Pulpotomy and pulpectomy procedures. Indications and Differences

Pulpotomy and pulpectomy are treatments performed on primary teeth that are affected by deep caries and that compromise the dental pulp.

📌 Recommended Article :

VIDEO 🔽 What is the difference between apexogenesis and apexification? ... In the presence of an open apex, apexogenesis (apicoformation) or apexification can be used. Both treatments have differences that will be resolved with the video that we show below.

Clinical and radiological evaluation are necessary to determine appropriate treatment. Pulpectomy is recommended when it is necessary to completely remove the affected dental pulp, and pulpotomy partially removes the dental pulp.

Advertisement

We share the similarities, differences, indications, contraindications and step-by-step procedures of pulpotomy and pulpectomy.

📌 Recommended Article :

Video 🔽 Pulpectomy: Clinical Tips and Tricks in Paediatric Dentistry ... Pulpectomy is performed when there is an infectious process (fistula or abscess), chronic inflammation, or pulp necrosis

📌 Watch video 1 "PULPOTOMY AND PULPECTOMY. DEFINITION.INDICATIONS.CONTRAINDICATIONS."

Youtube / Dr Teeth

📌 Watch video 2 "WHAT IS THE DIFFERENCE BETWEEN A PULPECTOMY AND PULPOTOMY?"

Youtube / Top Doctors UK

📌 More Recommended Items

► Apexogenesis: Step by step procedure
► Pulp Therapy Procedures Manual for Primary and Immature Permanent Teeth
► What is the best pulp dressing for pulpotomies in primary teeth? - Review

What is the best pulp dressing for pulpotomies in primary teeth? - Review

Caries is an infectious process that affects the dental structure and compromises the pulp, putting the vitality and permanence of the tooth at risk. Pulpal therapies in primary dentition have as main objective to maintain the tooth until its natural exfoliation.

Pulpotomy removes the pulp from the pulp chamber and places a dressing to stop bleeding and mummify the entrance to the radicular pulp. This procedure maintains the vitality of the primary tooth.

Advertisement

Different pulp dressings have been used in pulpotomies, each with different characteristics and properties. The article we share compares all pulp dressings to determine which is the most effective.

RECOMMENDED ARTICLE
Pulpotomy Medicaments used in Deciduous Dentition: An Update

👇 READ AND DOWNLOAD THE ARTICLE "What is the best pulp dressing for pulpotomies in primary teeth? - Review" IN PDF 👇


Bossù, M., Iaculli, F., Di Giorgio, G., Salucci, A., Polimeni, A., & Di Carlo, S. (2020). Different Pulp Dressing Materials for the Pulpotomy of Primary Teeth: A Systematic Review of the Literature. Journal of clinical medicine, 9(3), 838. https://doi.org/10.3390/jcm9030838

You may also like :
► Technique for Primary Molar Tooth Pulpotomy
► Pulpectomy, everything you need to know: Diagnosis, indications, and filling materials
► Pulpotomy of Deciduous Molar - Step by step

Manual of diagnosis and pulp treatment in non-vital primary teeth

Non-vital teeth are those whose nerves lack vitality and there is no blood flow inside. This may be due to deep caries or dental trauma that irreversibly affects the dental pulp.

A correct history, clinical and radiographic evaluation is necessary in these cases to determine the appropriate treatment for these cases (dental extraction, pulpectomy, lesion sterilization tissue repair).

Advertisement

We share a guide that helps us identify the signs and symptoms of a non-vital tooth, and evaluates the pulp treatment options in non-vital primary teeth.

RECOMMENDED ARTICLE
Management of acute orofacial infection of odontogenic origin in children - Diagnosis, clinic and pharmacology

👉 READ AND DOWNLOAD "Manual of diagnosis and pulp treatment in non-vital primary teeth" IN FULL IN PDF👈

Coll JA, Dhar V, Vargas K, et al. Use of Non-Vital Pulp Therapies in Primary Teeth. Pediatr Dent 2020;42(5):337-49.

You may also like :
► Pulpectomy, everything you need to know: Diagnosis, indications, and filling materials
► Pulpotomy of Deciduous Molar - Step by step
► Mandibular tumors in pediatric patients. Report of 04 cases of aggressive tumors

Pulpectomy. Step-by-Step Procedure - Access, Preparation, and Obturation

Pulpectomy is a dental treatment performed on primary teeth that removes the dental pulp in its entirety. The objective of this procedure is to maintain the dental piece until its natural exfoliation.

