Pulpectomy : Definition, Indication and Contra-indication
Pulpectomy : Definition, Indication and Contra-indication
Definition
It is the technique to gain an access to the root canals, remove as much dead & infected material as possible & fill the root canals with a suitable material to maintain the tooth in a non – infected state.
Complete/Total Pulpectomy:
It is the extirpation of normal or diseased pulp to or near the apical foramen .
Partial Pulpectomy:
It is the extirpation of normal or diseased pulp of tooth with an incompletely formed root & an open apex.
Indications
Pulpectomy can be done in following cases:
- Irreversible inflammation extending to the radicular pulp
- Primary teeth with necrotic pulp
- Pulpless primary teeth without permanent successors
- Pulpless primary teeth with sinus tracts
- Primary teeth with evidence of furcation pathology
- Pulpless primary 2nd molars before eruption of permanent 1st molar
- Pulpless primary teeth in hemophiliacs
- Presence of an abscess
- Pulpless primary teeth next to the line of palatal cleft
- Pulpless primary molars supporting orthodontic appliances
- Pulpless primary teeth when space maintainers or continued
- supervision are not feasible
Contra-indications :
Pulpectomy can not be done in following conditions:
- Teeth with non-restorable crowns
- Pathologic resorption of at least 1/3rd of the root with a fistulous sinus tract
- Peri-radicular involvement extending to the permanent tooth bud
- Extensive pulp floor opening into the bifurcation
- Excessive internal resorption
- Primary teeth with underlying dentigerous or follicular cysts
Medical contra indications
These are medical conditions when pulpectomy is contra indicated:
- Heart disease
- Immuno-compromised children
Category: Endodontic, Pediatric Dentistry, WIKI