Pulpotomy

Pulpotomy is the removal of existing pulp inflammation or infection diseases interior pulp, covered with a capping agent in the pulp off the mouth of the root canal surface, to preserve the health of the root pulp treatment. For molars and premolars, especially young permanent teeth of the crown pulpitis, deep caries removal of humus are not suitable for capping exposed pulp, the pulp or accidental damage to the pulp chamber through the top, young permanent teeth has not been fully fully developed single-root canal teeth, broken crowns exposed pulp due to trauma or accident through the marrow, the hole is greater.

Line pulpotomy, the first teeth to anesthesia; remove detritus, with 3% hydrogen peroxide solution cavity clean, dry, with 75% alcohol or camphor phenol mixture sterilization cavity; exposing the pulp chamber roof, cavity with normal saline, wet compartment, again after disinfection, with a sharp spoon to dig the coronal pulp Siegen nozzle cut off, without leaving residual pulp Dental Artcles chamber pulp tissue; with a small cotton ball dipped in saline solution to clean the cavity , or 3% hydrogen peroxide solution rinse the cavity, dry sterile cotton balls, hemostasis, bleeding is higher, can be a small cotton ball dipped in 0.1% epinephrine solution placed in the mouth pulp root canal cross-section of a moment; then Capping agent spreads in the cross-section on the pulp, the thickness of about 1mm, and finally with zinc oxide eugenol paste temporarily closed cavity; observed after 1 to 2 weeks, if asymptomatic, to remove most temporary sealant to retain the deep part, with zinc-phosphate cement bottom, permanent amalgam or composite resin filling. If the treatment is still spontaneous pain, night pain and other symptoms, inflammation of the performance of the root pulp, pulp alive at this time can not be saved, should be diverted to pulp extirpation. Pulpotomy the entire process, aseptic and minimize trauma is very important.