Journal of Indian Society of Pedodontics and Preventive Dentistry (Jan 2014)

Pulpectomy in hyperemic pulp and accelerated root resorption in primary teeth: A review with associated case report

  • Tarun Walia

DOI
https://doi.org/10.4103/0970-4388.135844
Journal volume & issue
Vol. 32, no. 3
pp. 255 – 261

Abstract

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Persistent hemorrhage after complete amputation of coronal pulp is a common clinical finding during pulpotomy procedure in primary teeth. These teeth are best managed with pulpectomy, but they have hyperemic pulp with some remaining vital tissue. Good chemico-biomechanical preparation of primary canals cannot guarantee complete removal of this vital tissue from inaccessible areas. Use of Ca(OH) 2 containing root filling pastes in vital pulp tissue can cause accelerated resorption of primary roots. The possible mechanism behind such extensive root resorption is discussed with review of literature. A case report of a child with 30 months follow-up is presented and discussed.

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