Pulpotomy

When the principal or standing tooth nerve or pulp tissue is infected, it needs to be treated to evade dental abscess and tooth loss. The two methods of treating dental nerve tissue infections are pulpotomy and pulpectomy. The eventual objective of these procedures is to save the tooth, so that the integrity and function of the dental vault can be maintained at Thangam's Dental Clinic, the best Dental Care in Chennai .

Pulpotomy for Primary Teeth

The full coronal pulp surgical removal or excision, leaving intact the vital radicular pulp within the canals.

Treatment

To cut or take off the coronal pulp infection.
Neutralize or counteract any residual infectious process.
Conserve the radicular pulp vitality.

Pulpotomy Indications:

Decayed primary teeth exposed, when their detaining is more advantageous than extraction.
When inflammation is confined to the coronal portion of the pulp.

Contraindications for Pulpotomy

Fistula or swelling.
The tooth crown is nonrestorable.
Absence of hemorrhage; profuse hemorrhage.
Marked tenderness to percussion.
Mobility.
Radiolucency exists in the furcal or periradicular areas.
Voluntary pain, especially at night.
Necrotic pulp.
Dystrophic calcification (pulp stones).

Contraindications for Primary Tooth Pulpectomy

Nonrestorable crowns.
Periradicular involvement extending to the primee tooth bud.
Pathologic resorption of at least one-third of the root with fistulous sinus tract.
Internal resorption in excess.
Extensive pulp floor opening into bifurcation.
Underlying dentigerous or follicular cysts.