should I ask my dentist for a pulpotomy instead of normal root canal?
I've had many teeth which started hurting after extensive fillings. Now I have two which are sensitive to cold, which started after bad (not extensive) fillings. Fillings have been re-done by a new dentist, who promised me the sensitivity to cold would pass, but it's been more than a month and no difference. I've also been using sensodyne for a month and no difference at all.
So I was wondering if I should start doing pulpotomy in these non-infectious, not so aggressive pulpitis cases, since it's a less invasive and cheaper treatment. Curiously no dentist ever mentioned to me the possibility, even though this meta-analysis says that the success rate of pulpotomy in mature molars is never inferior to normal root canal (pulpectomy).
I honestly suspect that my dentists never mentioned this possibility either because they don't usually do pulpotomies, or because they wanna make more money with the normal root canal treatment.
pubmed.ncbi.nlm.nih.gov
PS: and by the way, pulpotomy can be ended with either a crown or filling right, just like normal RCT? or only crown? because online sources only mention crown.
I've had many teeth which started hurting after extensive fillings. Now I have two which are sensitive to cold, which started after bad (not extensive) fillings. Fillings have been re-done by a new dentist, who promised me the sensitivity to cold would pass, but it's been more than a month and no difference. I've also been using sensodyne for a month and no difference at all.
So I was wondering if I should start doing pulpotomy in these non-infectious, not so aggressive pulpitis cases, since it's a less invasive and cheaper treatment. Curiously no dentist ever mentioned to me the possibility, even though this meta-analysis says that the success rate of pulpotomy in mature molars is never inferior to normal root canal (pulpectomy).
I honestly suspect that my dentists never mentioned this possibility either because they don't usually do pulpotomies, or because they wanna make more money with the normal root canal treatment.
Efficacy of pulpotomy in managing irreversible pulpitis in mature permanent teeth: A systematic review and meta-analysis - PubMed
The study highlights the potential of less invasive treatments. Pulpotomy may be a viable alternative to NSRCT for managing irreversible pulpitis in mature permanent teeth. Limitations such as the low quality of some single-arm trials and the high risk of bias in some randomized controlled...
pubmed.ncbi.nlm.nih.gov
PS: and by the way, pulpotomy can be ended with either a crown or filling right, just like normal RCT? or only crown? because online sources only mention crown.
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