It is very important to provide the following information to your healthcare provider. This enables your healthcare provider in assessing the risks for the Pulpotomy and helps avoid unnecessary complications. A consent form is signed after the risks and benefits of the procedure, and alternative treatment options, are discussed. This process is called informed consent. You must sign the forms only after you are totally satisfied by the answers to your questions.
There are general factors that increase the risk of getting complications during surgery and they include:. At the healthcare facility, usually there is no requirement for any post-procedure care, unless any complications arise. The prognosis of Pulpotomy is usually excellent and no serious complications are observed, in most cases.
A full recovery from the Pulpotomy procedure may take a few days, after the sessions are completed. It is important to note that the number of bills that the patient may receive depends on the arrangement the healthcare facility has with the physician and other healthcare providers. Sometimes, the patient may get a single bill that includes the healthcare facility and the consultant physician charges. Sometimes, the patient might get multiple bills depending on the healthcare provider involved.
For instance, the patient may get a bill from:. The patient is advised to inquire and confirm the type of billing, before the Pulpotomy is performed. We sincerely acknowledge and thank Dr. Douglas J. Jones for reviewing the article. His valuable input and feedback has helped enrich the contents of this article. Mathews Ave. Adverts are the main source of Revenue for DoveMed. Please remove adblock to help us create the best medical content found on the Internet.
Health Information. Search or Review. Health Topics. Healthy Living. Common Procedures. Current Medical News Dovemed Blog. Health Information Health Topics. Background Information: What are the other Names for the Procedure? The pulp is the soft and sensitive part of teeth found on the inside central portion of tooth that has nerves and blood vessels. A pulpotomy is usually done so that the tooth and pulp in the root of the tooth can be preserved. The reason is that primary teeth help to ensure that the permanent space will be arranged properly and will have enough space to grow when they start to grow.
Literally, "pulpotomy" translates to "to cut the pulp. Pulpotomies are generally performed on baby teeth, but they can also be successfully performed on permanent teeth, too. A pulpotomy should not be mixed up with a pulpectomy. A pulpotomy is a very safe procedure and there are no serious risks associated with it. Pulpotomies should not be performed if the pulp in the root the radicular pulp is not vital.
That means that the pulp there should not be infected and should still be healthy at the time of the procedure. At least one parent will be able to stay with the child during the procedure.
The area around the tooth will be numbed with a topical anesthetic, then a local anesthetic will then be injected. Alternatively, your child may be sedated. The option chosen is usually up to the discretion of the healthcare provider.
The dentist will single out the tooth to be treated and remove any tooth decay on or around the teeth to prevent contamination of the pulp. The pulp chamber will then be opened by drilling through the enamel and the dentin.
Once the roof of the pulp is drilled through, it will bleed. This shows that the pulp is still healthy. They must then either perform a pulpectomy or tooth extraction. When this is done, wet cotton swabs or pellets will be used to stop the bleeding and clean the area. Ideally, this bleeding should stop within a minute or two, or tops five.
Different dentists have their own time limits. If the bleeding doesn't stop after that time then it shows that the pulp in the root is no longer healthy, and has probably been affected by tooth decay. So, a pulpectomy or tooth extraction will have to be performed. Once the bleeding stops, then the radicular pulp what of it that can be seen is treated and covered with special medication.
This medication is usually either formocresol, ferric sulfate, or mineral trioxide aggregate MTA. Your dentist may also opt to use laser treatment in place of medications to treat the pulp as pulpotomies done with lasers have very high success rates. After this is done, the pulp chamber of the tooth is sealed with zinc oxide eugenol ZOE or some other base. The tooth is then restored. This is usually done with a stainless steel crown. The healthcare provider will likely prescribe pain medication to help with this.
Your healthcare provider will likely give you instructions on the kinds and temperatures of food your child can eat for the days immediately following the procedure.
Your healthcare provider will also likely instruct that your child avoid eating candy or other sticky foods until the stainless steel crown used to restore the teeth falls out by itself.
Your should you ask your dentist what he recommends as an oral care routine. You should also make sure to take your child in for regular scheduled dental check-ups. Small children may require general anesthesia or light sedation for this procedure.
If general anesthesia or light sedation is required, the dentist or endodontist will provide you with written instructions about how to prepare. These instructions will include restrictions on when to stop eating and drinking. Usually, this timeframe is 6 hours before general anesthesia and 2 to 3 hours before light sedation.
If your child needs a pulpotomy, they may already have a toothache. Let your child know that this procedure will make that pain go away. Also let them know that the procedure itself will not hurt and only lasts for half an hour to 45 minutes.
Though research indicates that pulpotomies can be successfully performed on adults, your dentist will likely recommend a root canal since you have a more mature tooth structure. During this time, most children bounce back quickly. In some instances, sleepiness, vomiting, or nausea may occur.
Some pain or discomfort is likely to occur once the anesthesia wears off. Over-the-counter pain medication, such as acetaminophen Tylenol , is usually sufficient for alleviating pain. Do not eat or drink on the side of the mouth where the procedure took place until complete healing has occurred. The cost of this procedure will vary based on several factors. These include whether anesthesia is required and your geographic area.
If you have dental insurance, talk to your insurer about costs you can expect to incur out of pocket, as well as a list of providers you can pick from to ensure coverage.
If your pain is severe, or you continue to feel pain after several days have passed, call your dentist. Intense or persistent pain may indicate that additional treatment is needed.
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