PEDIATRIC DENTISTRY : Pulp therapy and primary tooth pulpotomy


Pulp therapy for vital primary teeth has evolved over the past 20 years with the introduction of new pulp therapy medicaments and the return of old techniques.

Formocresol, ferric sulfate, and mineral trioxide aggregate are the most popular pulpotomy agents, while indirect pulp therapy (IPT) or indirect pulp capping has made a comeback as an alternative to pulpotomy for asymptomatic, caries-involved primary teeth.

Accurate diagnosis of pulpal status is of paramount importance for the successful outcome of both pulpotomy and IPT.

After diagnosis, maintenance of a biological seal to prevent microleakage is the most important aspect of both techniques to ensure long-term success.

Carefully planned follow-up must involve assessment of both clinical and radiographic parameters every six months for signs of failure.

Read Also: ORAL HEALTH : What Is Baby Bottle Tooth Decay?

The American Academy of Pediatric Dentistry has assigned a workgroup to perform a systematic review and meta-analysis to determine if one form of primary tooth pulp therapy is better than another.

Pulp therapy for the vital primary tooth has evolved over the past 20 years with the introduction of new pulp therapy medicaments and the return of old techniques.

The pulpotomy is still the most widely used treatment for the primary tooth where caries has closely approximated the pulp so that complete removal would expose the pulp.


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