To perform this treatment it is necessary to know the anatomy of the primary teeth, as well as experience in the technique, preparation and filling.

Advertisement

We share the step-by-step procedure of a pulpectomy performed with rotary files. In this video we can observe the opening, chemomechanical preparation and obturation.

RECOMMENDED VIDEO
Pulpectomy, everything you need to know: Diagnosis, indications, and filling materials

You may also like :
► Pulpectomy: Clinical Tips and Tricks in Paediatric Dentistry
► Management of Endodontic Emergencies: Pulpotomy Versus Pulpectomy
► PULPECTOMY procedures in primary molar teeth

Source: Youtube/ AtoZ Kidsdental

Pulp Therapy Procedures Manual for Primary and Immature Permanent Teeth

Pulp treatments in immature primary and permanent teeth aim to preserve the teeth until natural exfoliation. The pulp treatment to be performed will depend on a correct clinical and radiographic evaluation.

The treatment will depend on the vitality of the pulp, in case it is a vital tooth, pulp capping and pulpotomy can be performed. In non-vital teeth, pulpectomies are performed.

Advertisement

We share a complete manual that offers us recommendations for the diagnosis and pulp treatment procedure in vital and non-vital primary and young permanent teeth.

RECOMMENDED VIDEO
Management of Endodontic Emergencies: Pulpotomy Versus Pulpectomy

👉 READ AND DOWNLOAD "Pulp Therapy for Primary and Immature Permanent Teeth" IN FULL IN PDF👈

American Academy of Pediatric Dentistry. Pulp therapy for primary and immature permanent teeth. The Reference Manual of Pediatric Dentistry. Chicago, Ill.: American Academy of Pediatric Dentistry; 2021:399-407

You may also like :
► What is the difference between apexogenesis and apexification?
► Technique for Primary Molar Tooth Pulpotomy
► PULPECTOMY procedures in primary molar teeth

Pulpotomy: Diagnosis, types and procedure

Pulpotomy is a dental procedure that is performed on a primary tooth that is observed through an X-ray that the caries is close to the dental pulp. This treatment can be performed on primary dentition as well as permanent dentition.

During the procedure, the caries and the dental pulp are partially removed, thus maintaining the vitality and permanence of the primary tooth in the mouth.

Advertisement

We share a video that offers us details of the pulpotomy: diagnosis, indications, contraindications, procedure and types of pulpotomy.

RECOMMENDED VIDEO
Pulpectomy, everything you need to know: Diagnosis, indications, and filling materials

You may also like :
► Pulpectomy, everything you need to know: Diagnosis, indications, and filling materials
► Pulpotomy Medicaments used in Deciduous Dentition: An Update
► Technique for Primary Molar Tooth Pulpotomy

Source: Youtube/ Toothism

Apexogenesis: Step by step procedure

Apexogenesis is a dental treatment that is performed on immature and vital permanent teeth. The objective of this treatment is to allow root growth and apical closure of the tooth.

Apexogenesis is performed on immature teeth with open apices that are affected by caries, trauma, or fractures with pulp exposure. Follow-up and clinical controls are recommended.

Advertisement

We share a video that explains everything about apexogenesis: definition, indications, contraindications and the step-by-step procedure.

RECOMMENDED VIDEO
Pulpotomy Medicaments used in Deciduous Dentition: An Update

You may also like :
► Pulpectomy, everything you need to know: Diagnosis, indications, and filling materials
► Pulpotomy of Deciduous Molar - Step by step
► Technique for Primary Molar Tooth Pulpotomy

Source: Youtube/ Toothism

Pulpectomy, everything you need to know: Diagnosis, indications, and filling materials

Pulpectomy is a dental procedure that is performed on primary teeth that are affected by an infectious process that totally compromises the dental pulp.

Pulpectomy removes all the dental pulp that is infected or affected by dental trauma. At the time of performing this procedure, a correct clinical and radiographic evaluation is necessary.

Advertisement

The video that we share details everything related to pulpectomy: diagnosis, indications and contraindications, procedure, recommended filling materials, and the importance of post-treatment follow-up.

RECOMMENDED VIDEO
Pulpectomy: Clinical Tips and Tricks in Paediatric Dentistry

You may also like :
► Management of Endodontic Emergencies: Pulpotomy Versus Pulpectomy
► What is pulp therapy? What are the pulp therapies in children?
► Root Canal Treatment for children

Source: Youtube/ Toothism

Virtual library - Pulp therapy in Pediatric Dentistry

The goal of pulp therapy treatment is to keep the primary teeth healthy until the exfoliation stage. In this way, occlusion is preserved, premature loss of space in the jaws is avoided, and chewing or phonation is not affected.

