Although the technique of pulpotomy is indicated for immature teeth with open apices, as described in Part 10, it cannot be recommended routinely in mature teeth. However, the technique of partial pulpotomy (a procedure between pulp capping and pulpotomy) was introduced by Cvek and has been shown to be very successful in the treatment of traumatically exposed pulps.
The exposed pulp and surrounding dentine is removed under rubber dam isolation with a high-speed diamond drill and copious irrigation using sterile saline, to a depth of about 2 mm. Haemostasis is achieved and the wound dressed with a non-setting calcium hydroxide paste, either powder and sterile saline or a proprietory paste. The cavity is sealed with a suitable lining,
The exposed pulp and surrounding dentine is removed under rubber dam isolation with a high-speed diamond drill and copious irrigation using sterile saline, to a depth of about 2 mm. Haemostasis is achieved and the wound dressed with a non-setting calcium hydroxide paste, either powder and sterile saline or a proprietory paste. The cavity is sealed with a suitable lining,
such as resin-modified glass-ionomer cement, and restored conventionally. The tooth should be carefully monitored.