What is the difference between pulpal therapy and therapeutic pulpotomy?
A. The term pulpal therapy describes the various procedures which are intended to maintain the health of the pulp. An example of pulpal therapy is performing a pulp capping procedure on a vital pulp exposure when the patient is asymptomatic. The term therapeutic pulpotomy describes a procedure directed towards removing all of the tissue inside the pulp chamber. A therapeutic pulpotomy is employed to maintain the health of the radicular tissue or to use this tissue to induce root maturation. The term pulp therapy or root canal therapy are terms frequently misused to describe those endodontic procedures that are intended to be definitive. In summary, the word therapy designates those procedures directed towards preserving the remaining pulp, whereas treatment defines those procedures directed towards removing the pulp, and if present, bacteria and related irritants. The word treatment also includes all procedures utilized in conventional, nonsurgical or surgical endodontics.
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