The goal of the pulpotomy of young permanent teeth in which pulp is exposed, usually as a result of dental trauma or progression of caries, is to preserve the vitality of the remaining pulp, in order to facilitate a possible root growth in length and closing its apex. Therapeutic approach, with properly set indication, usually involves the application of methods of direct pulp capping, or the application of one method, which partially removes inflamatory pulp tissue. Histological examination showed that after minimal exposure of the pulp of the vital tooth, changes that follow include a reversible inflammatory reaction that affects only part of the pulp tissue. However, in clinical practice is still a problem of inability to correlate diagnoses based on clinical symptoms and histological findings, and making it difficult to determine the proper indications for the use techniques of vital pulpotomy.
In the pulpotomy of especially young permanent teeth with exposed pulp, which is usually a result of exposure of the pulp due to dental trauma or progression of caries, the most common therapeutic interventions are direct pulp capping and methods vital pulpotomy.
The aim of pulpotomy is to preserve the vitality and function of the remainder of the coronary or radicular pulp. The pulpotomy used in the preparations of calcium hydroxide, which covers the remaining vital pulp, which thanks to its antibacterial effect allow demarcation of the remaining vital pulp and the formation of secondary dentin. The tooth is then closed, usually with temporary filling, and the success of the project is evaluated based on the findings of intraoral radiographs usually after 2-3 months, and the clinical findings and the absence of clinical symptoms that indicate failure of therapy. Besides the history of importance to exclude any clinical symptoms of pain in cold, warm, pressure, spontaneous pain, which show the failure of the therapy, as well as to test the vitality of the tooth. The tooth is then definitely fill with composite filling, and at certain intervals, to phase of total root formation and apical closure.