.Pulpless tooth with stomas. 1.Test of equality of survival distributions for the different levels of group (P= 0.514). Clinical and the treatment of deep dentinal caries in primary teeth. Abstract. The main aim of primary tooth pulp therapy is to maintain arch length and integrity by preserving the pulpally involved tooth as a natural space maintainer. The risk of long-term complications such as pulp necrosis, infection related resorption or ankylosis related resorption may – if left untreated – affect the formation of the permanent teeth. 2018; Vargas KG, Fuks AB, Peretz B. Pulpotomy techniques: cervical (traditional) and partial. In: Fuks AB, Peretz B, editors. Am J Dent. The risk of long-term complications such as pulp necrosis, infection related resorption or ankylosis related resorption may – if left untreated – affect the formation of the permanent teeth. The evidence is current up to August 2017. The American Academy of Pediatric Dentistry (AAPD) Guideline on Pulp Therapy for Primary and Immature Permanent Teeth states that with Cvek pulpotomy ‘neither time between the accident and treatment nor size of exposure is critical if the inflamed superficial pulp tissue is amputated to a healthy pulp’ 5. We use cookies to improve your experience on our site. Technique • accurate diagnosis of pulp status is very important in aiding appropriate pulpal management – An accurate pain history – Radiographic findings – Clinically, • success of vital pulp therapy in the primary dentition depends upon: – effective control of infection. Formocresol, though effective, has known concerns about toxicity. After treatment, the cavity is filled with a medicament. Communication between the oral cavity and area of furcation. Pulp treatment for extensive decay in primary teeth is generally successful. For pulpotomy, we assessed three comparisons as providing moderate-quality evidence. [No authors listed] Purpose: This manuscript presents evidence-based guidance on the use of vital pulp therapies for treatment of deep caries lesions in children. St. Louis, MO: Elsevier; 2011. p. 808–56. Pediatr Dent. This chapter discusses contemporary pediatric endodontic concepts and definitive … It is a treatment objective to maintain the vitality of the pulp of a tooth affected by caries, traumatic injury, or other causes. DOI: 10.1002/14651858.CD003220.pub3, Copyright © 2021 The Cochrane Collaboration. Use of Vital Pulp Therapies in Primary Teeth with Deep Caries Lesions. We assessed statistical heterogeneity by using I² coefficients. Evidence of pulpotomy in primary teeth comparing MTA, calcium hydroxide, ferric sulphate, and electrosurgery with formocresol. One trial appeared to favour formocresol over calcium hydroxide; however, there are safety concerns about formocresol. Many materials have been used for pulp treatment in primary teeth, but not many of them are extensively supported in the dental literature. Resorption of a calcium hydroxide/iodoform paste (Vitapex) in root canal therapy for primary teeth: a case report. Review question. Pediatr Dent. Pulp treatment for extensive decay in primary teeth. 2018;28:12. 1.Test of equality of survival distributions for the different levels of group (P= 0.514). Pulp therapy in primary teeth As pediatric dentists’ our primary goal is to perform treatment in a child efficiently and effectively, so that the child does not develop fear towards dentistry. If it is exposed during the removal of decay, a procedure called a pulpotomy (partial removal of the pulp) is performed instead. In many trials, there were either no clinical failures or no radiographic failures in either study arm. When the pulp has become irreversibly infected or necrotic, a root canal treatment is indicated [2, 3]. Regarding direct pulp capping, the small number of studies undertaking the same comparison limits any interpretation. Two review authors independently extracted data and assessed 'Risk of bias'. We performed data synthesis with pair-wise meta-analyses using fixed-effect models. The primary goal of pulp therapy is to treat, restore, and save the affected tooth. Oral Health Prev Dent 2003;1(3):201-7. of formocresol pulpotomy and indirect pulp therapy in 23. The primary objective of pulp therapy is to maintain the integrity and health of the teeth and their supporting tissues. We included 87 trials that investigated the success of pulp treatment of milk teeth. A protective liner is a thinly-applied liquid placed on the pulpal surface of a deep cavity preparation, covering exposed dentin tubules, to act as a protective barrier between the restorative material or cement and the pulp. 2008;30(3):230–6. How effective are different options for treating extensive tooth decay in children's primary (milk) teeth to resolve the child's