Definition of Pulpectomy for Primary Teeth
- A technique to remove the entire pulp.
- The removal of decayed and diseased pulp tissue followed by filling the root canals with resorbable cement.
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.
Indications for Pulpectomy of Primary Teeth
- Cooperative patient.
- Teeth with poor chance of vital pulp treatment (fillings).
- Strategic importance for space maintenance.
- Absence of severe root resorption.
- Absence of surrounding bone loss from infection.
- Expectation of saving the tooth.
- Primary teeth with sinus tracts (pus).
- Age of patient.
Contraindications for Primary Tooth Pulpectomy
- Teeth with nonrestorable crowns.
- Infection involving & extending to the permanent tooth bud.
- Pathologic resorption of at least one - third of the root with pus.
- Excessive internal resorption.
Procedure is the same as Root Canal Treatmen t in adults except that the final filling material used is a resorbable material like Zinc Oxide Eugenol.