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Medical Forum / General / Dentistry / July 2005Pulpotomy vs. Root Canal
Just came across this term, and it seems as if a pulpotomy is PART of RCT, yet I see it described as an additional option. Can a tooth be saved with a pulpotomy and a filling/crown? Advantages? Disadvantages? >Just came across this term, and it seems as if a pulpotomy is PART of >RCT, yet I see it described as an additional option. > >Can a tooth be saved with a pulpotomy and a filling/crown? Advantages? >Disadvantages? Pulpotomy = partial removal of the pulp. Done in primary (children's) teeth. Sometimes done as a seperate procedure to start RCT in adult teeth. Pulpectomy is complete removal of the pulp. Both terms are used in conjunction with pediatric dentistry. An adult tooth cannot be saved with a pulpotomy plus a filling/crown. Complete root canal therapy should be performed on all pathologically exposed teeth. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com > >Just came across this term, and it seems as if a pulpotomy is PART of > >RCT, yet I see it described as an additional option. [quoted text clipped - 14 lines] > Complete root canal therapy should be performed on all pathologically > exposed teeth. I have one adult tooth that had a pulpotomy, followed by a direct pulp cap and a filling. It was an accidental procedure, though. The dentist was drilling away at decay and went a little too deep, exposing the pulp and taking off a horn. That was over four years ago. The tooth has been fine ever since. >> >Just came across this term, and it seems as if a pulpotomy is PART of >> >RCT, yet I see it described as an additional option. [quoted text clipped - 23 lines] > >That was over four years ago. The tooth has been fine ever since. Five year survival rate of teeth like this is ~5% -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com >>> >Just came across this term, and it seems as if a pulpotomy is PART of >>> >RCT, yet I see it described as an additional option. [quoted text clipped - 25 lines] > >Five year survival rate of teeth like this is ~5% Addendum. Note that there is a significant difference between mechanical and pathologic exposures. MTA is now recommended for mechanical exposures. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com > >> >Just came across this term, and it seems as if a pulpotomy is PART of > >> >RCT, yet I see it described as an additional option. [quoted text clipped - 25 lines] > > Five year survival rate of teeth like this is ~5% Then in a few months I'll have a reason to gloat. > > >That was over four years ago. The tooth has been fine ever since. > > > > Five year survival rate of teeth like this is ~5% > > Then in a few months I'll have a reason to gloat. Uh-Huh... but know that if you decide to crown this tooth in its present state, or change the filling, you are taking a risk of needing RCT in the near future ( say 2 years down the line ). These are things to consider when you need to get the present filling replaced. You should also closely examine the bite-wing radiographs every two years to evaluate the state of calcification in the pulp chamber. If it is tending to become calcified, get the procedure done while the tooth is relatively easy to access. If you wait till the tooth is completely calcified or there are symptoms, it can become a very complicated undertaking quite quickly. SP  SignatureFinally: take out the TRASHH >> > >That was over four years ago. The tooth has been fine ever since. >> > [quoted text clipped - 15 lines] > >SP I second that ! -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com Root canal it is then... Is it possible for a deep cavity that hasn't exposed the pulp to just be filled? How can you tell whether or not a tooth needs a filling as opposed to a root canal? Is there a rule of thumb. Thanks for the great information btw. >Root canal it is then... Is it possible for a deep cavity that hasn't >exposed the pulp to just be filled? Most times yes, however sometimes the trauma of preparing the tooth is enough to send a dodgy pulp over the edge. > How can you tell whether or not a >tooth needs a filling as opposed to a root canal? It's a diagnostic skill that is aquired over time. Mostly we rely on symptoms and radiographic appearance. There are thermal tests too. > Is there a rule of >thumb. If I press my thumb on the tooth and the patient jumps.... ...it needs RCT >Thanks for the great information btw. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com Hmm... maybe I don't need a root canal after all - I'll be anxious to see what the dentist says. Different subject: I just got back from my follow up after Wisdom teeth extraction and he said everything is great (no infections, abnormal this/that, etc.). But when I got home I looked into one of the "holes" and that thing is HUGE. I honestly think I can see what appears to be my jaw bone down in there (although I'm no dr.). I think it's important to mention that I'm not really feeling any pain there - maybe a tad bit of tenderness since he irrigated the extraction sites. Does this sound like something to be concerned with? I'm guessing no, but wanted to make sure because it looks pretty nasty. >Hmm... maybe I don't need a root canal after all - I'll be anxious to >see what the dentist says. [quoted text clipped - 7 lines] >of tenderness since he irrigated the extraction sites. Does this sound >like something to be concerned with? Very doubtful. > I'm guessing no, but wanted to >make sure because it looks pretty nasty. You just got back from seeing the doc and he said everythings OK, you don't hurt... Don't worry about it. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com > I just got back from my follow up after Wisdom teeth > extraction and he said everything is great (no infections, abnormal [quoted text clipped - 5 lines] > like something to be concerned with? I'm guessing no, but wanted to > make sure because it looks pretty nasty. There's a hole there??? When I had my wisdom teeth taken out, the oral surgeon put in stitches at all of the extraction sites that had to removed a week or so later. There were no holes. If you're concerned that something doesn't look or feel right, never just assume that it's okay. Because it might not be. Call and express your concerns to the dentist or oral surgeon. And if you're not satisfied with the his or her response, you always have the option of getting a second opinion. Phil |
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