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.

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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.

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

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

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

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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.

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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.

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👇 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

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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.

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

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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.

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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.

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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.

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Pulpotomy Medicaments used in Deciduous Dentition: An Update

The aim of this paper was to review the history and the scientific literature published on pulpotomy medicaments and to present the findings of these studies.

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The review showed that pulpotomy of primary teeth has been treated with many different techniques and medicaments, that some of these approaches are controversial and that their results have presented variables of success rates in term of clinical, radiographic and histologic observation.

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It is important that all clinicians, particularly for pediatric dentists, be up to date with the recent trends in this area of dental treatment for children. Vital pulpotomy is the clinical treatment of choice for primary teeth with exposed pulp. Pulpotomy can be defined as the surgical removal or amputation of the coronal pulp of the vital tooth.

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This step is generally followed by the placement of a particular medicament over the intact stump to fix, mummify or stimulate repair of the remaining radicular pulp.



Souce / Author: Al-Dlaigan YH. Pulpotomy Medicaments used in Deciduous Dentition: An Update. J Contemp Dent Pract 2015;16(6):486-503.

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Technique for Primary Molar Tooth Pulpotomy

Pulpotomy is a treatment performed on deciduous teeth, when caries has generated an infection that compromises the dental pulp and the integrity of the tooth.

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The treatment of dental pulp is not only carried out when there is caries, it is also carried out when the tooth is blown. Pulpotomy is one of the most frequent procedures performed in dental practice.

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In pulpotomy, the dental pulp must be partially removed, this treatment is performed under local anesthesia. We invite you to watch this video where the procedure of a pulpotomy is exposed.

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An update on primary teeth pulpotomy medicaments

The aim of this paper was to review the history and the scientific literature published on pulpotomy medicaments and to present the findings of these studies.

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The review showed that pulpotomy of primary teeth has been treated with many different techniques and medicaments, that some of these approaches are controversial and that their results have presented variables of success rates in term of clinical, radiographic and histologic observation.

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It is important that all clinicians, particularly for pediatric dentist, be up to date with the recetn trends in this area of dental treatment for children.

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Vital pulpotomy is the clinical treatment of choice for primary teeth with exposed pulp. Pulpotomy can be defined as the surgical removal or amputation of the coronal pulp of the vital tooth.



Souce: The Journal of Contemporary Dental Practice
Author: Yousef H Al-Dlaigan

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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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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?

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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