Definition: The surgical removal of the entire upper part of the pulp, leaving intact the other parts of the pulp within the canals.
Treatment Objectives for the Pulptomy
- Amputate (removal) the infected coronal pulp.
- Neutralize any residual infectious process.
- Preserve the vitality of the residual radicular pulp.
- Fill the remaining cavity with appropriate materials, glass ionomer or composite.
Indications for the Pulpotomy
- Cariously (cavity) exposed primary teeth, when their retention is more advantageous than extraction.
- When inflammation is confined to the coronal (upper) portion of the pulp.
Contraindications for Pulpotomy
- Fistula or swelling.
- the tooth crown is non restorable (cannot be filled).
- Marked tenderness to percussion (pain while tapping).
- Mobility (mobile teeth).
- Radiolucency (infection) exists in the furcation or periradicular areas.
- Spontaneous pain, especially at night.
- Necrotic/ diseased pulp.