symptoms (typically pain, swelling, abnormal movement) and tooth signs (as shown on an x-ray)? Pulp therapy in primary teeth As pediatric dentists’ our primary goal is to perform treatment in a child efficiently and effectively, so that the child does not develop fear towards dentistry. Bioactive material provides easy handling and shorter set time. Pulpless primary teeth in hemophiliacs. Coll JA. Background: In children, dental caries (tooth decay) is among the most prevalent chronic diseases worldwide. Many included trials had no clinical or radiological failures in either trial arm, and the overall proportion of failures was low. Pulp injuries in primary teeth due to caries and trauma may threaten pulp vitality, so appropriate treatment such as Vital Pulp Therapy or Root Canal Treatment may be required. In: Casamassimo P, Fields H, Mctigue D, Nowak A, editors. Depending on the severity of the disease, three pulp treatment techniques are available: direct pulp capping, pulpotomy and pulpectomy. The two major procedures used to perform pulp therapy in primary teeth, pulpotomy and pulpectomy, have evolved over the years. This is an update of a Cochrane Review published in 2014 when insufficient evidence was found to clearly identify one superior pulpotomy medicament and technique. 2. All trials were assessed at unclear or high risk of bias. J Clin Pediatr Dent. Pulp interventions are indicated for extensive tooth decay. Formocresol may be superior to calcium hydroxide in terms of clinical and radiological failure, but because of toxic effects associated with formocresol, safer alternatives should be evaluated. Pulp therapy for baby teeth, also known as root canal, pulpotomy, pulpectomy, or nerve treatment, works to treat inflamed pulp in order to restore and save the affected tooth. When comparing calcium hydroxide with formocresol, there was a statistically significant difference in favour of formocresol for clinical failure at six and 12 months and radiological failure at six, 12 and 24 months (six trials (one with no failures), 332 participants). We included randomised controlled trials (RCTs) comparing interventions that combined a pulp treatment technique with a medicament or device in children with extensive decay in the dental pulp of their primary teeth. 2011;35(3):255–8. When pulp exposure has occurred during complete excavation in primary or young permanent teeth, (partial) pulpotomy is a treatment option for teeth diagnosed with reversible pulpitis 7, 13. New York, NY: Springer; 2016. p. 52–70. 3. Introduction. Keys to clinical success with pulp capping: a review of the literature. Protective liner. Pulpectomy the alveolus should continue to grow in conjunction with in apexiied permanent teeth is conventional root canal the adjacent teeth. After a pulpotomy, one of four materials is generally used: ferric sulphate, formocresol, calcium hydroxide or mineral trioxide aggregate. Also termed indirect pulp therapy, this involves placing a lining onto deep, softened dentine in order to eliminate microbes and stimulate reparative secondary dentine and maintain pulp vitality. The proportion of treatment failures was low, with many of the included trials having no failures with either of the treatments being compared. In children, dental caries (tooth decay) is among the most prevalent chronic diseases worldwide. High-resolution clinical pictures of every step along with long-term follow-ups and clinical tips will help the reader achieve predictable prognosis when carrying out these valuable procedures. For deep lesions on teeth with vital pulp, dentists should have as main objective to avoid pulpal exposure by leaving the leathery dentine on the pulp wall.1 Within this concept emerged the selective carious tissue removal (SCTR). In recent years, … The main question addressed by this review is how effective are different options for treating extensive tooth decay in children's milk teeth to resolve the child's symptoms (typically pain, swelling, abnormal movement) and tooth signs (as shown on … This material should not prevent the resorption of the primary tooth's root, to let the permanent tooth to grow in. Indirect pulp capping in primary molars. Regarding direct pulp capping, the small number of studies undertaking the same comparison limits any interpretation. (endodontic) treatment for exposed, infected, and/or necrotic teeth to eliminate pulpal and periradicular infection. This is a preview of subscription content. The 87 trials examined 125 different comparisons: 75 comparisons of different medicaments or techniques for pulpotomy; 25 comparisons of different medicaments for pulpectomy; four comparisons of pulpotomy and pulpectomy; and 21 comparisons of different medicaments for direct pulp capping. Regarding pulpectomy, there is no conclusive evidence that one medicament or technique is superior to another, and so the choice of medicament remains at the clinician's discretion. Indirect pulp treatment is a procedure performed in a tooth with a deep carious lesion... ITR). Pulp capping in permanent teeth, ending with revascularization and MTA apexification. 