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2.3.3.2 Partial Pulpotomy

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This procedure is carried out if dentine is lost due to caries, trauma, or a previous iatrogenic intervention and a cavity exists where the soft tissue of the pulp is exposed and bleeding, suggesting it is inflamed. The amount of bleeding is used as a surrogate marker of inflammation. Partial pulpotomy is defined as removal of a small portion of superficial coronal pulp tissue followed by application of a material directly on to the pulp with the aim of producing a positive biological response so that the pulp can protect itself. With this treatment strategy, pulp tissue is removed approximately 2 mm at a time and then an attempt is made to obtain haemostasis as previously described. If haemostasis is not achieved, the process is repeated (Figure 2.5).

Endodontic Materials in Clinical Practice

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