What is the difference between pulpotomy and partial pulpotomy?

In a complete pulpotomy, the operator removes all of the pulpal tissue in the chamber as if all the tissue was damaged. Employing currently available techniques and medica- ments, the partial pulpotomy technique is a worthy alternative, particularly for immature permanent teeth with exposed vital pulps.

What is coronal pulpotomy?

Coronal pulpotomy is the treatment indicated in immature teeth with pulpal inflammation. The primary objective of pulpotomy is to preserve radicular pulpal tissues that may help to complete apexogenesis in immature permanent teeth.

What is partial pulpotomy?

Pulp tissue will be removed till the level of canal orifices. Active Comparator: Partial Pulpotomy. In case of partial pulpotomy procedure the exposed pulp tissue will be amputated using a sterile bur in the high speed hand piece to a depth of 2-3 mm. Procedure: Pulpotomy up to superficial 2-3 mm of pulp chamber.

How is hemorrhage controlled when coronal pulp is removed in pulpotomy?

The most widely used method to control bleeding during pulp therapy is to apply slight mechanical pressure with a cotton pellet wetted with saline over the pulp exposure. Hydrogen peroxide and anesthetic solutions containing epinephrine have also been used to this end.

What are the indications for pulpotomy?

17 • Indications: The pulpotomy procedure is indicated when caries removal results in pulp exposure in a primary tooth with a normal pulp or reversible pulpitis or after a traumatic pulp exposure,7 and when there are no radiographic signs of infection or pathologic resorption.

What is the purpose of a pulpotomy?

Sometimes referred to as a baby root canal or a partial root canal, a pulpotomy aims to save a tooth that is infected on the inside – the part known as the dental pulp.

How do you remove coronal pulp?

Pulpotomy is the term for removal of the coronal pulp with the intent of maintaining the vitality of the remaining radicular pulp tissue. Pulpotomy techniques using formocresol on primary teeth have been a standard in pediatric dentistry for decades.

What is MTA pulpotomy?

MTA may be used as an alternative pulpotomy agent in immature teeth with pulp exposure to stimulate pulp healing with dentin bridge formation and complete root formation. But, discoloration following MTA pulpotomy appears as a major clinical complication.

When do you use a partial pulpotomy?

Indications: A partial pulpotomy is indicated in a young permanent tooth for a carious pulp exposure in which the pulpal bleeding is controlled within several minutes. The tooth must be vital, with a diagnosis of normal pulp or reversible pulpitis.

When is a pulpotomy indicated?

What portion of the pulp is removed in a pulpotomy?

Unlike an adult root canal where the roots and the crown of the tooth have the pulp removed, a pulpotomy removes only a portion of infected pulp from the crown of the tooth before a medicated material is applied to keep the tooth pulp healthy.