2011;44(5):402–6. Primary teeth Vital pulp therapy for primary teeth diagnosed with a normal pulp or reversible pulpitis Protective liner. Cochrane Oral Health's Information Specialist searched the Cochrane Oral Health Group's Trials Register (to 10 August 2017), the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2017, Issue 7), MEDLINE Ovid (1946 to 10 August 2017), Embase Ovid (1980 to 10 August 2017) and the Web of Science (1945 to 10 August 2017). After a pulpotomy, mineral trioxide aggregate (MTA) seems to be the best material (in terms of biocompatibility and efficacy) to put into contact with the remaining root dental nerve. Regarding pulpectomy, we found moderate-quality evidence for two comparisons. Pediatric endodontics. Pulp stones are foci of calcification or discrete calcifications in the dental pulp. The trials were published between 1989 and 2017 and provided 125 comparisons of different treatment options. After treatment, the cavity is filled with a medicament.This is an update of a Cochrane review first published in 2003. It is how a dentist might describe ‘toothache.’ The pulp inside a tooth consists of vascular tissues, blood supply, nerves, and connective tissue. The US National Institutes of Health Trials Registry (ClinicalTrials.gov) and the World Health Organization International Clinical Trials Registry Platform were searched for ongoing trials. The two major procedures used to perform pulp therapy in primary teeth, pulpotomy and pulpectomy, have evolved over the years. The use of cavity lining was based on the ability for reduction of the number of viable bacteria remaining, remineralization of demineralized hard tissues, induction of the reactionary dentin and protection of the integrity of the pulp. Depending on the severity of the disease, three pulp treatment techniques are available: direct pulp capping, pulpotomy and pulpectomy. View Academics in Pulp treatment of primary teeth on Academia.edu. 2018; Steffen R, Alhamoui FA, Waes HV. Our site uses cookies to improve your experience. Future trials to evaluate which healing agents are best for the three pulp treatments would require a very large sample size and should follow up the participants of a minimum of one year. Compared with calcium hydroxide, MTA reduced both clinical and radiological failures, with statistically significant differences for clinical failure at 12 and 24 months. PURPOSE: To evaluate clinical and radiographic outcomes of indirect pulp treatment (IPT) in primary molars after long-term function (up to 60 months). As MTA is relatively expensive, future research could be undertaken to confirm if Biodentine, enamel matrix derivative, laser treatment or Ankaferd Blood Stopper are acceptable second choices, and whether, where none of these treatments can be used, application of sodium hypochlorite is the safest option. 2018;5:CD003220. The trials were published between 1989 and 2017 and provided 125 comparisons of different treatment options. Clin Oral Investig. 1989;56(3):182–5. In case of symptoms referring to irreversible pulpitis, such as unprovoked pain, vital pulp techniques are associated with poor clinical outcomes. In: Splieth CH, editor. The evaluation of MTA and Biodentine as a pulpotomy materials for carious exposures in primary teeth. Comparison between rotary and manual techniques on duration of instrumentation and obturation times in primary teeth. 2009;34(5):615–25. After treatment, the cavity is filled with a medicament.. Third, primary teeth are space maintainers for permanent successor eruption, maintain arch length and help to guide permanent dentition into place. Second molars and the occlusal restorations presented higher frequency of … Depending on the severity of the disease, three pulp treatment techniques are available: direct pulp capping, pulpotomy and pulpectomy. There are a few reports of double teeth, but triple teeth are rare. In primary teeth, decay that is near the pulp (tooth nerve)is treated with either a pulpotomy or indirect pulp treatment if the tooth is not going to be extracted A pulpotomy involves removing the top 1/2 of the pulp, placing a medication/material on the pulp, covering the remaining pulp with a cement, and the restoring the tooth. The primary objective of pulp therapy is to maintain the integrity and health of the teeth and their supporting tissues. Radiographic evaluation of pulpal therapy for primary anterior teeth. The comparison between Metapex and zinc oxide and eugenol (ZOE) paste was inconclusive, with no clear evidence of a difference between the interventions for failure at 6 or 12 months (two trials, 62 participants). Beltrame AP, Triches TC, Sartori N, Bolan M. Electronic determination of root canal working length in primary molar teeth: an in vivo and ex vivo study. 