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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.
1. Isolate the tooth with a rubber dam 2. Perform a pulpotomy procedure. 3. Place the MTA material over the pulp and close the tooth with temporary cement until the apex is completely formed. MTA can be used in a one step or a two step approach. It can be used as a powder or a Wet Mix.
Regenerative endodontic procedures is a new treatment option which must be objectively compared with the longer established, more traditional endodontic treatment procedures for immature teeth, known as apexification procedures. The primary goal of any endodontic therapy is the resolution of infection and the signs and symptoms of inflammation ...
Baby teeth are known as primary teeth or deciduous teeth.Biologically oriented strategies for managing dental decay are considered by their proponents to have advantages for child patients receiving dental care as the techniques are less invasive and often avoid having to use local anaesthesia and drilling.
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 tested.
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]
Nd:YAG dental lasers have been used for the removal of dental caries as an alternative to drill therapy, although evidence supporting its use is of low quality. [25] They have also been used for soft tissue surgeries in the oral cavity, such as gingivectomy, [26] [27] periodontal sulcular debridement, [28] LANAP, [29] and pulpotomy. [30]
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