Pulpotomy Versus Pulpectomy: An Endodontist’s Perspective

Pulpotomy and Pulpectomy are both procedures that aim to clear infected tissue from the pulpal area of the tooth. The most essential difference between the two is that pulpectomy removes tissue from the pulp chamber and the root canal of the tooth, while pulpotomy focuses solely on tissue in the pulp chamber. Being that these two procedures are the preferred treatments for both symptomatic irreversible pulpitis (SIP) and symptomatic apical periodontitis, our staff at Professional Endodontics thinks it’s important to be able to distinguish between the two. Why Do I Need Either? As mentioned, symptomatic irreversible pulpitis and symptomatic apical periodontitis are the most common reasons for pulectomy or pulpotomy. Here is a brief definition of the diagnostic terms: Symptomatic Irreversible Pulpitis – This occurs when there is evidence that infected tissue has caused the vital inflamed pulp to be incapable of healing. However, the inflammation has not yet reached the periapical tissues making it hard to diagnose. Symptomatic Apical Periodontitis – This occurs when infection has caused inflammation of tissue within the pulpal area of the tooth, as well as the tooth’s root canal. Both SIP and SAP involve symptoms including sharp, lingering pain upon thermal stimulus, and possibly [...]