Pulpotomy
It is a procedure where partial pulp removal where only the infected pulp from the coronal portion is taken sparing the pulp in the root and then filling with the appropriate materials.
Purpose of Pulpotomy
- When the caries is approaching the pulp and to avoid further issues
- To preserve the vitality of the tooth by preserving the root pulp.
- Helps the child to eat food properly and maintain the tooth in the oral cavity.
Benefits of Pulpotomy
- Helps the child to maintain proper chewing function.
- Prevents any infection and making it complicated
- Helps to maintain the tooth in the cavity until natural shedding.
- Prevents misalignment of teeth by early shedding of tooth by caries.
Success
Pulpotomy has high success rate when done at right time . It helps to keep the tooth intact and function properly until it's natural shedding.
Pulpectomy
This is a kind of root canal procedure done in baby tooth were both the crown and root infected pulp is removed and filled with appropriate materials.
Purpose of pulpectomy
- Severe dental caries.
- When there is infection.
- To maintain the space for the permanent tooth , for chewing and esthetic.
- When Pulpotomy cannot be performed.
Benefits
- Helps to restore the function of tooth and also esthetic.
- It helps to maintain space for the permanent tooth
- Prevents swelling and infection
4. Will prevent orthodontic problems in future by maintaining the tooth in the oral cavity
Success
Pulpectomy has high success rate when done in correct time and follow ups . The treated tooth functions we'll until the natural shedding.
Conclusion
Pulpectomy and pulpotomy are both essential procedure in pediatric dentistry and it depends on the extent of pulp infection. Pulpectomy is done when the pulp completely is infected and need to be removed and give a root canal filling whereas the Pulpotomy is done when only the coronal pulp is infected and the root pulp is spared this maintaining the vitality. Choosing the right treatment depends on the vitality of the tooth , child's age and the extent of infected pulp. Both the procedure helps in maintaining the tooth in the oral cavity and helps in maintaining the function and esthetic.
Frequently asked Questions
Are these procedures painful in kids ?
Both the procedure are done under local anesthesia so the child won't feel any pain during the procedure but a little soreness can be felt after the procedure.
Why not extract the tooth ?
Maintaining the primary teeth in the oral cavity is very important for proper alignment of the permanent teethand avoid any misalignment
How long does this treated tooth stay?
the treated tooth stay until natural shedding and under proper care and follow up the treated tooth stay healthy and functional.
Is crown necessary after this treatment?
yes, most treated tooth are given a stainless steel crown for preventing reinfection and give strength to the tooth
