Pulpotomy

Question 1

Why would you do a pulpotomy?

Answer 1

It avoids extraction which in turn:

• avoids loss of space
• avoids loss of mastication
• prevents speech issues

Question 2

What may be a contraindication of a pulpotomy?

Answer 2

Poor patient cooperation

Advanced root resorption

Heart defects

Recurrent pain or infection

Many gross carious teeth

Question 3

When would a pulpotomy be considered?

Answer 3

Carious or traumatic pulpal exposure

Question 4

What is the process of a pulpotomy?

Answer 4

Excavate tooth and remove the pulp with round bur or sterile excavator

Place cotton pledjet with ferric sulphate to help achieve haemostasis

Then finish with ZOE gel and a metal crown

Question 5

During surgery what may influence your decision on a pulpotomy?

Answer 5

Crimson dark red continuous bleeding indicates inflamed pulp and a pulpectomy is needed

Normal red blood with good haemostasis indicates pulpotomy sufficient