Pulpotomy/Pulpectomy Revision Questions

Question 1

What are indications for pulp treatment?

Answer 1

good co-operation
medical history precludes XLA
missing permanenet sucessor
over riding necessity to preserve the tooth
child <9yrs

Question 2

What are contraindications for pulp treatment?

Answer 2

poor co-operation 
poor dental attendance
cardiac defect
multiple grossly carious teeth
advanced root resorption
severe/recurrent pain or infection

Question 3

What is the aim of pulpectomy?

Answer 3

To prevent/control infection by extirpation of radicular pulp following by cleaning and obturation of canals
Irreversible pulpitis

Question 4

What is a vital pulptomy

Answer 4

carious or trauamtic exposure of a bleeding pulp

the radicular pulp is preserved and the bleeding is controlled

Question 5

What is pulp capping

Answer 5

small exposure, less than 24 hrs old

1. arrest heamorrhage with pressure
2. Ca(OH)2 placed directly over the exposure site
3. dressing/definitive resotration

Question 6

What does survival of the pulp depend on?

Answer 6

Associated periodontal ligament injury
Extent of exposed pulp
Age of patient (open vs closed apex)

Question 7

What are uses of calcium hydroixde?

Answer 7

Used to induce calcific barrier following pulpotomy procedures
Induces barrier formation at apex of non vital immature permanent incisors (apxification)
Useful for decreasing microbial load in non-vital mature permanent teeth