pulpotomy on primary tooth

doddares · #1 Oct 6, 2009, 01:45 PM

pulpotomy,

if i dont have formocresol and onyl have CaoH....what are the steps for pulpotomy for a primary tooth and is t contra-indicated to use CaOH rather then formocresol.

i plan to place caoh and the stumps followed a cotton pellet and fuji on top.

can i stop the bleeding from the pulp with cotton pellet and hydrogen peroxide.

any help appreciated

Amir1981 · Oct 6, 2009, 02:38 PM

well you can use Ferric sulfate...remove the coronal pulp, stop bleeding with ferric sulfate...the place CaOH and IRM (ZOE) thats the way ive done it anyways

doddares · Oct 7, 2009, 07:02 AM

Hey Amir,

Thanks for the advice....whats the theory behind using ZOE or were u just taught that ? Do u know if i can use GIC fuji instead on top of the CaOH ?

Cheers

doddares · Oct 7, 2009, 11:29 AM

practice in the UK

doddares · Oct 7, 2009, 12:18 PM

i know what is used in pulpotomies but i dont know why certain medication is used and not other.
i wanted to know if caoh was an advisable alternative to formocresol.
also why zoe is placed as the irm. could for example fuji gic be used instead.
in my opinion there is no need to keep questioning ur knowledge and improving ones theory.
by the way ive been practicing for a month.

i hope iv answered ur queries

Amir1981 · Oct 7, 2009, 12:58 PM

Well the idea of the ferric sulfate is to stop bleeding...the CaOH will disinfect the area and stimulate a dentinal bridge (by the remaining radicular pulp)..finally, the ZOE is a pulpal sedative (has eugenol in it) so it will prevent inflammation in the remaining pulp. Plus its a filler to fill up the cavity so you can prep/place a stainless steel crown (which every pulpotomied posterior tooth should have) I just checked the endo book PATHWAYS OF THE PULP (GREAT book!). It says you dont even need CaOH, just ZOE but thats the way i was taught. Formocresol has fallen out of favor (due to toxicity concerns)

Amir1981 · Oct 7, 2009, 12:59 PM

you could use GIC but id imagine that might seal the area up and prevent the ZOE from providing its therapeutic benefit...

doddares · Oct 7, 2009, 01:08 PM

cheers amir....great help...i guess ill look up that book.



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