Confident young child smiling brightly in Greater St. Louis.

Gentle, Stress-Free Pulpotomy Care for Children

At Gateway Little Smiles, we understand that a pulpotomy in Greater St. Louis may seem daunting for children and parents. That's why we prioritize comfort and clarity every step of the way, ensuring your child's dental health is maintained without unnecessary stress.

A pulpotomy is a common pediatric dental treatment designed to save a tooth affected by decay or injury while preserving its healthy structure. This restorative procedure is often called a “baby root canal” because it involves treating the inner part of the tooth, specifically the pulp, which contains nerves and blood vessels. Unlike a complete root canal, a pulpotomy focuses on removing the damaged or infected portion of the pulp while leaving the healthy part intact. This approach ensures the tooth can continue to function properly while minimizing discomfort and avoiding further complications.

The Pulpotomy Procedure  

The pulpotomy procedure preserves as much of the healthy tooth as possible. After numbing the tooth and surrounding area for comfort, our skilled dentists, Dr. Corey Hastings or Dr. Ashley (for Collinsville patients), begin by accessing the tooth’s pulp chamber. We will gently remove the infected or damaged portion of the pulp, leaving behind the healthy tissue.  

Once we clean the pulp, we apply a medicated filling to soothe the remaining healthy pulp tissue and prevent the spread of decay or infection. We will seal the tooth and often cover it with a crown to provide additional protection and restore its shape and function. This comprehensive approach ensures that your child’s natural tooth can remain in place until a permanent tooth naturally replaces it.  

Our dental offices are equipped with advanced technology, such as digital X-rays, which give us precise images of your child’s teeth and accurately diagnose the need for a pulpotomy. This technology helps us provide the best care possible while minimizing radiation exposure.  

Why Choose a Pulpotomy?  

A pulpotomy is an effective solution for stopping the spread of decay and avoiding the need for tooth extraction. Tooth removal can lead to alignment issues as neighboring teeth shift into the space. By preserving the natural tooth through a pulpotomy, we can help maintain your child’s bite alignment and oral health.  

This procedure is especially beneficial for baby teeth and is essential for guiding permanent teeth into proper positions. Saving the baby tooth allows your child to chew, speak, and smile confidently. A pulpotomy resolves pain caused by infection and prevents future dental complications, ensuring a healthier, happier smile for your child.  

At Gateway Little Smiles, we specialize in working with young children, creating a warm, friendly environment that makes every visit as pleasant as possible. Whether your child is experiencing tooth pain or you’re seeking preventive care, we’re here to provide expert guidance and treatment.  

Why Choose Gateway Little Smiles for Pulpotomy in Greater St. Louis?  

At Gateway Little Smiles, we go above and beyond to make your child’s dental experience comfortable and stress-free. With locations serving families across the area, our team of highly skilled dentists offers compassionate care tailored to your child’s needs. If you’re seeking a pulpotomy in Greater St. Louis, Dr. Corey Hastings and Dr. Ashley are here to provide the expert care your child deserves.  

We understand that visiting the dentist can sometimes feel overwhelming, which is why we’ve designed our offices to include amenities that make the experience enjoyable for kids and convenient for parents. Your child can enjoy streaming services, headphones, or toys during exams. Our offices even feature a fun gumball machine with prizes to bring a smile to your little one’s face after their appointment!  

Additionally, we offer flexible financing through CareCredit, making it easier for families to access the care they need while staying within their budget. Our commitment to advanced technology, like digital X-rays, ensures precise, efficient, and safe diagnoses for your child’s dental health needs.  

Gateway Little Smiles is the trusted choice for expert pediatric dental care for families in Greater St. Louis and beyond. Schedule your child’s appointment today and experience the difference our dedicated team can make in your child’s smile!

Turning 1? Time to come!

When Should Kids See a Pediatric Dentist?

The American Academy of Pediatric Dentistry recommends a child’s first dental visit by age one or when the first tooth appears.

Early visits help:

  • prevent cavities
  • establish healthy oral habits
  • make dental visits feel normal and comfortable


Kids who visit the dentist early grow up with healthier habits and feel more comfortable with their dentist! If your child has celebrated their first birthday, they’re ready for a visit to Gateway Little Smiles!

We Have Three Convenient Locations!

At Gateway Little Smiles, the office amenities include TVs with streaming services, headphones for a personal experience, a variety of toys for fun breaks, a gumball machine with exciting prizes, and thoughtful goodie bags to make every day a little brighter.

Smiling child in outdoor setting symbolizing healthy smiles in Greater St. Louis.

We Love Our Patients!

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Jimmy Wilson
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Dr. Ashley and Ms. Teressa had me and my two kids in & out, with a quick but comprehensive appointment. Thank you!
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Chelsea Brown
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There so amazing
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AFineMess
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More than happy with all staff! They go above and beyond every day, and it shows!
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Randy Reitz
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Took my grandkids to this office today and was totally impressed with the service. Teressa, Zoe and Dr. Ashley were all kind, attentive and informative of their needs. It was a great experience.
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Alexandra Hurtado
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My daughter’s first dental appointment and we both had a great experience! Zoe was SO kind and made the experience less scary for my daughter and Dr. Culver was very knowledgeable and gentle with her as well! The entire office staff was really nice and welcoming. Definitely recommend for your little ones :)
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Grelissa Baker
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I love Gateway Little Smiles. Dr. Ashley was very patient, fun and personable.
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Kyesha Wilson
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I gave this place of business a 5 star because they are pretty awesome! However what i experienced today was a bit confusing. I took my 7 yr old for tooth extraction (first time ever getting a tooth pulled) when they came out to get him I was instructed to stay in waiting area..I proceed to ask why and was told “we try to do things without the parent “ now if you’re teaching independence I get it but, explain that to the parent and give them that option still . Mind you there were 3 parents after me that went back with their children , My son went back without me and ended up soiling himself which has never happened (he’s 7). I was not pleased, he told me beforehand that he was scared. Will I still recommend this place? Absolutely! But I will be verbal next time about going back with my son. I do want to mention I spoke to the front desk about it and she offered for me to go back but my attitude wasn’t in the right place. I believe if I went back with him he would have never peed himself.
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Nicole Picotte
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They are so great with kids! Even when my daughter was scared they made her feel better!
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Reva Reeder
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We absolutely love going here!