PULPOTOMY


Primary teeth

When the coronal tissue is infected, it can be amputated and the remaining radicular tissue is judged to be intact, or affected but still vital.

A suitable base is applied to the coronal part, and the tooth restored with typically a stainless steel crown. Other restorative techniques such as amalgam (silver filling) or composite (white filling) have not gained clinical success according to research.

Permanent teeth

Pulpotomy is undertaken in permanent teeth when time constraints or economic reasons prevent immediate conventional root canal therapy.

4. Blunt injury to the tooth structure can also cause looseness of teeth.

Partial Pulpotomy for Carious Exposures

In a young permanent tooth for a small carious pulp exposure and the tooth is diagnosed to be vital. If the tooth was having immature roots, after partial pulpotomy it should successfully complete its development.

Partial Pulpotomy for Traumatic Exposures (Cvek Pulpotomy)

it is indicated for a vital, traumatically exposed, primary teeth or young permanent teeth. Traumatic exposure may occur as a result of accidents, sports or any other cause that may lead to fracture and pulp exposure of the tooth.

Electro-surgery pulpotomy

It is known as non chemical devitalization. Its mechanism of action is the cauterization of the pulp tissue. It carburizes heat denaturated pulp and bacterial contamination.

Laser pulpotomy

It is known as non chemical devitalization. Its mechanism of action is the cauterization of the pulp tissue. It carburizes heat denaturated pulp and bacterial contamination.

Laser pulpotomy

This technique overcomes histological effect of electro surgery. It creates superficial zone of coagulation necrosis that remain compatible with underlying tissue& isolate pulp from vigorous effects of the sub-base.

Objectives

1. Maintenance of radicular portion vitality.

2. Clinical and radiographic evaluation should show no complications such as, pain, swelling, internal resorption or abnormal canal calcification.

3. Neither breakdown of the supporting tissue, nor trauma to succedaneous teeth should be detected.

Photogallery

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