished and no symptoms remain, a filling or a stainless-steel crown may be placed to protect the tooth.

Our Services


Your journey to a dream smile begins with the Invisalign experts here at 425 Dental. Read more

Cosmetic Dentistry

Smiles matter, probably more than we realize. Volumes of research confirm the influential role of smiles on our relationships and our self-esteem. Read more

Sleep Apnea

We're concerned about the overall health of our patients, including their sleep health. Read more

Sport Dentistry & Mouthguards

Did you know that over 5 million teeth are knocked out in the US every year? Read more


Our goal is for our patients to experience the least amount of dental treatment possible. Read more

Cleaning and Prevention

A focus on preventive dentistry helps you maintain the highest standard of oral health while limiting dental expenditures. Read more

Composite Fillings

Cavities and small fractures leave many teeth with defects that progress over time if untreated. Read more


At 425 Dental in Issaquah, WA, you'll discover dental care at the highest level possible. Read more

Nutrition and Oral Health

People often say to “watch what you eat” to keep a healthy body. But what you eat doesn’t just affect your physical appearance. Read more

Sedation Dentistry

As the mild form of sedation offered in our office, the administration of laughing gas is available to combat anxiety... Read more


Despite your best efforts, teeth sometimes need to be removed to protect your health. Read more

Pulpotomy / Pulpectomy

Inside a tooth, under the enamel and dentin, lies the nerve, or pulp. Read more

Root Canals

Toothaches provide a vivid reminder that teeth aren't just inert pieces of hard tissue floating in the gums. Read more

Teeth Grinding

Under normal circumstances, your teeth should only contact for about 5 minutes each day. Read more


A long-lasting choice, implant-supported dentistry brings you as close to growing new teeth as possible. Read more

Gum Grafting

Good News! You don’t have to compromise on your health or your smile. Read more

Emergency Dental Care

Dental emergencies are never fun – or convenient. But we’re here to help in your time of need. Read more

Pregnancy & Dental Care

Dental care and proper brushing is even more important when you are expecting. Read more

Request an Appointment

The first step toward achieving a beautiful, healthy smile is to schedule an appointment.