Pulpotomy

INTRODUCTION 2

The conservation of primary teeth in form and function until their normal exfolia-tion is one
of the fundamental objectives of pediatric dentistry.

In asymptomatic primary teeth with deep carious lesions

approximating the pulp, the coronal pulpotomy is one of
the most common ways of achieving the goal of tooth
preservation.

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 INTRODUCTION 3

The objective of the pulpotomy technique is to remove the

affected coronal pulp tissue so that the unaffected
radicular pulp tis-sue can continue to function
normally until the tooth is ready to exfoliate
naturally.

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 4

A pulpotomy is
a dental procedure that treats infected baby (primary) teeth in
children. This type of infection happens when tooth decay reaches the
pulp inside the tooth. During a pulpotomy, the pulp of the tooth in the
crown (the part of the tooth that is visible) is removed and the pulp in
the root canal is left intact.

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 RISKS AND CONTRAINDICATIONS 5

A pulpotomy is
very safe procedure and there are no serious risks associated with it.
Pulpotomies should not be performed if the pulp in the root (the
radicular pulp) is not vital. That means that the pulp there should not
be infected and should still be healthy at the time of the procedure.

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BEFORE THE PROCEDURE
SLIDE 6
Here is how to prepare:

Timing: A pulpotomy can take anywhere

from 30 to 45 minutes, and in some cases,
slightly longer.
Location: The procedure will take place in
the dentist’s office.
What to wear: Since it’s a dental
procedure, your child can wear any
clothing that feels most comfortable for
them.
What to bring: If your child has one, you
can bring along an item that’ll be sure to
comfort them after the procedure.
 POST-PROCEDURE 7

Your child may experience some pain and/or swelling after the procedure. The healthcare
provider will likely prescribe pain medication to help with this.

After the Procedure

Your healthcare provider will likely give you instructions on the kinds and
temperatures of food your child can eat for the days immediately
following the procedure. Your healthcare provider will also likely instruct
that your child avoid eating candy or other sticky foods until the
stainless steel crown used to restore the teeth falls out by itself.

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PULPOTOMY MATERIALS IDEALLY
SLIDE 6 a pulpotomy medicament should be
bactericidal, easy to use, harmless to
the remaining pulp tissue and the
surrounding structures, should not
inter-fere with physiologic root
resorption, and should be relatively
inexpensive . Needless to say, the
ideal dressing material has not been
found, and studies are constantly
being conducted in both
endodontics and pediatric dentistry
to find such a product. Pulp
exposed prior to de-roofi ng the
pulp chamber, Root canal orifices
showing vital tissue after hemostasis.
 PULPOTOMY VS. PULPECTOMY 10

These dental procedures sound similar, but they are done for different
reasons. Whereas a pulpotomy involves the partial removal of a tooth's
pulp, a pulpectomy involves the complete removal of pulp tissue in a tooth
as the first step in root canal treatment.

vs
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 Dentists recommend root canal treatment 11

AFTER DETERMINING A TOOTH'S PULP HAS DIED OR BECOME INFECTED.

ROOT CANAL THERAPY INVOLVES REMOVING ALL OF THE DISEASED

PULP, BOTH IN THE CROWN PORTION OF THE TOOTH AND THE ROOTS.
DAMAGE TO THE PULP MAY BE DUE TO TRAUMA, DEEP DECAY OR A
CRACKED TOOTH THAT LEAVES THE PULP VULNERABLE.

WHEN BACTERIA REACH THE PULP, INFECTION CAN FORM AN ABSCESS

AND SPREAD INTO THE SURROUNDING BONE. WHEN THIS HAPPENS,
THE ONLY ALTERNATIVE TREATMENT TO A PULPECTOMY AND ROOT
.CANAL IS TOOTH REMOVAL

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 …FINALLY
SLIDE 6
Preventing the Need for Pulpal Therapy
Preventing the
Need Accidents that cause trauma to a tooth
for may be out of your control, but
preventing cavities is something you and
Pulpal Therapy your family can do.
Limit the decay-causing bacteria in your
mouth by brushing twice a day with
fluoride toothpaste, flossing daily and
swishing with a mouthwash.
Keep regular dental visits so your dentist
can find problems early, when a small
filling may be all that is needed.

18.12.2022
AT THE END 13

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 References
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