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Visual of tooth decay. 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 advanced endodontic materials.
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.
The setting time of biodentine is shorter as compared with that of MTA, In conclusion, this material is clinically indicated for permanent dentin substitute, direct and indirect pulp capping, pulpotomy, repair of furcation and root perforations, retrograde root-end filling, and apexification. [7]
Medicaments used in pulpotomy include commonly formocresol, MTA and ferric sulfates and less commonly sodium hypochlorite, calcium hydroxide, and tricalcium silicate. [6] Pulpectomy is a treatment performed on a primary tooth with extensive decay and involving pulp in the root canal (radicular pulp with irreversible pulpitis or necrosis). The ...
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]
Dental pulpal testing is a clinical and diagnostic aid used in dentistry to help establish the health of the dental pulp within the pulp chamber and root canals of a tooth. . Such investigations are important in aiding dentists in devising a treatment plan for the tooth being test
For teeth with inflamed pulp and immature apex, shallow MTA pulpotomy could be performed and then restore with glass ionomer and composite. [4] For teeth with necrotic pulp and mature apex, conventional root canal therapy could be done and restored. [4] For teeth with necrotic pulp and immature apex, MTA root-end barrier could be carried out.