2015;16(4):303–12. Most of the diagnostic tests used in conventional endodontic therapy are of very little or no value in primary teeth and of limited value in permanent immature teeth. There was low-quality evidence of a difference in failure at 12 months that suggested ZOE paste may be better than Vitapex (calcium hydroxide/iodoform) paste (two trials, 161 participants). 2012;34(7):460–7. This chapter discusses contemporary pediatric endodontic concepts and definitive indications and contraindications for primary tooth pulp therapy. Odabaş ME, Bodur H, Tulunoğlu O, Alaçam A. Carla Cohn, DMD. Flaitz CM, Barr ES, Hicks MJ. If possible, your tooth may be saved through a procedure called a pulpectomy. St. Louis, MO: Elsevier; 2013. p. 340–4. World Health Organization International Clinical Trials Registry Platform, Interventions for managing immature permanent teeth with necrotic pulps, Preformed crowns for managing decayed primary molar teeth in children, Irrigating solutions for use in root canal treatment of teeth, Micro-invasive treatments for managing dental decay on adjacent tooth surfaces in children's and adults' teeth, Lasers for the removal of decay in first and permanent teeth. The evidence showed it to be less likely to fail than either calcium hydroxide or formocresol. Mutluay M, Arikan V, Sari S, Kisa U. Pulp is the innermost layer of the tooth and contains nerve and blood vessel tissue. This service is more advanced with JavaScript available, Contemporary Treatment Techniques in Pediatric Dentistry Pediatric dentists perform pulp therapy on both primary (baby) teeth and permanent teeth. Not logged in Cohen’s pathways of the pulp. .Pulpless primary molars holding orthodontic appliance . 2000;22(6):517–20. 4. traumatized primary incisors with pulp exposures or acute or chronic abscesses. Pulpectomy (Root Canal) A pulpectomy is a root canal procedure that involves the complete removal of pulp tissue from a tooth with irreversible pulpitis or necrosis (dead tissue). 2005;18(6):347–50. No. The evidence suggests MTA may be the most efficacious medicament to heal the root pulp after pulpotomy of a deciduous tooth. Indirect pulp treatment in primary teeth 35 Fig. Pediatric dentistry: infancy through adolescence. 2016;38(6):280–8. Eur Arch Paediatr Dent. Similarly inconclusive, there was no clear evidence of a difference in failure between Endoflas and ZOE (outcomes measured at 6 months; two trials, 80 participants). Background: In children, dental caries is among the most prevalent chronic diseases worldwide. Indirect pulp capping and primary teeth: is the primary tooth pulpotomy out of date? Tooth decay in the primary teeth tends to progress rapidly, often reaching the pulp - the nerves, tiny blood vessels and connective tissue that make up the centre of a tooth. It includes a step-by-step description of both the MTA pulpotomy and a single-visit pulpectomy using rotary files in primary posterior teeth. Ozalp N, Saroğlu I, Sönmez H. Evaluation of various root canal filling materials in primary molar pulpectomies: an in vivo study. After pulpectomy, it is not clear whether any medicament is superior to another. Complicated crown fracture and crown-root fracture with pulp involvement expose dental pulp to the oral environment. Indirect pulp treatment. We judged the quality of the evidence suggesting the superiority of MTA over calcium hydroxide or formocresol after pulpotomy to be moderate. Cite as. After a pulpectomy, a material is put into the space created by pulp removal. Materials commonly used include mineral trioxide aggregate (MTA), calcium hydroxide, formocresol or ferric sulphate. Maintaining arch length and integrity by preserving the pulpally involved tooth, as a natural space maintainer is the main aim of primary tooth pulp therapy. Second molars and the occlusal restorations presented higher frequency of … Ochoa-Romero T, Mendez-Gonzalez V, Flores-Reyes H, Pozos-Guillen AJ. A recent systematic review and meta-analysis on primary tooth vital pulp therapy 74 demonstrated that the “highest level of success and quality of evidence supported IPT and the pulpotomy techniques of MTA and FC for the treatment of deep caries in primary teeth after 24 months. Contemporary Treatment Techniques in Pediatric Dentistry, https://doi.org/10.1007/s00784-018-2472-4, https://doi.org/10.1007/s40368-015-0174-z, https://doi.org/10.1007/s00784-018-2616-6, https://doi.org/10.1002/14651858.CD003220, MCODS