Pulpotomy is a minimally invasive procedure performed in children on a primary tooth with extensive caries but without evidence of root pathology. In this blog post, we will discuss the procedure of pulpotomy used at Lakeview, Chicago dental practice. Pulpotomy begins with local anesthesia. A buccal infusion of Articaine can produce a sufficient anesthetic effect in all primary molars. Sometimes, though, you might have to put in a block for a lower E. Moreover, rubber dams are required. It is just as inappropriate to utilize it as it is to do a root canal on an adult without a rubber dam. Not using it is not recommended.

To avoid contaminating the pulp, the dentist will identify the specific tooth that has to be treated and remove any decay that is present on or around the tooth. Next, a drill will be used to open the pulp chamber by passing through the dentin and enamel.

The pulp roof will bleed once it has been pierced through. This demonstrates the pulp’s continued health. The dentist cannot proceed with the pulpotomy if the pulp chamber is either empty and dry or filled with pus. After that, they have to pull teeth or conduct a pulpectomy.
After that, the coronal pulp will be extracted. After that, the bleeding will be stopped and the area will be cleaned with moist cotton swabs or pellets. This bleeding should hopefully cease in a minute or two if not less than five. After that period, if the bleeding doesn’t cease, the pulp inside the root is unhealthy and most likely damaged by dental decay. This means that a pulpectomy, or tooth extraction, will need to be done.

The radicular pulp is treated and coated with a particular medicine after the bleeding stops. Usually, either formocresol, ferric sulfate, or mineral trioxide aggregate (MTA) is used as this treatment. Because laser pulpotomies have such a high success rate, your dentist may decide to treat the pulp with laser therapy rather than medication. Following this, zinc oxide eugenol (ZOE) or another base is used to seal the pulp chamber of the tooth. After that, the tooth is repaired. Usually, a stainless steel crown is used for this.

After the treatment, your kid can feel some discomfort and edema. To aid with this, the dentist will probably recommend painkillers. It is okay to be apprehensive about a procedure, however, pulpotomy is a risk-free technique, and your child should be back to daily routine in a few days.