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Pulpotomy vs Pulpectomy

  • Dental Practice

Ų§Ł„Ł…Ł‚ŲÆŁ…Ų©:

ŁƒŁ„Ł†Ų§ Ł†ŲÆŲ±Łƒ Ł…ŲÆŁ‰ Ų£Ł‡Ł…ŁŠŲ© Ų§Ł„Ų£Ų³Ł†Ų§Ł† Ų§Ł„Ł„ŲØŁ†ŁŠŲ© Ł„Ł„Ų·ŁŁ„ Ų¹Ł„Ł‰ Ų§Ł„Ł…ŲÆŁ‰ Ų§Ł„Ł‚Ų±ŁŠŲØ ŁˆŲ§Ł„ŲØŲ¹ŁŠŲÆ.
Ų„Ų°Ų§Ł‹ŲŒ Ł…Ų§ Ų§Ł„Ų­Ł„ Ų„Ų°Ų§ ŁˆŲµŁ„ Ų§Ł„ŲŖŲ³ŁˆŲ³ Ł„Ł„Ų¹ŲµŲØ Ų§Ł„Ų³Ł†ŁŠ ŁˆŁ„Ł… ŁŠŲ£ŲŖ Ł…ŁˆŲ¹ŲÆ Ų§Ł„Ų®Ł„Ų¹ ŲØŲ¹ŲÆŲŸ

  • Ł‡Ł„ ŁŠŁ…ŁƒŁ† Ų¹Ł…Ł„ Ų­Ų“Łˆ Ų¹ŲµŲØ Ł„Ł„Ų£Ų³Ł†Ų§Ł† Ų§Ł„Ł„ŲØŁ†ŁŠŲ© Ł…Ų«Ł„ Ų§Ł„Ų£Ų³Ł†Ų§Ł† Ų§Ł„ŲÆŲ§Ų¦Ł…Ų© Ł„Ł„Ų­ŁŲ§Ųø Ų¹Ł„ŁŠŁ‡Ų§ŲŸ
  • Ł‡Ł„ Ų§Ł„Ų®Ų·ŁˆŲ§ŲŖ Ų§Ł„ŲŖŁŠ ŲŖŲŖŁ… ŁŁŠ Ų­Ų“Łˆ Ų§Ł„Ų¹ŲµŲØ Ł„Ł„Ų£Ų·ŁŲ§Ł„ Ł…Ų«Ł„ Ł…Ų§ ŁŠŲŖŁ… Ł…Ų¹ Ų§Ł„ŁƒŲØŲ§Ų±ŲŸ
  • Ł‡Ł„ ŲŖŲŖŁ… ŲØŁ†ŁŲ³ Ų§Ł„Ų£ŲÆŁˆŲ§ŲŖŲŸ
  • Ł…Ų§ Ų“ŁƒŁ„ Ų§Ł„Ų§ŁƒŲ³ŁŠŲ³ ŁŁŠ Ų§Ł„Ų£Ų³Ł†Ų§Ł† Ų§Ł„Ł€ primaryŲŸ
  • Ł…ŲŖŁ‰ ŁŠŲŖŁ… Ų¹Ł…Ł„ Ų­Ų“Łˆ Ų§Ł„Ų¹ŲµŲØ Ł„Ł„Ų·ŁŁ„ŲŸ
  • Ł‡Ł„ Ų§Ł„ŁƒŲ±Ų§ŁˆŁ† Ų£Ų³Ų§Ų³ŁŠ ŲØŲ¹ŲÆ Ų­Ų“Łˆ Ų§Ł„Ų¹ŲµŲØ Ł…Ų«Ł„ Ų£ŲŗŁ„ŲØ Ų§Ł„Ų­Ų§Ł„Ų§ŲŖ Ų¹Ł†ŲÆ Ų§Ł„ŁƒŲØŲ§Ų±ŲŸ

