Tag Archives: pulpotomy

Extraction of baby teeth

1. Why extract a baby tooth?

Choosing between extraction and filling or conservation is a very common decision that both dentists and patients have to take every day. With adults the decision making is much easier, if the tooth is restorable and the patient can pay for the treatment then we simply conserve the tooth. If the patient is a child then the process of decision making is much harder as many factors affect the selection of the treatment plan that the dentist have to follow. Continue reading

Pulpotomy, Apexogenesis and Apexification Part 2


It is defined as physiological root end development and formation – (American Association of Endodontists.)

The current terminology is vital pulp therapy and is defined by (Walton and Torabinejad) as a treatment of vital pulp in an immature tooth to permit continued dentin formation and apical closure.

This is achieved by:

Indirect pulp capping

Direct pulp capping

Apical closure pulpotomy

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Pulpotomy, Apexogenesis and Apexification Part 1



Pulpotomy is defined as the amputation of damaged and inflammed vital pulp from the coronal chamber followed by placement of a medicament over the radicular pulp stumps to stimulate repair, fixation or mummification of the remaining vital radicular pulp.
– Braham & Morris 1985

Pulpotomy is defined as the surgical removal of infected coronal pulp and its objectives are preservation of the radicular pulp vitality and relief of pain.

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Pulp Therapy for kids

Carious tooth

When caries in your child’s teeth has gone so deep that it has reached, or is near the pulp, your child will need more than just a normal filling to restore the tooth. If the infection from caries has reached the pulp, yet left untreated, the infection may spread causing more harm to your child. The pulp therapy that can be done on your child’s teeth can be divided into vital and non-vital technique:

Vital techniques: Continue reading

How to Root Canal a Baby Teeth

The purpose of root canal treatment with baby teeth is to keep the teeth in function until exfoliation, or at least for as long as they are important for occlusal development. Besides eating and speaking, many parents do not know that baby teeth (or primary teeth) also act as a guide for the underlying permanent teeth to erupt and at the same time they maintain the space on the arch so that the permanent teeth has enough room to grow when it is out. Continue reading