Pulp therapy in primary teeth

Maintaining arch length and integrity by preserving the pulpally involved tooth, as a natural space maintainer is the main aim of primary tooth pulp therapy. Pulpotomy and pulpectomy, the two major procedures used to perform pulp therapy in primary teeth, have evolved over the years. This paper will discuss contemporary pediatric endodontic concepts and definitive indications and contraindications for primary tooth pulp therapy. It will include a step-by-step description of both the mineral trioxide aggregate pulpotomy and a single-visit pulpectomy using rotary files in primary posterior teeth. The high-resolution clinical pictures and the clinical tips will help the reader achieve predictable prognosis when carrying out these valuable procedures.