Pulpectomy of a Primary Tooth – Illusion or Reality?

Pulpectomy of a primary tooth is one of the less frequently performed procedures in paediatric dentistry and is often perceived more as a theoretical option described in textbooks than as a routine clinical reality. Nevertheless, when correctly indicated and performed with precision, it can achieve a high success rate.

A key prerequisite for success is a thorough assessment of whether the tooth, the child, and the parent are suitable candidates for this type of treatment. Using radiographs, we will demonstrate how to correctly assess the extent of periapical and interradicular radiolucency, explain the importance of using a rubber dam, and present suitable materials for filling the root canals of a primary tooth.

We will emphasise the importance of high-quality post-endodontic treatment and discuss the criteria for evaluating both the success and failure of pulpectomy. Through case reports, we will explain step by step the pulpectomy protocol for both a primary incisor and a primary molar.

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MUDr. Katarína CYPRICHOVÁ

She graduated in 2004 from the Faculty of Medicine of Comenius University in Bratislava with a degree in Dentistry, and subsequently began working in private practice in Bratislava. In 2006, together with her husband, MDDr. Martin Cyprich, she founded the private dental clinic EVIDENT – zubná prax, s.r.o., where she focuses exclusively on paediatric dentistry, endodontics, and restorative dentistry. In 2010, she completed her specialization examination in Dentistry. Since 2012, she has been lecturing and conducting courses and webinars in the field of paediatric dentistry in both the Czech Republic and Slovakia. She is a member of the European Academy of Paediatric Dentistry.