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Pulpotomy is a minimally invasive procedure performed in children on a primary tooth with extensive caries but without evidence of root pathology. [1] The minimally invasive , endodontic techniques of vital pulp therapy (VPT) are based on improved understanding of the capacity of pulp tissues to heal and regenerate plus the availability of ...
This procedure, called a "pulpotomy", tends to essentially eliminate all the pain. A pulpotomy may be a relatively definitive treatment for infected primary teeth. The pulpectomy and pulpotomy procedures aim to eliminate pain until the follow-up visit for finishing the root canal procedure.
It has better pulpotomy outcomes than calcium hydroxide or formocresol, and may be the best known material, as of 2018 data. [1] For pulp capping, it has a success rate higher than calcium hydroxide, and indistinguishable from Biodentin. [2] MTA, when mixed with water, forms a calcium silicate hydrate gel which contains calcium hydroxide.
It is used for vital pulpotomy of primary teeth and as a temporary intracanal medicament during root canal therapy. Buckley's solution is a 20% form of formocresol, diluted with glycerine and distilled water. [2] The use of formocresol in pediatric dentistry has been deprecated, and ferric sulfate suggested as a substitute. [3]
Other non-surgical endodontic procedures include pulp capping, pulpotomy, apexification, and pulpal regeneration. Hemisection , where a root and its overlying portion of the crown are separated from the rest of the tooth and optionally removed, is another (non-periradicular) endodontic surgery.
Regenerative endodontics is founded by the seminal work by Dr. Ostby in the early 1960s. He hypothesized that the presence of blood clot within the root canal promotes healing of the pulp, hence maintaining the vitality of the pulp.
Perform pulpotomy with MTA using a modified Cvek technique [4] For teeth with normal pulp and mature apex, reduce the opposing occluding tooth. [4] Reinforce the tubercle by applying flowable composite. [4] [2] Occlusion, restoration, pulp and periapex assessment should be done yearly. [4]
The remaining radicular pulp is treated with a medicament. Pulpotomy is the most frequently used vital pulp therapy technique for deep dental caries in primary teeth. Medicaments used in pulpotomy include commonly formocresol, MTA and ferric sulfates and less commonly sodium hypochlorite, calcium hydroxide, and tricalcium silicate. [6]