Ł„Ł…Ų§Ų°Ų§ Ł†Ų­Ų§ŁŲø Ų¹Ł„Ł‰ Ų§Ł„Ų£Ų³Ł†Ų§Ł† Ų§Ł„Ł„ŲØŁ†ŁŠŲ© Ł…Ł† Ų§Ł„Ų£Ų³Ų§Ų³ŲŸ

Ų­Ų§Ł† ŁˆŁ‚ŲŖ Ų§Ł„Ų„Ų¬Ų§ŲØŲ§ŲŖ…
Ł†Ų­Ų§ŁŲø Ų¹Ł„Ł‰ Ų§Ł„Ų£Ų³Ł†Ų§Ł† Ų§Ł„Ł„ŲØŁ†ŁŠŲ©ŲŒ ŁˆŲ®Ų§ŲµŲ© Ų§Ł„Ų¹ŲµŲØŲŒ ŲØŲ³ŲØŲØ Ų¶Ų±ŁˆŲ±ŁŠŲŖŁ‡Ų§ Ł„Ł„Ł†Ł…Łˆ Ų§Ł„ŁŲ³ŁŠŁˆŁ„ŁˆŚ†ŁŠ Ł„Ł„Ų£Ų³Ł†Ų§Ł† Ų§Ł„ŲÆŲ§Ų¦Ł…Ų© Ł„ŲŖŁƒŁˆŁ† ŲµŲ­ŁŠŲ© ŁˆŲŖŲ¤ŲÆŁŠ ŁˆŲøŁŠŁŲŖŁ‡Ų§ Ł„Ł…ŲÆŲ© Ų£Ų·ŁˆŁ„.

Ų§Ł„Ų¹Ł„Ų§Ų¬ Ų§Ł„Ų¹ŲµŲØŁŠ Ł„Ł„Ų£Ų³Ł†Ų§Ł† Ų§Ł„ŲŖŁŠ ŲŖŲ£Ų«Ų±ŲŖ ŲØŲ§Ł„ŲŖŲ³ŁˆŲ³ Ų£Łˆ Ų§Ł„Ų¹ŲÆŁˆŁ‰ Ų£Łˆ Ų§Ł„ŲµŲÆŁ…Ų© ŁŠŲŖŲ¶Ł…Ł† Ų¹Ų§ŲÆŲ©Ł‹ Ų§Ų³ŲŖŲ¦ŲµŲ§Ł„ Ų§Ł„Ų¹ŲµŲØ (Ų§Ł„Ł„ŲØ)ŲŒ ŁˆŁ‡Łˆ Ł…Ł† Ų£ŁƒŲ«Ų± Ų§Ł„Ų¹Ł„Ų§Ų¬Ų§ŲŖ Ų“ŁŠŁˆŲ¹Ų§Ł‹.

Ų§Ł„Ų¹ŁˆŲ§Ł…Ł„ Ų§Ł„ŲŖŁŠ ŁŠŲŖŁ… Ų§Ł„Ų§Ų¹ŲŖŁ…Ų§ŲÆ Ų¹Ł„ŁŠŁ‡Ų§ Ł„ŲŖŲ­ŲÆŁŠŲÆ Ų§Ł„Ų¹Ł„Ų§Ų¬ Ų§Ł„Ł…Ł†Ų§Ų³ŲØ ŲŖŲ“Ł…Ł„:

  • Ų­ŁŠŁˆŁŠŲ© Ų§Ł„Ų¹ŲµŲØ Ų§Ł„Ł…ŁˆŲ¬ŁˆŲÆ.
  • ŁˆŲ¬ŁˆŲÆ Ų£Łˆ Ų¹ŲÆŁ… ŁˆŲ¬ŁˆŲÆ Ų§Ł„ŲŖŁ‡Ų§ŲØ ŁŁŠ Ų¹ŲµŲØ Ų§Ł„Ų³Ł†.
  • Ų­Ų§Ł„Ų© Ų§Ł„Ų¹ŲøŲ§Ł… ŁˆŲ§Ł„Ų£Ł†Ų³Ų¬Ų© Ų§Ł„Ų±Ų®ŁˆŲ© Ų§Ł„Ł…Ų­ŁŠŲ·Ų©.
  • ŁˆŲ¬ŁˆŲÆ Ų£Łˆ Ų¹ŲÆŁ… ŁˆŲ¬ŁˆŲÆ Ų¹ŲÆŁˆŁ‰ŲŒ Ł…Ų«Ł„ Ų§Ł„ŲÆŁ…Ų§Ł…Ł„ Ų£Łˆ Ų§Ł„Ų£ŁƒŁŠŲ§Ų³ Ų§Ł„ŁƒŲ§Ł…Ł†Ų©.

