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Year : 1991  |  Volume : 3  |  Issue : 1  |  Page : 25-35

Pulpotomy for the treatment of hyperemic pulps in adult teeth

Assoc. Prof., Deptt. of Dental Surgery, All India Institute of Medical Sciences, New Delhi-110 029, India

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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0970-7212.351012

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Cases of hyperemic pulps, diagnosed from clinical symptoms were treated by pulpotomy in thirty three adult teeth and were followed up at regular intervals; maximum period of follow41p being 9 years. It was found that only 4 failures could be attributed to the status of the remaining pulp, i.e. failure of the pulpotomy procedure perse. Of these, two failure cases were found at the end of 7 years, both cases being symptom free, when diagnosed. One developed internal resorption in the furcation area and the other developed a peri-apical lesion at the distal root apex of a mandibular molar. The rationale of pulpotomy procedure, the technic, criteria for case selection, prognosis, possible sequelae and their prevention is discussed in detail. An attempt is made to negate many of the old beliefs and a case is made favouring vital pulp therapy in the light of results of the present study and review of relevant literature.

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