Chapter 4.1

Pulpotomy

Eirini Stratigaki

Eirini Stratigaki

Clinic of Orthodontics and Pediatric Oral Health, University Center for Dental Medicine Basel, University of Basel, Basel, Switzerland

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Joana Monteiro

Joana Monteiro

Department of Paediatric Dentistry, Eastman Dental Hospital, London, United Kingdom

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First published: 05 July 2019

Summary

Pulpotomy is a therapy which is quite often carried out in symptomatic deciduous teeth with profound caries. Whilst the coronal pulp might be severely and irreversibly inflamed, the radicular parts of the pulp might still offer chances of healing. When there is enough cooperation of the patient, the clinical outcome of this method is predictable. This chapter describes methods to carry out a full coronal pulpotomy in deciduous teeth and highlights the expected outcomes of different materials that have been suggested for this purpose: Portland cement, formocresol, laser light, calcium hydroxide, glutaraldehyde, electrosurgery and sodium hypochlorite. Special attention is paid to the clinical procedure.

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