What is pulp treatment?

Pulp treatment is like a root canal, but is typically performed on primary teeth. Root canal procedures are used to treat permanent teeth with nerve and pulp problems. There are two main types of pulp therapy procedures: pulpotomy and pulpectomy.

What is vital pulp therapy in primary teeth?

Vital pulp therapy focuses on treating the pulp with the hopes of retaining its vitality, rather than performing root canal treatment in which the pulp is fully removed. Pulpotomy and indirect pulp treatment (IPT) are the most common vital pulp therapies for managing deep caries in the primary dentition.

Can you do pulpectomy on primary teeth?

Pulpectomy of primary teeth is indicated when the pulp tissue is irreversibly infected or necrotic due to caries or trauma. The treatment consists of extirpation of the pulp tissue, removal of organic debris with filing, and obturation of the canals with a suitable material.

When do you use pulpotomy on primary teeth?

63-65 • 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.

Why calcium hydroxide is contraindicated in primary teeth?

However, the usage of calcium hydroxide is not routinely recommended for primary dentition because its application frequently results in the development of chronic pulpal inflammation and internal root resorption.

What is indirect pulp treatment?

The conventional technique for indirect pulp treatment in- volves the application of a bacteriostatic/bactericidal liner, such as calcium hydroxide, over the carious dentin to induce remineralization and protect the pulp.

How do you pulpotomy a primary tooth?

How to do a primary tooth pulpotomy

  1. Step 1 – Local Anaesthetic and Rubber Dam.
  2. Step 2 – Reduce Occlusal Height.
  3. Step 3 – Remove caries and gain access.
  4. Step 4 – Pulpal extension.
  5. Step 5 – Ensure all tags are removed.
  6. Step 6 – Haemostasis.
  7. Step 7 – Medicament.
  8. Step 8 – Core.

Why is there no pulp capping in primary teeth?

Direct pulp capping is usually indicated in a primary tooth with normal pulp (accidentally) exposed 1 mm or less. A medicament is then applied as a cap before a restoration is placed. The use of direct pulp capping in primary teeth is the subject of debate because of concern over poor success rates.

What is the difference between pulpectomy and pulpotomy?

While a pulpotomy is done on a live tooth, pulpectomies and root canals are both done on teeth that are no longer vital due to trauma or an infection in the nerve. A pulpectomy is the process of removing all of the nerves within the tooth and cleaning out the infection.

Can calcium hydroxide be used in pulpectomy?

Calcium hydroxide and iodoform (Ca(OH)2/iodoform) may have advantages as a root canal filling material to evaluate treatment success of Ca(OH)2/iodoform pulpectomy in primary teeth compared with ZOE based on clinical and radiographical criteria.

What is the best pulp protection?

Calcium hydroxide remains the “gold standard” for direct pulp capping. It has the longest track record of clinical success, is the most cost-effective and is the likely effective component in MTA.