A therapeutic pulpotomy, better known as a “baby root canal,” removes part of a tooth’s pulp, the center of the tooth that contains nerves and blood vessels. The part that is removed is inside the crown. This procedure can be done in children’s baby teeth or in young permanent teeth. In baby teeth, the procedure is done to save the primary tooth from needing to be extracted. Extracting a primary tooth before it is ready to fall out can alter the way permanent teeth come in, or lead to spacing issues. If the pulp of a permanent tooth becomes injured or decayed soon after it emerges, the tooth may require root canal treatment. However, root canal treatment is not done until the tooth’s roots are finished growing. In this case, a pulpotomy can be done instead. Root canal treatment can be done after the roots finish developing.