Pulpotomy vs Pulpectomy

This is a battle of pulpotomy vs pulpectomy. Which of the two is better? Let’s dive into the nitty-gritty of these dental procedures. Pulpotomy refers to a dental procedure that entails removing a section of the pulp while aiming to maintain the integrity of the remaining pulp. Pulpectomy, on the other hand, refers to the complete removal of the pulp tissue. The pulp is the part of the tooth beneath the dentin that comprises of nerves, blood vessels, and connective tissue. If you think you need either, you can visit this Meadowbank dental practice at www.thdentalryde.com.au/meadowbank/ as they provide these treatments. Meanwhile, let’s take a closer look at each procedure individually.

Pulpotomy vs Pulpectomy

Pulpotomy Technique

The coronal part of the dental pulp is removed. After that, specific medication is used to fill the pulp chamber. This medication could be zinc oxide eugenol or a mineral trioxide aggregate.

What are the indications for pulpotomy?

•Reversible pulpitis (inflammation of the pulp tissue)

•Pulp exposure occurs after carries removal in a primary tooth having a normal pulp

•Pulp exposure due to trauma

Are there any complications associated with pulpotomy?

Yes, there are. The following are some complications of pulpotomy.

Dental anesthesia effects that may include allergic reactions or numbness of the lips, cheeks, and tongue

•Tooth discoloration due to the cement used for filling

•Pain from infection spread or irritation of surrounding tissues

•Tooth fracture leading to loss of the tooth


Pulpectomy Technique pulpotomy vs pulpectomy

Pulpectomy involves removing all the contents of the pulp chamber together with its root canal. It’s well suited for irreversibly infected pulp tissue or necrotic pulp tissue.

What are the indications for pulpectomy?

•Irreversible pulpitis (shown by excessive bleeding that can’t be controlled with cotton wool)

Necrosis of the pulp, evidenced by a thick smelly discharge

•Absence of root resorption (the roots must be intact)

Are there any complications associated with pulpectomy?

Absolutely! In addition to the complications mentioned above for pulpotomy, pulpectomy can result in the following complications:

•Local infection

•Excessive local bleeding

•Tooth loss


The battle of pulpotomy v pulpectomy inevitably ends in a draw. Both procedures are effective in maintaining the integrity of the pulp tissue. You are free to choose either of the two depending on the extent of tooth infection, pulp involvement, and vitality of the tooth among other factors.

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