ŲØŲ§Ų®ŲŖŲµŲ§Ų±:

  • Ų§Ł„Ł€ Pulpotomy Ł‡Łˆ Ų§Ł„Ų¹Ł„Ų§Ų¬ Ų§Ł„Ų£Ł…Ų«Ł„ ŁŁŠ Ų­Ų§Ł„Ų© ŁˆŲ¬ŁˆŲÆ Ų¹ŲµŲØ Ų³Ł†ŁŠ “Ł„ŲØ” Ų­ŁŠ.
  • Ų§Ł„Ł€ Pulpectomy ŁŠŲ³ŲŖŲ®ŲÆŁ… ŁŁŠ Ų­Ų§Ł„Ų© ŁˆŲ¬ŁˆŲÆ Ų¹ŲµŲØ Ł…ŁŠŲŖ ŁˆŲ³Ł† ŲŗŁŠŲ± Ų­ŁŠ.

Basically, pulpotomy is usually therapy of option in patients with vital pulps, whilst pulpectomy is preferred in cases with non-vital teeth pulps.

ŁƒŁŠŁŁŠŲ© Ų§Ł„ŲŖŲ·ŲØŁŠŁ‚ TechniquesĀ 

  • Ų§Ł„Ł€ Pulpotomy:

Removal of coronal part of dental pulp followed by application of a medicament.

Ų„Ų²Ų§Ł„Ų© Ų§Ł„Ų¬Ų²Ų” Ų§Ł„Ų¹Ł„ŁˆŁŠ Ł…Ł† Ų§Ł„Ų¹ŲµŲØ ŁŁ‚Ų·ŲŒ ŁˆŁŠŲŖŁ… ŲŖŲ¹ŁˆŁŠŲ¶Ł‡ ŲØŁ…ŁˆŲ§ŲÆ ŲŖŲ­Ų§ŁŲø Ų¹Ł„Ł‰ ŲØŲ§Ł‚ŁŠ Ų§Ł„Ų¹ŲµŲØ Ų³Ł„ŁŠŁ…Ų§Ł‹ ŁˆŲ­ŁŠŲ§Ł‹.

  • Ų§Ł„Ł€ Pulpectomy:

Removing the whole contents of the chamber pulp and its root canal

ŲŖŲŖŁ… Ų„Ų²Ų§Ł„Ų© Ų§Ł„Ų¹ŲµŲØ ŲØŲ§Ł„ŁƒŲ§Ł…Ł„ Ł…Ł† Ų§Ł„Ų¬Ų°Ų±ŲŒ ŁˆŁŠŲ¹ŁˆŲ¶ ŲØŁ…ŁˆŲ§ŲÆ ŲŖŲ­Ų§ŁŲø Ų¹Ł„Ł‰ Ų§Ł„Ų¬Ų°Ų± Ł…Ł† ŲÆŲ®ŁˆŁ„ Ų§Ł„ŲØŁƒŲŖŁŠŲ±ŁŠŲ§.

Indications – Ł…ŲŖŁ‰ Ł†Ų³ŲŖŲ®ŲÆŁ…Ł‡ŲŸ

Ų§Ł„Ł€ Pulpotomy

  • Ų§Ł„Ų¹ŲµŲØ Ų­ŁŠ.
  • Ų§Ł„Ų¬Ų²Ų” Ų§Ł„Ł…Ł„ŲŖŁ‡ŲØ Ų£Łˆ Ų§Ł„Ų°ŁŠ Ų­ŲÆŲ«ŲŖ ŁŁŠŁ‡ Ł…Ų“ŁƒŁ„Ų© Ł‡Łˆ Ų§Ł„Ų¬Ų²Ų” Ų§Ł„Ų¹Ł„ŁˆŁŠ ŁŁ‚Ų· Ł…Ł† Ų§Ł„Ų¹ŲµŲØ.
  • Ų¹Ł†ŲÆ Ų¹ŲÆŁ… Ų„Ł…ŁƒŲ§Ł†ŁŠŲ© Ų®Ł„Ų¹ Ų§Ł„Ų³Ł† ŲØŲ³ŲØŲØ Ų¹Ł…Ų± Ų§Ł„Ų·ŁŁ„ŲŒ Ų­ŁŠŲ« Ł„Ų§ ŁŠŲ²Ų§Ł„ Ų£Ł…Ų§Ł…Ł‡ Ų§Ł„ŁƒŲ«ŁŠŲ± Ł…Ł† Ų§Ł„ŁˆŁ‚ŲŖ Ł„Ł†Ł…Łˆ Ų§Ł„Ų³Ł† Ų§Ł„ŲÆŲ§Ų¦Ł….
  • ŁŁŠ Ų§Ł„Ų­Ų§Ł„Ų§ŲŖ Ų§Ł„ŲµŲ­ŁŠŲ© Ų§Ł„ŲŖŁŠ Ł„Ų§ ŲŖŲ³Ł…Ų­ ŲØŲ®Ł„Ų¹ Ų§Ł„Ų³Ł†.
  • ŁŠŲ¬ŲØ Ų£Ł„Ų§ ŲŖŁƒŁˆŁ† Ł‡Ł†Ų§Łƒ Ų¹ŲÆŁˆŁ‰ Ų£Łˆ ŲÆŁ…Ų§Ł…Ł„ ŁŁŠ Ų§Ł„Ų³Ł†ŲŒ ŁˆŲ£Ł„Ų§ ŁŠŁƒŁˆŁ† Ų§Ł„Ų£Ł„Ł… Ł…Ų³ŲŖŁ…Ų±Ų§Ł‹.

