A pulpotomy is more invasive than a standard filling, but a root canal is far more invasive than a pulpotomy. With a pulpotomy, only the top most pulp is removed. Conventional wisdom in dentistry has been that if the pulp has become infected, a root canal is the only effective choice.
However modern research indicates that in situations where infection is not widespread , a pulpotomy may be just as effective. Saving more of the roots and tooth is a worthwhile goal.
Some patients think they are the same thing or might get confused between the two. But they are indeed different. A pulpectomy is the complete removal of pulp from a given tooth.
Now that you understand what a pulpotomy is, how do you decide? Discussion Managing curiously exposed pulp in adults has been a controversial issue. Conclusion In conclusion, pulpotomy using MTA could be a good alternative for RCT for managing symptomatic mature permanent teeth with carious exposure. Footnotes Conflict of Interest: None declared. References 1. Caliskan MK. Pulpotomy of carious vital teeth with periapical involvement. Int Endod J.
Endodontists AAo. Guide to Clinical Endodontics. Chicago: Success rates of formocresol pulpotomy and indirect pulp therapy in the treatment of deep dentinal caries in primary teeth.
Pediatr Dent. Cvek M. A clinical report on partial pulpotomy and capping with calcium hydroxide in permanent incisors with complicated crown fracture. J Endod. Pitt Ford TR.
Dental Pulp. In: Pitt Ford TR, editor. Edinburgh: Wright; Irritational or reparative dentin. A challenge of nomenclature. Mineral trioxide aggregate vs. Sealing effectiveness of materials used in furcation perforation in vitro. Int Dent J. Torabinejad M, Parirokh M. Mineral trioxide aggregate: a comprehensive literature review--part II: leakage and biocompatibility investigations.
Using mineral trioxide aggregate as a pulp-capping material. J Am Dent Assoc. A comparative histological analysis of human pulp following direct pulp capping with Propolis, mineral trioxide aggregate and Dycal. Aust Dent J. Response of the pulp of dogs to capping with mineral trioxide aggregate or a calcium hydroxide cement.
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Calcium hydroxide vs mineral trioxide aggregates for partial pulpotomy of permanent molars with deep caries. Eur Arch Paediatr Dent. Tuna D, Olmez A. Clinical long-term evaluation of MTA as a direct pulp capping material in primary teeth. Orstavik D. Time-course and risk analyses of the development and healing of chronic apical periodontitis in man. Success rate of endodontic treatment of teeth with vital and nonvital pulps.
A meta-analysis. One-year results of vital pulp therapy in permanent molars with irreversible pulpitis: an ongoing multicenter, randomized, non-inferiority clinical trial.
Clin Oral Investig. Bender I. Reversible and irreversible painful pulpitides: diagnosis and treatment. Aust Endod J. Case Selection and Treatment Planning. Focused question A clinical question in the PICO framework was formulated as: Can complete coronal pulpotomy be an alternate treatment to root canal therapy in patients suffering from pulpal pathosis? Population P : Patients with irreversible pulpitis Intervention I : Complete coronal pulpotomy Comparison C : Root canal therapy Outcome O : No signs and symptoms clinically and absence of peri-radicular radiolucency on periapical radiographs.
Review In order to achieve a high success rate and to provide high-quality treatment, clinical decisions should be made on the basis of the best available and valid evidence.
Conclusions Many times patients are unable to receive root canal treatment due to the cost and lack of insurance and they have no choice other than extraction of their teeth. Footnotes The authors have declared that no competing interests exist. References 1. Glossary of endodontic terms. American Association of Endodontists.
Vital pulp therapy: histopathology and histobacteriology-based guidelines to treat teeth with deep caries and pulp exposure. J Dent. Comparison of the success rate of endodontic treatment and implant treatment. Elemam RF, Pretty I. ISRN Dent. Tooth survival following non-surgical root canal treatment: a systematic review of the literature. Int Endod J. Radiographic analysis the obturation's quality in root canal treatment performed by a South Brazilian sample of undergraduate students.
Prevalence of apical periodontitis in root canal-treated teeth from an urban Saudi female population: influence of root canal fillings and coronal restorations. Int J Oral Health Sci. Prevalence of apical periodontitis and the quality of endodontic treatment in an adult Belarusian population. Kabak Y, Abbott PV. Endodontic malpractice claims in Denmark Bjorndal L, Reit C. Coronal pulpotomy technique analysis as an alternative to pulpectomy for preserving the tooth vitality, in the context of tissue regeneration: a correlated clinical study across 4 adult permanent molars.
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An experimental clinical study. Randow K, Glantz PO. Acta Odontol Scand. Effect of damping properties on fracture resistance of root filled premolar teeth: a dynamic finite element analysis. MTA pulpotomy of human permanent molars with irreversible pulpitis. MTA pulpotomy as an alternative to root canal treatment in children's permanent teeth in a dental public health setting. Calcium-enriched mixture pulpotomy of a human permanent molar with irreversible pulpitis and condensing apical periodontitis.
Asgary S. J Conserv Dent. Assessment of mineral trioxide aggregate pulpotomy in mature permanent teeth with carious exposures. Should pulp chamber pulpotomy be seen as a permanent treatment? Some preliminary thoughts. Full pulpotomy with biodentine in symptomatic young permanent teeth with carious exposure. J Endod. Treatment outcomes of mineral trioxide aggregate pulpotomy in vital permanent teeth with carious pulp exposure: the retrospective study. Treatment outcomes of 4 vital pulp therapies in mature molars.
Vital pulp therapy in vital permanent teeth with cariously exposed pulp: a systematic review.
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