When caries extend to involve the pulp, various forms of pulp treatment have been used to treat and/or remove the pulp or to stimulate tooth repair.
The choice of technique is as important as the choice between the different pharmacotherapeutic agents which are used in the treatment of primary teeth.
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Pulpotomy and pulpectomy are the most
common utilized pulp therapies, and the choice between them depends on several factors, for instance, the vitality of
the existing pulp, the portion of the pulp involved (e.g. coronal versus radicular portions), the presence or absence of
reversible/irreversible pulpitis, the presence or absence of a necrotic pulp, the state of surrounding bones and soft
tissues, and the presence or absence of infection, abscesses, fistulae, or underlying cysts.
Basically, pulpotomy is
usually therapy of option in patients with vital pulps, whilst pulpectomy is preferred in cases with non-vital teeth
pulps.
