Pulp Therapy

Question 1

why would you try to avoid extraction?

Answer 1

• loss of space
• mastication
• speech
• aesthetics
• avoidance of GA

Question 2

what are the contra-indications to pulp therapy in primary teeth?

Answer 2

• tooth is unrestorable in the long term(not enough tooth tissue)
• pt is uncooperative
• medically compromised
• ortho extractions

Question 3

what part of the diseased pulp is removed in pulpotomy?

Answer 3

-coronal portion of pulp is removed. NOT radicular pulp

Question 4

Is formocresol still used?

Answer 4

-formocresol is no longer used in conjunction with pulp therapy

Question 5

what is tricesol in formocresol?

Answer 5

-powerful antiseptic

Question 6

what are some side effects of formocresol?

Answer 6

• mutogenic and carcinogenic properties shown in animal studies
• local tissue damage if formocresol becomes extruded via apical foramen, damaging tooth germ

Question 7

what is ferric sulphate excellent at doing?

Answer 7

haemostatic agent

Question 8

is ferric sulphate a fixative agent?

Answer 8

no

Question 9

what does calcium hydroxide encourage within the tooth?

Answer 9

new dentine formation

Question 10

what is desensitising pulp therapy used for?

Answer 10

to reducal pulpal inflammation

Question 11

what is placed in the tooth when doing a desensitising pulp therapy?

Answer 11

ledermix(steroidal antibiotic paste)

Question 12

what is the difference between pulpectomy and pulpotomy?

Answer 12

• pulpectomy is where the whole pulp is involved.

- pulpotomy is when only a part of the pulp is involved.

Question 13

what is phase 1 of pulpectomy?

Answer 13

• canal debridement

- canals all cleaned out and temp dressing placed

Question 14

what is phase 2 of pulpectomy?

Answer 14

• obturation
• temp. dressing removed and root filler placed, backfilled with zinc oxide eugenol then pernament restoration placed on top