What is a pulpotomy?
In the article published today on Dr. Hossein Borjian's website The best dentist in Isfahan It has been prepared for you. Let's read what is a pulpotomy? In this dental treatment, the core of the tooth, which is called the pulp, is drained by making a hole in the crown of the tooth. The crown is the white part of the tooth that protrudes from the gum and is protected by enamel. The pulp is the innermost part of the tooth and consists of blood vessels, connective tissue and nerves.
Who is pulpotomy for?
This treatment is mainly performed in children's milk teeth that have not yet fully grown, because in this method, the root of the tooth remains intact so that the tooth can grow by feeding through blood vessels.. The presence of milk teeth until the permanent teeth take their place is necessary and necessary, and early extraction causes problems.. For this reason, it is important to preserve milk teeth with dental treatments. Several studies have shown that pulpotomy can be performed in permanent teeth of children and adults, so that part of the dental pulp remains healthy and alive and preserves vital signs in the tooth..
How to perform a pulpotomy
The dentist first takes an X-ray of the tooth to determine the condition inside the tooth. Based on that, it is determined what treatment is more suitable. Usually, general dentists also perform pulpotomy or nerve removal, but if the case is complicated, they will refer you to an endodontist.. Antibiotics may be prescribed three or four days before the pulpotomy, and it is necessary to continue using them for seven days after that..
The difference between pulpotomy and pulpectomy
In pulpectomy, unlike pulpotomy, the tooth is not kept alive, but all the pulp and root are removed. This treatment is necessary when the infection has gone beyond the crown of the tooth. After the extraction of the pulp and root, the empty space is filled with special materials that are gradually absorbed by the body. The difference between pulpectomy and denervation is that in denervation, the tooth is filled with permanent material and then coated..
Complications and care after pulpotomy
- In general, this dental treatment is very safe and low-risk and has no serious side effects. It is only performed on teeth where the root pulp is still alive and healthy..
- During this treatment, the tooth, gum and surrounding tissues are numbed, so you will not feel any pain for a while.
- Sometimes anesthesia or light sedation may cause nausea, drowsiness, or vomiting.
- After this treatment, you should expect some bleeding for a few hours.
- While the mouth is numb, eating or drinking should be avoided as you may accidentally bite your lip, tongue or cheek..
- At first, eat soft foods such as soup and yogurt and avoid eating hard or crunchy foods.
- After the treatment, the mouth may swell a little, which will disappear soon.
The cause of tooth decay repair
Deep tooth decay causes inflammation, irritation or infection in the pulp. This condition can endanger the tooth and in addition, it can affect the gum and bone around the tooth.
Cases of denervation instead of pulpotomy
If the tooth has a deep infection that has reached or spread near the root, a debridement may be necessary instead of a pulpotomy.. In denervation, all the pulp of the tooth as well as the materials inside the root are drained.
How do I know if my child needs a pulpotomy?
If his pain is severe or does not go away after a few days, you should take him to the dentist. Severe or persistent pain may indicate the need for pulpectomy or pulpectomy.
What should I watch out for after pulpectomy?
Slight swelling or bleeding in the first few hours after treatment is normal. But if after a few days or a few weeks swelling, redness or pain has started, call the dentist. These symptoms may indicate an infection.
Note: The scientific accuracy of the above published materials should be confirmed by the patient in person with Dr. Borjian himself.
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