Dent tex said:
Normally for primary teeth pulp capping is preffered if it fails they proceed for pulpotomy but pulpectomy is least preffered for primary teeth as the roots resorb fast.
Hope this helps.
Indirect Pulp Cap
¢ Indications
l symptom free
l no radiological evidence of pathosis
Indirect Pulp Cap
¢ Technique
l LA, RD
l caries removal, leaving that which would expose the pulp
l CaOH layer
l ZOE cement, ortho band if necessary
l wait 6-8 weeks
restoration of tooth
Calcium Hydroxide
¢ Increase of dentin density (sclerotic changes)
¢ Reduce cultivatable microorganisms
¢ Stimulate secondary dentin
l
Direct Pulp Cap - Primary Teeth
usually in minute exposures but sterile as in trauma etc
"It is generally unwise to perform direct pulp caps on primary teeth because of the extremely high failure rate due to internal resorption."
¢
Pulpotomy refers only to coronal extirpation of vital pulp tissue, while any amount of pulp removal short of total extirpation may be referred to as partial pulpectomy.
Formocresol Pulpotomy
¢ Indications
l vital primary tooth with carious or accidental exposure
l clinical signs of a normal pulp canal
Formocresol Pulpotomy
¢ Contraindications
l spontaneous pain
l swelling
l fistula
l percussion tenderness
l pathological mobility
Formocresol Pulpotomy
¢ Contraindications
l external or internal root resorption
l pulp calcifications
l periapical or interradicular radiolucency
l profuse hemorrhage
l exudates
Pulpectomy
Primary Endodontics
¢ Indications
l necrotic, strategically located tooth with accessible canals and essentially normal supporting bone
