International Journal of Oral Health Dentistry 2021;7(4):245–252 Content available at: https://www.ipinnovative.com/open-access-journals International Journal of Oral Health Dentistry Journal homepage: www.ijohd.org Review Article Pulpotomy: Modern concepts and materials Puloma Bagchi 1 , Nilotpol Kashyap 1, *, Sanhati Biswas 1 1 Dept. of Pediatric and Preventive Dentistry, Rungta College of Dental Sciences and Research, Chhattisgarh, India ARTICLE INFO Article history: Received 01-11-2021 Accepted 15-12-2021 Available online 28-12-2021 Keywords: Pulpotomy Pulp Formocresol MTA ABSTRACT Pulpotomy is one of the most common treatment modalities in pediatric dentistry where amputation of only coronal pulp is done. Radicular pulp remain untouched and treated with long term clinically successful medicaments such as formocresol, glutaraldehyde, ferric sulphate etc. The success of pulpotomy depends on assessment of the pulp and the technique. Due to the availability of newer material nowadays pulp regeneration can also be done. This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. For reprints contact: reprint@ipinnovative.com 1. Introduction The pulp Therapy has many controvercy than any other treatment in pediatric dentistry specially pulpotomy.This review article presented in the context of rationals that have guided development of new and very divergent treatment modalities while no reviews presented a framework for the systemic analysis of past development or future trends. 1 According to the AAPD a pulpotomy is performed in a primary tooth with extensive caries but without evidence of radicular pathology when caries removal results in a carious or mechanical pulp exposure. The coronal pulp is amputated and the remaining vital radicular pulp tissue is treated with a long term clinically successful medicament such as Buckley’s solution of formocresol or ferric sulphate. 2 According to Finn (1995), pulpotomy is defined as the complete removal of coronal portion of the dental pulp, followed by the placement of the suitable dressing or medicament that will promote healing and preserve the vitality of the tooth. * Corresponding author. E-mail address: nilkash9365@gmail.com (N. Kashyap). 1.1. Indications of pulpotomy 1. Pulp exposure during removal of caries in primary teeth 2. Pulp exposure due to trauma 3. No history of spontaneous pain 4. Hemorrhage from exposure site is easily controllable 5. Hemorrhage from the exposure site is bright red in colour 6. No intraradicular bone loss 7. No intraradicular radioleucency 8. Absence of abscess or fistula 9. In young permanent tooth with vital exposed pulp and incompletely formed root 10. History of spontaneous pain Pulpotomy can be performed using different techniques including non pharmacotherapeutic treatments such as electrosurgey and lasers or pharmacotherapeutic approaches by dressing pulp tissue with different medicaments or biological materials such as formocresol, glutaraldehyde, ferric sulphate, freezed dried bone, bone morphogenic protein (BMP), osteogenic protein, sodium hyochloride, calcium enriched mixture (CEM), enriched collagen solutions and fully synthetic nano crystalline https://doi.org/10.18231/j.ijohd.2021.049 2395-4914/© 2021 Innovative Publication, All rights reserved. 245