Pulpectomy in hyperemic pulp and accelerated root resorption in primary teeth: a review with associated case report.

Persistent hemorrhage after complete amputation of coronal pulp is a common clinical finding during pulpotomy procedure in primary teeth. These teeth are best managed with pulpectomy, but they have hyperemic pulp with some remaining vital tissue. Good chemico-biomechanical preparation of primary canals cannot guarantee complete removal of this vital tissue from inaccessible areas. Use of Ca(OH) ₂ containing root filling pastes in vital pulp tissue can cause accelerated resorption of primary roots. The possible mechanism behind such extensive root resorption is discussed with review of literature. A case report of a child with 30 months follow-up is presented and discussed.
AuthorsTarun Walia
JournalJournal of the Indian Society of Pedodontics and Preventive Dentistry (J Indian Soc Pedod Prev Dent) 2014 Jul-Sep Vol. 32 Issue 3 Pg. 255-61 ISSN: 1998-3905 [Electronic] India
PMID25001448 (Publication Type: Journal Article)

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