Mangalore, Manipal Academy of Higher Education, https://doi.org/10.1007/978-3-030-11860-0_3. This is the first part of a root canal. Pediatr Dent. Dental Pulp Treatment. the teeth and their supporting tissues, and the treat-ment objective is to maintain the vitality of the pulp of a tooth affected by caries, traumatic injury, or other causes (1). Introduction. Çelik BN, Mutluay MS, Arıkan V, Sarı Ş. Our health evidence - how can it help you. Pulp interventions are indicated for extensive tooth decay.Depending on the severity of the disease, three pulp treatment techniques are available: direct pulp capping, pulpotomy and pulpectomy. Dentists often have to perform one of three pulp treatment techniques: direct pulp capping (where a healing agent is placed directly over the exposed pulp), pulpotomy (removal of a portion of the pulp) or pulpectomy (removal of all of the pulp in the pulp chamber and root canal of a tooth). Pulpotomy and pulpectomy, the two major procedures used to perform pulp therapy in primary teeth, have evolved over the years. The pulp outcome is often unpredictable because the patient and injury which are related to variables can influence the treatment of choice and the prognosis of the case. Your teeth are made up of a hard outer layer of enamel, which covers a softer, bulky material called dentin. Treatment planning The first treatment decision for the young patient with one or more extensively carious primary molars is whether to retain or extract these teeth… Primary teeth Vital pulp therapy for primary teeth diagnosed with a normal pulp or reversible pulpitis Protective liner. Abstract. We assessed the quality of the evidence as low or very low for all comparisons. We included 40 new trials bringing the total to 87 included trials (7140 randomised teeth) for this update. No restrictions were placed on the language or date of publication when searching the electronic databases. We contacted authors of RCTs for additional information when necessary. Module Outline: You can succeed without pulp treatment. Diagnosis, pulp, pulp capping, pulpotomy D iagnosis in primary and young, permanent, immature teeth varies greatly from that in fully formed permanent teeth. In addition to these, in primary teeth it is important to preserve the tooth until its natural exfoliation time, thus preserving arch integrity(2) . Cochrane Database of Systematic Reviews 2018, Issue 5. ment and availability of bioactive pulp medicaments additional revisions to this guideline may be indicated in future years [Goldberg, 2003]. Use of vital pulp therapies in primary teeth with deep caries lesions. Vital pulp therapy (VPT) is a method of conserving deciduous teeth. Art. Pulpotomy perfection step by step Pulpectomy perfection step by step What Others Have Said course review By: Dina Adel great course and Dr mostafa is just great with the explanation in a simple and nice way OpenGrey was searched for grey literature. Waterhouse PJ, Whitworth JM, Camp JH, Fuks AB. Clin Oral Investig. They are frequently found on bitewing and periapical radiographs, but their occurrence in entire dentition is unusual. Yacobi R, Kenny DJ, Judd PL, Johnston DH. This is an update of a Cochrane review first published in 2003. Pediatric endodontics: current concepts in pulp therapy for primary and young permanent teeth. Indirect pulp treatment in primary teeth 35 Fig. Treatment is necessary if cavity removal results in exposure of the pulp or in a primary tooth with reversible pulpitis, which means the tooth can still be saved. Many included trials had no clinical or radiological failures in either trial arm, and the overall proportion of failures was low. Pediatr Dent. American Academy of Pediatric Dentistry. In all References cases, the entire roof of the pulp chamber is removed to gain 1. The aim of this study is to evaluate the efficacy of CTZ Paste in primary teeth, compared to endodontic treatment with Guedes-Pinto Paste. Formocresol may be more successful than calcium hydroxide; however, given its toxicity, any future research should focus on alternatives. Vital pulp therapy, stainless steel crowns, and teeth preparation. ZOE paste may give better results than Vitapex (calcium hydroxide/iodoform) paste, but more studies are needed to confirm this and to explore other treatment options. After treatment, the cavity is filled with a medicament. Guideline on pulp therapy for primary and young permanent teeth. Dhar V, Marghalani AA, Crystal YO, et al. Laser light is able to vaporize the soft pulp tissue when appropriate wavelengths interact with it. 1. Berlin: Quintessence; 2011. p. 173–83. You can find out more about our use of cookies in About Cookies, including instructions on how to turn off cookies if you wish to do so. pp 75-98 | For deep lesions on teeth with vital pulp, dentists should have as main objective to avoid pulpal exposure by leaving the leathery dentine on the pulp wall.1 Within this concept emerged the selective carious tissue removal (SCTR). . This course discusses the direct and indirect pulp therapy in primary teeth, pulpotomy, pulpectomy and materials used for each procedure. Accuracy of an electronic apex locator: a clinical evaluation in primary molars with and without resorption. 