Question 1

what is pulpectomy?

Accepted Answer

Partial root canal: A pulpectomy is also known as a partial root canal. It's when all the pulp in your tooth is removed. Usually this is performed on children.

Question 2

what is pulpectomy done for?

Accepted Answer

Get you out of pain.: On adult teeth a pulpotomy is kind of the start of a root canal. It is a stop before getting the full root canal. It serves to get you out of pain until you can do the procedure which is delayed because of $$$ or an infection.  On a baby tooth it is to "fix" a tooth and the fill it so it maintains the save for the permanent one to come in.

Question 3

how do you perform a pulpectomy?

Accepted Answer

Remove the nerve: Nowdays, most root canal therapy can be done in one visit.  However, in certain cases, dentists might decide to stop the pain or drain the infection first.  Pulpectomy is the choice of treatment then.  It involves opening an access of the tooth, removal of the diseased nerve(pulp) and gross cleaning of the root canal.  It provide immediate improvement of the symptom and causes less time and money.

Question 4

i'm having post pulpectomy pain! help?

Accepted Answer

It will get getter: Sadly sometimes you develop pain secondary to instrumentation of the canals - apical periodontitis.  Depending on what medications you were prescribed and what you might be allergic to - taking an anti inflammatory med like advil (ibuprofen) / Ibuprofen 400 mg every 4 hours can help.  If any doubt please contact your dentist first.

Question 5

can u smoke after having a pulpectomy?

Accepted Answer

Yes: The pulpectomy is sealed when completed and smoking doesn't affect it although smoking in general tends to delay healing.

Question 6

what can i do for the pain after a pulpectomy?

Accepted Answer

Call your dentist.: Your dentist should be able to prescribe pain meds, if he has not already done so. He also may want to prescribe antibiotics.

Question 7

what is the differance between pulpectomy & pulpetomy ?

Accepted Answer

Pulpectomy vs.: Pulpotomy. The pulp of a tooth is nerves, tiny blood vessels and connective tissue that is located in the center of the tooth. There is coronal and radicular (root) parts of the pulp. Pulpotomy is a removal only coronal pulp, whereas pulpectomy is a removal of necrotic pulp tissue followed by filling the root canals. Pulpotomy is also done for  young permanent teeth for root apexification.

Question 8

is pulpotomy and pulpectomy really effective?

Accepted Answer

Absolutely: Both procedures are highly effective (in the 90% to 95% range) when done properly by a skilled dentist under the right conditions.  They both enable you to save teeth that otherwise would need to be extracted. What would lead you to question its effectiveness?

Question 9

should i be on antibiotics after a pulpectomy?

Accepted Answer

Not necessarily: From the American Academy of Pediatric Dentistry:

If a child presents with severe symptoms of pulpitis, treatment (i.e., pulpotomy, pulpectomy, or extraction) should be rendered. Antibiotic therapy usually is not indicated if the dental infection is contained within the pulpal tissue or the immediately surrounding tissue.

Question 10

can you describe pulpotomy and pulpectomy in primrary and permanant teeth?

Accepted Answer

Similar procedures: By definition, a pulpotomy is removal of the pulp within the crown of a tooth, leaving the pulp in the roots behind.  This is done commonly in primary teeth because the roots are thin and risky to clean out.  It can preserve a baby tooth for a few years.  Pulpectomy is done as an emergency procedure in permanent teeth to relieve pain and is the first step in root canal therapy.

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