The dental pulp can be affected by an infectious process or by dental trauma, and the pediatric dentist determines what treatment to carry out after a clinical and radiographic evaluation.

Advertisements

We share a series of articles and videos that show us the different treatments performed on primary teeth (pulpotomy and pulpectomy).

🎯 Scientific Articles, PDF Articles, Videos and more below

► Pulpectomy: Clinical Tips and Tricks in Paediatric Dentistry

► What is the difference between pulpotomy and pulpectomy?

► An update on primary teeth pulpotomy medicaments

► Root Canal Treatment for children

► Use of Vital Pulp Therapies in Primary Teeth with Deep Caries Lesions

► Management of Endodontic Emergencies: Pulpotomy Versus Pulpectomy

► Dental Treatment: Vital Pulp Therapy for Primary Teeth

► What is the difference between apexogenesis and apexification?

► PULPECTOMY procedures in primary molar teeth

► Pulp Cap and Pulpotomy in Pediatric Trauma Cases

Pulp Cap and Pulpotomy in Pediatric Trauma Cases

Dental trauma can affect the tooth at different levels, even leading to the total loss of the tooth. When the trauma affects the dental pulp, the case should be evaluated to determine what treatment should be performed.

When the dental pulp is compromised by a lesion, a pulpectomy, pulpotomy or pulp capping can be performed. The objective of these treatments is to keep the primary tooth in the mouth.

We invite you to our English-only dental publishing groups

🎯 WhatsApp Group All Odontology
🎯 Telegram Group All Odontology
🎯 Facebook Group All Odontology

We share a video where Dr. Joe Camp explains the importance of pulp capping and pulpotomy in primary teeth that have suffered dental trauma.

Advertisement

We share an interesting video that shows us how to perform a pulpotomy step by step, indicating the materials and the steps that we must follow.

RECOMMENDED VIDEO
Technique for Primary Molar Tooth Pulpotomy

You may also like :
► Pulpotomy Medicaments used in Deciduous Dentition: An Update
► What is the difference between pulpotomy and pulpectomy?
► An update on primary teeth pulpotomy medicaments

Source: Youtube/ Dentsply Sirona Endodontics EE. UU., CA

Pulpotomy of Deciduous Molar - Step by step

Pulpotomy is the dental treatment that is responsible for partially removing the dental pulp affected by caries or dental trauma. Unlike the pulpectomy that completely removes the dental pulp.

We invite you to our English-only dental publishing groups

🎯 WhatsApp Group All Odontology
🎯 Telegram Group All Odontology
🎯 Facebook Group All Odontology

To carry out this treatment, a clinical and radiographic evaluation must be carried out to know what the level of involvement of dental caries is. Once this treatment is finished, the restoration of the tooth must be carried out.

Advertisement

We share an interesting video that shows us how to perform a pulpotomy step by step, indicating the materials and the steps that we must follow.

RECOMMENDED VIDEO
Technique for Primary Molar Tooth Pulpotomy

You may also like :
► Pulpotomy Medicaments used in Deciduous Dentition: An Update
► What is the difference between pulpotomy and pulpectomy?
► An update on primary teeth pulpotomy medicaments

Source: Youtube/ QMUL Institute of Dentistry

Why does pulpitis happen? - Symptoms and treatment

The tooth contains in its interior a soft tissue formed by the dental nerve and blood vessels, and its function is to provide vitality to the tooth. When the dental pulp becomes inflamed it is known as Pulpitis.

We invite you to our English-only dental publishing groups

🎯 WhatsApp Group All Odontology
🎯 Telegram Group All Odontology
🎯 Facebook Group All Odontology

Pulpitis presents a series of symptoms, the most significant being pain when chewing and in other cases spontaneous pain. Dental evaluation is necessary to determine treatment.

Advertisement

We share a video that explains what the symptoms of pulpitis are, as well as what its treatment and pathology are.

RECOMMENDED VIDEO
Pulpectomy, everything you need to know: Diagnosis, indications, and filling materials

You may also like :
► Root Canal Treatment Procedure - Step by step
► Pain Post–Root Canal. What should i do?
► Pulpectomy: Clinical Tips and Tricks in Paediatric Dentistry

Source: Youtube/ Ósmosis

Dental Treatment: Vital Pulp Therapy for Primary Teeth

Caries affects the dental pulp in different ways, from mild reactions to pulp necrosis. In pediatric dentistry, different techniques are used to maintain the functions and vitality of the tooth.

