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Pulpotomy 140414094714 Phpapp01
Pulpotomy 140414094714 Phpapp01
CONTENT
Introduction
Goal And Objective
Definition
Indication
Contraindication
Classification
Devitalization
1. Single Sitting
2. Two Sitting
Partial Pulpotomy
Preservation
Regeneration
INTRODUCTION
• The main objective of pulp therapy is to
maintain the integrity and health of a tooth
affected by caries, traumatic injury, or other
causes.
• There are 2 methods of treating the involved
infected dental pulp for a primary tooth:
pulpotomy or pulpectomy.
GOAL AND OBJECTIVE
• RADICULAR pulp should be remain asymptomatic
without adverse clinical signs or symptoms such
as sensitivity pain or swelling
• There should be no evidence of post –operative
external root resorption
• Internal root resorption should be self limiting
and stable
• There should be no harm to Succedaneous tooth
AAPD Reference manual 2011/12
definition-:
• FORMOCRESOL SOLUTION:
*19% formaldehyde
*35% cresol
*15% glycerine (veichle)
Buckley’s solution: 1:5 conc. Of formocresol solution.
• To prepare a 1:5 conc. Of this formula-
• First thoroughly mix 3 part of glycerine with 1 part of distilled
water
• Then add 4 parts of this preparation to 1 part Buckley’s formocresol
& thoroughly mix again
Mechanism Of Action:
2. Informed Consent
– Explain to the parent/legal guardian the procedure.
Answer any questions to his/her satisfaction.
Document in the chart that you have been granted
verbal consent for the pulpotomy procedure.
3. Achieve adequate anesthesia
4. Place Rubber Dam -Rubber Dam Placement/Utilization is
a Necessity when performing pulp therapy!
• Indications:
.Profuse bleeding
.Difficulty in controlling bleeding
.Spontaneous pain
.Slight purulence discharge
• Contraindication:
.Non restorable
.Necrotic
.Soon to be exfoliated
• Formula of each agent used are as follows:
• Better biocompatibility
Hard-tissue formation
• when MTA is placed in direct contact with human
tissues, material does the following:
• 1. Forms CH that releases calcium ions for cell
attachment and proliferation
• 2. Creates an antibacterial environment by its alkaline
pH
• 3. Modulates cytokine production
• 4. Encourages differentiation and migration of hard
tissue- producing cells
• 5. Forms Hydroxyapatite on the MTA surface and
provides a biologic seal
ELECTROSURGICAL PULPOTOMY