Dear Naveen, 

Check these papers out: 

Article Indirect Pulp Capping and Primary Teeth: Is the Primary Toot...

Article Use of an Er: YAG Laser for Pulpotomies in Vital and Nonvita...

Thank you Dr Beatrice Marianne Ewalds-Kvist.

Thank you Dr Beatrice Marianne Ewalds-Kvist.

Thank you Dr Beatrice Marianne Ewalds-Kvist.

My opinion is YES as it save the teeth to prevent future orthidontic problems

Thank you Dr Beatrice

Hello colleagues

Pulp therapy has been for a long time an issue of debate concerning the nomenclature, procedures, medicaments used & techniques.

By definition pulpotomy means a partial or complete removal of the infected coronal part of the vital pulp (that means the radicular  pulp should still vital) to preserve the vitality of the radical a portion. Although the ideal way to detect the extention of the infection is to do histological exam.  which is not practicable..but some clinical parameters can help.

So if the tooth is not vital why don't you perform pulpectomy? 

Dear Dr

pulpectomy? or pulpotomy.

Greetings 

http://www.rcseng.ac.uk/fds/publications-clinical-guidelines/clinical_guidelines/index.html/documents/pulptherapy.pdf

Hello Naveen, the answer is YES to your question. American Association of Paediatric Dentistry clearly recommends the procedure on non-vital teeth with irreversible pulpitis. We have to make sure that necrotic tissue is removed , canals shaped, cleaned, dried off and filled with a suitable material i.e. zinc-oxide/eugenol paste or calcium hydroxide paste mixed with iodoform.

Read Manuel's paper about the UK national guidelines.

You may want to have a look at the link I am attaching too. Again I recommend that you must search for evidence yourself and see what it says. There may be few things that are newer and not known to us so please share.

Best of luck !

http://www.aapd.org/media/policies_guidelines/g_pulp.pdf

My answer is yes as the preservation of primary tooth until time of its exfoliation is of great concern and we can not perform root canal therapy for primary so the pulpotomy is indicated but I think best material is using "Biodentine".

Yes, it is of great importance to preserve the primary teeth till their shedding time BUT, in the meanwhile, it is more important to completely remove the source of infection as more complicated unpleasant consequences will affect the permanent teeth as well as the supporting and surrounding tissues.

Regards!

Thank you Dr Mohammed Nasser Alhajj.

Thank you Dr Ranjdar Mahmood Talabani.

Thank you Dr Ranjdar Mahmood Talabani.

Thank you Dr Haroon Rashid.

Thank you Dr Bikash Sah, Jamal Giri.

Thank you Dr  Farah

Thank you Dr  Reyes.

Dear Dr. Reyes. .It is pulpectomy since the tooth is not vital. And the file you have attached of The British guidelines proves it..kindly also see the AAPD guidelines which explain the same thing.

Dear Naveen, in a nonvital primary tooth usually the treatment of choice is pulpectomy not pulpotomy but in certain instances where pulpectomy can not be performed a modified procedure of pulpotomy called Mortal pulpotomy can be performed, where nonvital radicular pulp is not removed but a strong disinfectant like beechwood cresol is placed in the pulp chamber (to disinfect the remaining pulp tissue ) for certain duration after which the tooth is restored. But the success rate of such procedure is highly unpredictable (based on the age and life expectancy of the tooth) as the remaining non vital pulp tissue always has potential to be contaminated. hence where ever possible it is recommended to perform pulpectomy in non vital primary teeth.  

Thanks Prashanth.

Non -vital teeth need a pulpectomy. The new MTA-like materials should work and surprisingly, old fashion Sargenti paste works well too.

pulpotomy won't solve the problem and still abcess can occur so pulpectomy is the only solution

Dear Naveen ,

Treatment of choice for non vital primary tooth is pulpectomy. to prevent spread of infection to the permanent tooth and also to primary tooth acts as a natural space maintainer.

Thank you Dr Nirmala.

Thank you Eman Sobh.

Thank you Paul Dirkes.

WE ceratinly need some vital tissue in root canal o undertake pulpotomy!                 pulp+ -otomy=  partial ppulp removal to promote further healing.

thanks Priya.

Non vital primary teeth certainly needed pulpectomy. But in uncooperative children, non vital teeth will be able to maintain for a shorter period with non vital pulpotomy along with through cleaning of the pulp chamber and disinfect with sodium hypochlorite (until perform the pulpectomy).

Pulpectomy is the only option for non vital primary teeth...

Pulpectomy is by far the best treatment modality and it is the recommended treatment of choice according to the AAPD guidelines. Though, non-vital puloptomy might be justified in limited cases; where canals are non negotiable, the tooth is about to exfoliate and the child is uncooperative for example. In other words, when pulectomy is not feasible.