DIFFERENCE BETWEEN PULPOTOMY AND PULPECTOMY

M.OwaisFinal year BDS

PULPOTOMY

It is defined as the removal of coronal portion of pulp followed by placement of medicament

INDICATIONS

Large proximal carious lesion with involvement of marginal ridge

No history of spontaneous pain Absence of abscess or fistula Where extraction is contraindicated Vital tooth with healthy peridontium

PROCEDURE

Apply L.A and rubber dam Remove the carious lesion Access the pulp chamber As soon as dip is felt don’t go deep but side

to side to extend roof Remove coronal pulp by round bur or

excavator Apply medicament

Remove cotton pledget and check for excessive haemorrhage

Fill chamber with zinc oxide eugenal Place coronal restoration Place stainless steel crown

MATERIALS USE FOR MEDICAMENT

Formocresol

Ferric sulphate

CONTRAINDICATIONS

Presence of abscess and fistula Radicular pulp involvement Inter radicular bone loss Caries penetrating to floor of pulp chamber

PULPECTOMY

A pulpectomy is a dental procedure in which all of the material in the pulp chamber and root canal of a tooth is removed.

INDICATIONS

Irreversible pulpitis involving both coronal and radicular pulp

Non-vital primary molars or incisors that need to be maintained in arch

Abscessed primary molars Primary molars with radiographic evidence of

furcation pathology

PROCEDURE

CONTRAINDICATIONS

Teeth with non-restorable crowns Extensive pulp floor opening into the

bifurcation Excessive internal resorption Primary teeth with underlying dentigerous or

follicular cysts