Pulpotomy and vital pulp therapy are dental procedures used to treat the pulp tissue inside a tooth while preserving its vitality. These treatments are primarily performed when the pulp is inflamed due to deep cavities or trauma but is still capable of healing. The goal is to maintain the tooth’s natural structure and function by preventing the need for a root canal or extraction.
The Pulpotomy Process:
A pulpotomy involves the removal of the inflamed portion of the pulp, typically in the crown portion of the tooth, while leaving the healthy pulp in the root intact. After removal, the remaining pulp tissue is treated with a medicament to promote healing and prevent infection. The tooth is then sealed with a restorative material, and in most cases, a crown is placed to protect and strengthen it. This procedure is commonly performed on primary (baby) teeth to prevent premature tooth loss but can also be used in young permanent teeth with open root development.
What Is Vital Pulp Therapy?
Vital pulp therapy is a broader term that encompasses various techniques used to preserve the pulp’s health and function. These include pulp capping, where a protective medicament is applied over exposed pulp, and regenerative endodontic procedures aimed at stimulating continued root development in immature permanent teeth. The success of these treatments depends on early diagnosis, proper case selection, and the use of biocompatible materials that promote pulp healing.
Early Detection is Key
Both pulpotomy and vital pulp therapy are essential for maintaining the longevity of natural teeth, especially in children and young patients with developing dentition. By preserving the pulp’s vitality, these treatments help ensure continued root growth, maintain tooth strength, and prevent more invasive procedures in the future.