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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.
This study was conducted on 6–18 year-old patients, while a comparable study conducted on mature permanent teeth found success rates of 84.6% using MTA and 92.3% using Biodentine. [35] Calcium hydroxide has also been tested on its use in indirect pulp capping and was found to have a success rate of 77.6%, compared to a success rate of 85.9% ...
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 ...
97% success rate [28] Very low failure rate; Does not require local anesthetic or tooth removal (drilling) Lifespan is the same as that of an intact primary tooth/durability; Provide protection to the residual tooth structure that may be weakened; The technique sensitivity or the risk of making errors during application is low [29]
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