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Pulpotomies are a good way to get a patient with irreversible pulpitis some relief until root canal therapy can be fully completed. Profound anesthesia is key. After popping into the pulp camber change your bur to a non-endcutting bur like the Endo-Z bur. Run the bur around the chamber and remove any tissue above the canals. Do not be temped to use any files in the canals. Staying out of the canals is key to a pulpotomy. Pressure with a hypochlorite soaked pellet usually stops any bleeding. Rinse the chamber with hypochlorite, dry and restore with a cotton pellet and temporary restoration. The insurance code for the procedure is D3220
Endo Emergency procedures reference
Endodontic Specialists
2700 National Drive, Suite 102
Phone: 608-783-3636
Email: frontdesk@saveyourtooth.com
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