CVEK PULPOTOMY
 Shallow / partial pulpotomy
 Surgical removal – small position of coronal pulp
 Ojective- Preserve remaining coronal + radicular pulp
 Indi- Non- carious exposure cases more than 1mm, iatrogenic, inflammation greater than 2mm but not until root orifice, trauma within 24hrs.
 in pedo
 Also done in Young permanent to promote apexogenesis

PULPOTOMY
 In Primary teeth /
 Also in Young permanent tooth to facilitate APEXOGENESIS
 If more than 1mm pulp is exposed
 Exposure time :- 48 to 72 hrs i.e. within 2days post trauma
 Tooth should be vital
 Excavate & remove coronal pulp only
 Preserve radicular pulp – essential for natural apex closure i.e. Apexogenesis &
natural exfoliation

 Materials of choice:
MTA / Ferric Sulphate > CaOH > Formocresol
Best > better > least
 Formocresol PULPOTOMY(2 drops ) – numification / fixation
 Ferric Sulphate PULPOTOMY (2 drops ) – fixation
 Filling materials of choice– GIC / Temporary filling i.e. ZnOE
 Restoration to be done immediately

PULPAL HEAMORRHAGE
 Saline
 Ferric Sulphate
 Iodoform
 CMCP
 Epinephrine 1 : 1000
 Formocresol
 Cresatin
 Never use NaOCl