We invite you to our English-only dental publishing groups

🎯 WhatsApp Group All Odontology
🎯 Telegram Group All Odontology
🎯 Facebook Group All Odontology

The anatomical characteristics of primary teeth are different from permanent teeth. It is important to know these differences when performing any dental procedure.



We shared a webinar on new pulp treatment techniques in primary teeth, led by dr. Carla Cohn DMD.

RECOMMENDED VIDEO
Pulpectomy: Clinical Tips and Tricks in Paediatric Dentistry

You may also like :
► Technique for Primary Molar Tooth Pulpotomy
► Root Canal Treatment for children
► Root Canal Treatment Procedure - Step by step

Source: Youtube/ Catapult Education

Use of Vital Pulp Therapies in Primary Teeth with Deep Caries Lesions

When a primary tooth is affected by deep caries, three treatments can be chosen: indirect pulp treatment (IPT), direct pulp cap (DPC); and pulpotomy. Keeping the primary teeth in the oral cavity is the main objective of pulp treatments.

We invite you to our English-only dental publishing groups

🎯 WhatsApp Group All Odontology
🎯 Telegram Group All Odontology
🎯 Facebook Group All Odontology

The AAPD (American Academy of Pediatric Dentistry) presents a guide to pulp treatment in pediatric dentistry, with the aim of optimizing treatment care and results.

Advertisement

For this, several interventions were evaluated on the primary dental pulp, with different materials such as: MTA, formocresol, ferric sulfate, sodium hypochlorite, calcium hydroxide, etc.

RECOMMENDED VIDEO
Root Canal Treatment for children

👉DOWNLOAD AND READ THE FULL ARTICLE "Use of Vital Pulp Therapies in Primary Teeth with Deep Caries Lesions" IN PDF👈

You may also like :
► Technique for Primary Molar Tooth Pulpotomy
► Pulpectomy: Clinical Tips and Tricks in Paediatric Dentistry
► What is the difference between pulpotomy and pulpectomy?

Do Root Canal Treated Teeth Darken?

The gray tooth is a frequent cosmetic problem in the consultation, and many times a tooth with endodontics takes that shade. But we must be clear when saying that endodontics does not turn the tooth gray, but the errors that the operator makes during the endodontic procedure.

We invite you to our English-only dental publishing groups

🎯 WhatsApp Group All Odontology
🎯 Telegram Group All Odontology
🎯 Facebook Group All Odontology

The most common mistake is to leave remains of the dental pulp (dental nerve), and these remains disintegrate and their components flow into the dentin tubules causing grayish pigmentation.

Advertisements


We share a video from the RealWorld Endo channel, which answers the question: Do Root Canal Treated Teeth Darken ?

RECOMMENDED VIDEO
Why Root Canals Fail

You may also like :
► What is a Root Canal? Everything you need to know
► Root Canal Treatment for children
► Pain Post–Root Canal. What should i do?

Source: Youtube/RealWorld Endo

A Review on Vital Pulp Therapy in Primary Teeth

Pulp therapy in pediatric dentistry is responsible for treating the neurovascular bundle of a tooth that has suffered some trauma or an infectious process. The objective of the treatment is to maintain the primary tooth until its natural exfoliation, avoiding problems of malocclusion and dental malposition.

We invite you to our English-only dental publishing groups

🎯 WhatsApp Group All Odontology
🎯 Telegram Group All Odontology
🎯 Facebook Group All Odontology

The success of the treatment is based on an early diagnosis and an efficient treatment. Currently we can find biocompatible materials that ensure good treatment.

Advertisement

Within pulp therapy we can find treatments such as pulpectomy pulpotomy and pulp coverings. The choice of each of them depends on the clinical and radiographic evaluation of the dentist.

RECOMMENDED VIDEO
Preparation of stainless steel crown for the rehabilitation of primary molars

We share a work that reviews and discusses the new concepts in the preservation of dental pulp, as well as the new biomaterials for these treatments that aim at the induction of dentin formation.

👉DOWNLOAD AND READ THE FULL ARTICLE IN PDF👈

You may also like :
► Pediatric Zirconia Crown Technique - Anterior and Posterior
► Preformed crowns for decayed primary molar teeth (Review)
► Crowns in Pediatric Dentistry: A Review