1. DIFFERENCE BETWEEN PULPOTOMY
AND PULPECTOMY
M.Owais
Final year BDS

2. PULPOTOMY
It is defined as the removal of coronal portion of pulp
followed by placement of medicament

3. INDICATIONS
 Large proximal carious lesion with involvement of
marginal ridge
 No history of spontaneous pain
 Absence of abscess or fistula
 Where extraction is contraindicated
 Vital tooth with healthy peridontium

6. PROCEDURE
 Apply L.A and rubber dam
 Remove the carious lesion
 Access the pulp chamber
 As soon as dip is felt don’t go deep but side to side
to extend roof
 Remove coronal pulp by round bur or excavator
 Apply medicament

7.  Remove cotton pledget and check for excessive
haemorrhage
 Fill chamber with zinc oxide eugenal
 Place coronal restoration
 Place stainless steel crown

8. MATERIALS USE FOR MEDICAMENT
 Formocresol
 Ferric sulphate

9. CONTRAINDICATIONS
 Presence of abscess and fistula
 Radicular pulp involvement
 Inter radicular bone loss
 Caries penetrating to floor of pulp chamber

10. PULPECTOMY
 A pulpectomy is a dental procedure in which all of
the material in the pulp chamber and root canal of a
tooth is removed.

11. INDICATIONS
 Irreversible pulpitis involving both coronal and
radicular pulp
 Non-vital primary molars or incisors that need to be
maintained in arch
 Abscessed primary molars
 Primary molars with radiographic evidence of
furcation pathology

12. PROCEDURE

13. CONTRAINDICATIONS
 Teeth with non-restorable crowns
 Extensive pulp floor opening into the bifurcation
 Excessive internal resorption
 Primary teeth with underlying dentigerous or
follicular cysts