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