6 :Clinical contraidications 1. Key results Pulp treatment for extensive decay in primary teeth is generally successful. 2018;40(1):37–42. Diagnosis, pulp, pulp capping, pulpotomy D iagnosis in primary and young, permanent, immature teeth varies greatly from that in fully formed permanent teeth. Review authors working with Cochrane Oral Health carried out this review of randomised controlled trials. © 2020 Springer Nature Switzerland AG. In primary teeth, decay that is near the pulp (tooth nerve)is treated with either a pulpotomy or indirect pulp treatment if the tooth is not going to be extracted A pulpotomy involves removing the top 1/2 of the pulp, placing a medication/material on the pulp, covering the remaining pulp with a cement, and the restoring the tooth. Hutcheson C, Seale NS, McWhorter A, Kerins C, Wright J. Multi-surface composite vs stainless steel crown restorations after mineral trioxide aggregate pulpotomy: a randomized controlled trial. The most common materials used for direct pulp capping are calcium hydroxide, the more recent but more expensive mineral trioxide aggregate, formocresol or an adhesive resin (placed directly over the tooth's nerve). 1. protective base 2. indirect pulp treatment 3. coronal pulpotomy- (Direct pulp capping is a poor treatment choice for primary teeth because of higher incidence of abscess/internal resorption) 2 options for non-vital pulp therary for priamry teeth? Diagnosis and treatment planning in primary teeth pulp therapy. . According to the American Academy of Pediatric Den-tistry (AAPD) Guidelines, the primary objective of pulp therapy is to maintain the integrity and health of Pinto AS, de Araújo FB, Franzon R, et al. J Clin Pediatr Dent. MTA also appeared to reduce radiological failure at six, 12 and 24 months (four trials, 150 participants) (low-quality evidence). The main aim of primary tooth pulp therapy is to maintain arch length and integrity by preserving the pulpally involved tooth as a natural space maintainer. Tissue changes induced by the absorption of formocresol from pulpotomy sites in dogs. Pediatric dentists perform pulp therapy on both primary (baby) teeth and permanent teeth. It is a treatment objective to maintain the vitality of the pulp of a tooth affected by caries, traumatic injury, or other causes. Treatment. It is a treatment objective to maintain the vitality of the pulp of a tooth affected by caries, traumatic injury, or other causes. Stringhini Junior E, Vitcel ME, Oliveira LB. Pediatric pulp therapy is known by several other names, including: root canal, pulpotomy, pulpectomy, and nerve treatment. Pediatr Dent. Pulpotomy is a dental procedure used to save decayed, infected teeth. The primary goal of pulp therapy is to treat, restore, and save the affected tooth. Pulp Treatment of Triple Tooth in Primary Dentition: Two Case Reports Hankeul Jeong, Nanyoung Lee, Sangho Lee Department of Pediatric Dentistry, School of Dentistry, Chosun University Triple tooth is rare in primary dentition; it is the abnormal f usion of three teeth. Pulp interventions are indicated for extensive tooth decay. This is a multicenter, randomized, double-blind (patient), controlled and non-inferiority clinical study on 174 primary molars and 174 primary incisors of 3-6 years-old children with carious lesions with pulp involvement. Evolving primary pulp therapy techniques. Outcomes of the conventional and biological treatment approaches for the management of caries in the primary dentition. TREATMENT OF PRIMARY TEETH Primary teeth differ morphologically from their permanent successors both in shape and size; pulp space anatomy of primary teeth is covered in Chapter 4. Pulp treatment in primary teeth has been a topic of great interest in pediatric dentistry and it has gener-ated many opinions and controversial concepts. Pediatr Dent. When pulp exposure has occurred during complete excavation in primary or young permanent teeth, (partial) pulpotomy is a treatment option for teeth diagnosed with reversible pulpitis 7, 13. Pulp therapy for deciduous teeth aims to preserve the child’s health and to maintain deciduous teeth where pulp tissue is affected by caries, dental trauma, or other causes in a functional state until they are replaced by permanent teeth .