There are different techniques to treat pulpally involved dental diseases. A pulpotomy is different from root canal therapy because it involves the removal of the top portion of the pulp. In root canal therapy, there is complete removal of the pulp tissue within the tooth.
Pulpotomies are often performed on baby teeth by a pedodontist. Rather than extracting the baby tooth and placing a space maintainer, the tooth is preserved by this pulpotomy procedure.
In adult teeth, a pulpotomy might be the treatment of choice if the tooth has immature root development. Maintaining healthy pulp tissue at the bottom half of the root will allow for continued root maturation. This increases long term outcomes for tooth stability and strength. The objective is to delay root canal therapy until the tooth is either symptomatic or fully mature.