Management of Endodontic Emergencies: Pulpotomy Versus Pulpectomy

Recent studies report a 60-82% incidence of endodontic emergencies among all dental emergencies. Within this group, 20-42% of patients seek care for teeth with symptomatic irreversible pulpitis (SIP).

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Additionally, about 60% of SIP patients also complain of symptomatic apical periodontitis (SAP). While pain due to a severely inflamed pulp is characterized by dull, throbbing and lingering pain sensations, it can be spontaneous or in response to an external stimulus, such as hot, cold or chewing.

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This makes SIP the bulk of the emergency cases seen in dental clinics. The goal of management of endodontic emergencies is to quickly and effectively manage pain and infections thereby also minimizing the development of persistent pain and the formation of periapical pathology.

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Pain Post–Root Canal. What should i do?

Pharmacological management such as intramuscular or infiltration injection of ketorolac trimethamine (injectable NSAID) can significantly attenuate pain in patients with moderate to severe pulpal pain over a three-hour tested time or oral administration of ibuprofen sodium dihydrate over a one-hour time period.



Souce: aae.org / American Association of Endodontists (AAE)

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What is pulp therapy? What are the pulp therapies in children?

A good diagnosis of pulp status ensures a successful result of pulp therapy. The pediatric dentist will evaluate all the signs and symptoms that the patient refers, which together with an x-ray will determine the best treatment.

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Pulpotomy and pulpectomy are two of the most used procedures in the dental office. The objective of both treatments is to keep the primary tooth in the mouth and thus the patient does not lose functions such as chewing.


We share with you a video where he explains and defines what pulp therapies are for primary teeth and how they are performed.

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What is the difference between pulpotomy and pulpectomy?

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What is the difference between pulpotomy and pulpectomy?

When the dental caries advances infecting and compromising the dental pulp, it is necessary to carry out one of the two treatments: Pulpotomy and Pulpectomy.

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Both procedures work by removing the dental pulp, either partial or total. To determine the procedure, a clinical and radiographic evaluation must be performed.

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These procedures are common in the dental office, and are performed on teeth that have advanced cavities or that have suffered trauma or blows. We share with you. a video where he defines the procedures and explains the difference of both.

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Pain Post–Root Canal. What should i do?

Endodontics is a specialty of dentistry that is responsible for the prevention, diagnosis and treatment of pulp injuries. The dental pulp can be affected by caries or dental trauma.

The root canal treatment is in charge of eliminating the dental pulp and eliminating the bacteria that are inside the root canal. For the success of the treatment, a good diagnosis and a series of x-rays must be made.

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After the endodontics is finished, a slight pain will likely appear as a result of the treatment. The specialist must attend to these discomforts before carrying out the necessary restorative treatment.

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What causes you to need a root canal? : Signs and Symptoms

When caries initially affects a tooth, it does not generate any type of pain. Pain occurs when the infection begins to progress and compromises the dentin. When the caries reaches the dental pulp, the pain is nocturnal and excruciating.

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Endodontics is the dental specialty that is responsible for removing dental pulp affected by caries. The endodontist must evaluate the symptoms presented by the patient and take an x-ray to confirm his diagnosis.

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It is important that you visit your dentist regularly so that to avoid the presence of cavities, and in case of any pain or discomfort, immediately visit him. The sooner your tooth can be treated, the better the outcome will likely be.

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What is a Root Canal? Everything you need to know

Caries not only affects the structure of the tooth (enamel and dentin), its progress does not stop until it reaches the dental pulp.

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It is just that moment that the pain is intense and leads the patient to a dental consultation. The dentist will perform a clinical and radiological evaluation.

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After reviewing the case, the dentist determines that an endodontic must be performed. What is a root canal? Endodontics is a dental treatment that removes the dental nerve affected by caries or trauma, and cleans the walls of the dental root.

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Root Canal Treatment for children

To perform a root treatment, the morphological characteristics of the primary tooth must be known. Keep in mind that caring for a child is more complex, so a correct anesthesia technique should be performed.


Although the basic aims of endodontic therapy in children are the same as those in adults, ie the removal of infection and chronic inflammation and thus the relief of associated pain, there are particular difficulties and considerations.

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👉 Read and download the full article "Root Canal Treatment for children" in PDF👈

Souce : nature.com
Authors : Carrotte, P. Endodontic treatment for children. Br Dent J 198, 9–15 (2005).

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