Ų§Ł„Ł€ Pulpectomy

  • Ų¹Ł†ŲÆŁ…Ų§ ŁŠŁƒŁˆŁ† Ų§Ł„Ų¹ŲµŲØ Ł…ŁŠŲŖŲ§Ł‹ Ų£Łˆ ŲŗŁŠŲ± Ų­ŁŠ.
  • ŁˆŲ¬ŁˆŲÆ Ų§Ł„ŲŖŁ‡Ų§ŲØ Ų£Łˆ Ų¹ŲÆŁˆŁ‰ Ł„Ł„Ų¹ŲµŲØ ŁŁŠ Ų§Ł„Ų¬Ų²Ų¦ŁŠŁ† Ų§Ł„Ų¹Ł„ŁˆŁŠ ŁˆŲ§Ł„Ų³ŁŁ„ŁŠ.
  • Ų­ŲÆŁˆŲ« ŲÆŁ…Ų§Ł…Ł„ ŁŁŠ Ų§Ł„Ų³Ł† Ų£Łˆ ŲŖŲ¹ŁŁ† Ł„Ł„Ų¹ŲµŲØ.
  • Ų¹Ł†ŲÆŁ…Ų§ ŁŠŲ­ŲŖŲ§Ų¬ Ų§Ł„Ų·ŁŁ„ Ų„Ł„Ł‰ ŲŖŲ±ŁƒŁŠŲØ Ų·Ł‚Ł… ŲµŁ†Ų§Ų¹ŁŠ Ł…ŲŖŲ­Ų±Łƒ Ł„Ł„Ų£Ų³Ł†Ų§Ł†ŲŒ Ų­ŁŠŲ« ŁŠŲ¬ŲØ Ų¹Ł„Ų§Ų¬ Ų§Ł„Ų¹ŲµŲØ Ų£ŁˆŁ„Ų§Ł‹.

Complications – Ų§Ł„Ł…Ų¶Ų§Ų¹ŁŲ§ŲŖ

Ų§Ł„Ł€ Pulpotomy

  • Ł…Ų¶Ų§Ų¹ŁŲ§ŲŖ Ų£Ų«Ł†Ų§Ų” Ų§Ł„ŲŖŲ®ŲÆŁŠŲ± Anaesthesia complication.
  • ŁƒŲ³Ų± ŁŁŠ Ų§Ł„Ų³Ł† Tooth fracture .
  • ŲŖŲµŲØŲŗ Ų§Ł„Ų³Ł† Tooth discoloration.
  • Ų£Ł„Ł… Ł…Ų³ŲŖŁ…Ų± Persistent pain.

Ų§Ł„Ł€ Pulpectomy

  • Ų­Ų³Ų§Ų³ŁŠŲ© Ų£Łˆ Ų¢Ų«Ų§Ų± Ų¬Ų§Ł†ŲØŁŠŲ© Ł…Ł† Ų§Ł„Ł…Ų®ŲÆŲ± Anaesthesia adverse effects .
  • ŲŖŲµŲØŲŗ Ų§Ł„Ų³Ł† Tooth discoloration.
  • Ų¹ŲÆŁˆŁ‰ ŲÆŲ§Ų¦Ł…Ų© Local infection .
  • Ų£Ł„Ł… Pain .
  • Ł†Ų²ŁŠŁ Ł…ŁˆŲ¶Ų¹ŁŠ Local bleeding.
  • ŁƒŲ³Ų± ŁŁŠ Ų§Ł„Ų³Ł† Tooth fracture.
  • ŁŁ‚ŲÆŲ§Ł† Ų§Ł„Ų³Ł† Tooth loss.

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