Presentation1 pulpotomi

8/13/2019 Presentation1 pulpotomi

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Pulpotomy


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Condition

Primary teeth

Young permanent teeth

Permanent teeth


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Gigi


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karies


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pulpotomy

A vital pulpotomy removes part of a tooth's

pulp, the center of the tooth that contains

nerves and blood vessels.

The part that is removed is inside the

crown. That's the part of the tooth that you

see above the gum line.


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Pulpotomy | pulpectomy

A vital pulpotomy

removes part of a

tooth's pulp, the center

of the tooth

Pulpectomy

removes all of the

pulp, including the part

in the roots of thetooth, below the gum

line.


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Vital pulpotomy usually is done in children

when decay has reached the crown part of

the pulp, but the nerve in the root of the

tooth is still healthy.

The procedure also is done when the pulp is

exposed as a result of injury or trauma. The

affected part of the pulp can be removed,

leaving the healthy part in the root.


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A successful vital pulpotomy relieves

sensitivity and pain. It also prevents the

supporting tissues around the tooth from

breaking down.


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Vital pulpotomies can be done in children's

baby teeth (primary teeth) or in young

permanent teeth. In primary teeth, the

procedure is done to keep the primary tooth

from being extracted. Extracting a primary

tooth before it is ready to fall out can alter

the way the permanent teeth come in.


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If the pulp of a permanent tooth becomes

injured or decayed soon after it emerges,

the tooth may require root canal treatment.

However, root canal treatment is not done

until the tooth's roots are finished growing.

In this case, a vital pulpotomy can be done

instead. Root canal treatment can be doneafter the roots finish developing.


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Technique for Pulptomy of the

Primary Teeth

1. Profound anesthesia for tooth and tissue.

2. Isolate the tooth to be treated with a rubber

dam.

3. Endo access opening. Excavate all caries. 4. Remove the dentin roof of the pulp chamber.

5. Remove all coronal pulp tissue with a slow-

speed No. 6 or 8 round bur or sharp spoon

excavator.


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6. Achieve hemostasis with dry cotton pelletsunder pressure. 7. Apply diluted formocresol (or 16% ferric sulfate

solution) to pulp on cotton pellet for 3- 5 minutes.Pressure on pellet. 8. Prepare tooth for SSC. 9. Pulp stumps should appear dry. 10. Place a glass ionomer, ZOE, IRM, or MTA incontact with pulp stumps. 11. Place stainless steel crown (or bondedcomposite).


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How It's Done

Use a drill and hand instruments to removedecayed areas from the tooth and gain

access to the pulp.Remove damaged pulp and place medicineover the remaining root part of the pulp and

put in a temporary filling. This will be left inthe tooth until the root canal can be finished.


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Follow-up

Your child's gums may be sore in the area.

The dentist will check on the tooth duringfuture visits.


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Risks

Vital pulpotomy has a success rate of 90%

to 95%. However, failures and other

problems can occur.

Some of the medicines used in vital

pulpotomy can irritate tissues outside of the

pulp. Child could feel a temporary burningsensation in the area of the affected tooth.


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If the tooth's entire nerve is infected, thevital pulpotomy may fail. look for infectionduring the procedure, but if the nerve is in

the early stages of infection it may lookhealthy.

If the tooth still hurts after a vital pulpotomy,

root canal treatment may be needed. Thiswill be done to remove the rest of theaffected pulp.


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Terima Kasih

Presentation1 pulpotomi

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