Rate this article! Pulpotomy and Pulpectomy in Children When the nerve or pulp tissue of a primary or permanent tooth is infected, it needs to be treated to prevent a dental abscess and loss of the tooth. The two methods of treating infected dental nerve tissue are the pulpotomy and pulpectomy. The ultimate objective of these procedures is to save the tooth, so that it will maintain the integrity and function of the dental arch.

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The most essential difference between the two is that pulectomy removes tissue from the pulp chamber AND the root canal system of the tooth, while pulpotomy focuses solely on tissue in the pulp chamber.

These two procedures are the preferred treatments for both symptomatic irreversible pulpitis SIP and symptomatic apical periodontitis, in children. It is important to be able to distinguish which treatment is needed because it can have a profound impact on the maturation of the tooth.

Diagnostic Criteria As mentioned, symptomatic irreversible pulpitis and symptomatic apical periodontitis are the most common reasons for pulectomy or pulpotomy. Here is a brief definition of the diagnostic terms: Symptomatic Irreversible Pulpitis SIP — This occurs when there is evidence that decay has caused the vital inflamed pulp to be incapable of healing. However, the inflammation has not yet reached the periapical tissues.

Both SIP and SAP involve symptoms that may include pain upon thermal stimulus, and possibly pain accentuated by postural changes, such as lying down or bending over. However, patients with SAP will experience pain during percussive activities, like biting, whereas patients with SIP will not. The similarities between the two make it difficult to diagnose, and radiographic evaluation may be inconclusive, which may lead to over treatment.

Pulpotomy Pulpotomy is a potential treatment method for emergency cases of SIP due to caries, large restorations, cracked tooth syndrome or trauma. The procedure requires adequate removal of the inflamed pulp tissue, leveling at the canal opening followed by placement of Mineral Trioxide Aggregate MTA directly on the exposed pulp tissue. After emergency pulpotomy takes place, the patient will need endodontic follow up, to monitor healing.

The procedure requires the removal of all tissue within the pulpal area, as well as in the root canals. The resulting space is then filled with special, medicated, dental materials, which while fill not allowing further maturation restore the tooth to its normal function. It should be noted that in many cases this procedure can be replaced with traditional root canal therapy. If you have questions about what treatment is best us call and talk to one of our doctors.

About Professional Endodontics Professional Endodontics has been exceeding the standard of care in Wayne and Macomb counties for over 50 years. The team specializes with treating issues with the inside of the tooth and goes out of its way to provide a safe easy environment for patients. Each member of the practice is dedicated to providing excellence in patient care and values high-quality relationships with referring dentists and specialists.

Each endodontist at Professional Endodontics has been individually chosen as Best Dentists. Thanks to contemporary advances in endodontics, Professional Endodontics is able to use innovative technology to treat and save teeth that have suffered damage to the soft tissue within the roots of the tooth. Professional Endodontics now offers three state-of-the art facilities in Clinton Township, St. Clair Shores, and a fully renovated Southfield location in the Comerica Tower.

All locations offer the latest in advanced dental deliver systems, microscopy, and digital radiography.

Professional Endodontics.

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Pulpotomy Pulpotomy A pulpotomy is a type of root canal procedure. Read on to learn when a dentist or endodontist may recommend a pulpotomy procedure. Pulpotomy for a Baby Tooth A dentist may recommend a pulpotomy when a deep cavity irritates, inflames, and infects the pulpal tissue. A pulpotomy is common in baby teeth. First, a dentist removes the decay and also the top part of the pulp chamber. Then, the dentist applies a medication to the remaining pulp and fills the open chamber will a special type of filling. A pulpotomy allows the baby tooth to stay in place and function properly until the permanent tooth is ready to erupt.


Pulpotomia y pulpectomía

Has your child complained of pain or sensitivity? Does your child have deep cavities? Is their existing dental work starting to show staining around the edges of the restoration? While none of these immediately mean a pulpotomy is necessary, the chances it being the treatment of choice is very high. Once a baby tooth is infected with bacteria, the only way to remove it is by removing the decay that is infecting the pulp nerves and blood supply to the tooth. In baby teeth, if we catch the disease early enough we can do a fairly quick procedure to save the tooth, and only some of the pulp has to be removed the top part. Pulpotomies and pulpectomies are very similar.


Pulpotomy / Pulpectomy

Objectives[ edit ] In primary tooth[ edit ] After the pulpotomy treatment, the radicular pulp should remain asymptomatic without any adverse clinical signs or symptoms such as sensitivity, pain, or swelling. From the radiographs, there should be absence of postoperative evidence of pathologic root resorption. There should be absence of clinical signs of infection and inflammation and no harm to the succedaneous tooth. For example, the aspects we considered are the extension of caries in the primary tooth, and the development of the succedaneous permanent tooth.


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