What is the main objective of pulpotomy?

The primary goal of a pulpotomy is to preserve the vitality of the coronal pulp while removing the affected or infected tissue, which is primarily located in the crown of the tooth, thus allowing for ongoing vitality and function in the remaining healthy pulp tissue. This procedure is commonly performed in cases of dental caries that have reached the pulp chamber but do not involve the radicular (root) portion of the pulp, making it possible to maintain vitality in the coronal area.

By effectively removing the diseased pulp tissue and sealing the chamber, the valid tissue in the radicular area can continue to provide necessary communication through vascular and nerve supply, thereby maintaining the health of the tooth. In contrast, focusing on the vitality of the entire pulp or the radicular pulp would not accurately reflect the specific goals of the pulpotomy, which centers on preserving the coronal region while treating the issue at hand.

Additionally, the idea of regenerating a degenerated and necrotic pulp falls outside the objectives of a pulpotomy, as this procedure is not intended to address necrosis but rather to treat pulpitis while preserving as much healthy tissue as possible.