When bleeding doesn’t stop on applying pressure and patient having intermittent pain too, what should be the treatment taken into consideration?
Correct Answer: Pulpectomy
Description: The most important factors affecting the outcome of vital pulp therapy are preexisting health of the pulp, adequate removal of infected hard or soft tissues, careful operative technique to avoid damage to residual tissues, and elimination of microbial leakage around the final restoration.
It can be difficult to gauge the health of the residual pulp as it is a matter of subjective assessment and relies on experience in pulp diagnosis. The degree of pulp bleeding upon exposure is a more reliable tool to judge the status of the pulp than the preoperative clinical signs and symptoms.
Continued bleeding after minutes, even after rinsing with sodium hypochlorite solution, may suggest that the residual pulp was still heavily inflamed and a complete pulpectomy may be a more effective treatment modality. Removal of infected tissue is a matter of subjective experience but may be aided by various dyes. The final factor relies on the correct choice of restorative material and its adequate manipulation to prevent leakage.
Reference: Cohen Pathways of Pulp 11th ed page no 495
Category:
Dental
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now