pulpectomy

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PULPECTOMY
Complete removal of necrotic pulp tissue from the root canals and coronal portion of devital primary teeth to maintain the tooth in the dental arch
Justification
Removal of diseased tissue Space management
Pulpectomy -general
INDICATIONS
Pulpectomy -general
CONTRAINDICATIONS
Pulpectomy -general
The procedure of pulpectomy can be performed in -- 1. Single-visit 2. Multi-visit
Single-visit Partially vital pulp Multi-visit Non-vital pulp
Pulpectomy -general
REACTION OF THE PULP TO VARIOUS CAPPING MATERIALS
Pulpotomy in primary teeth
Big clinical problem
CMCP
Gutta Percha
Not indicated for primary teeth Since it is not a resorbable material, its use is contraindicated in primary teeth
No material currently available meets al the criteria The filling material most commonly used for primary pulp canals are 1. Zinc oxide - Eugenol paste 2. Iodoform paste 3. Calcium hydroxide
Filling of the primary root canals
Standard
Dental age of the patient. Cooperation of the patient. Motivation of the parents. Medically compromised/disabled child.
L.A. should be administrated Isolation by rubber dam or cotton rolls Remove the decay
SSC should be cemented only on clean dry mouth, isolation of teeth with cotton roll is recommended. Rinse and dry the crown inside out side and prepare to cement it. A zinc phosphate, polycarboxylate or GIC is preferred.