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Calcimator

Pulp Therapy Decision Calculator

Determine the appropriate pulp therapy for primary teeth based on clinical and radiographic findings per AAPD guidelines.

Inputs

%

Results

Treatment recommendation

1

Expected success rate (%)93
Follow-up interval (months)6
Case complexity (1–5)1
Non-vital indicators count0
How to Use This Calculator
  1. Indicate Pulp exposure (0 = none, 1 = mechanical, 2 = carious) and whether Spontaneous or night pain is present (0/1).
  2. Note radiographic findings: Periapical radiolucency (0/1), Furcation involvement (0/1), and Internal resorption (0/1).
  3. Enter the percentage of physiological Root resorption already present and whether Hemostasis is achievable within 5 minutes (0 = No, 1 = Yes).
  4. Indicate Restorability (0 = non-restorable, 1 = adequate structure for restoration).
  5. Review the Treatment recommendation (1 = IPT, 2 = direct cap, 3 = vital pulpotomy, 4 = pulpectomy, 5 = extraction), Expected success rate (%), Follow-up interval (months), and Case complexity score.

What each input means

Pulp exposure
0 = No exposure, 1 = Mechanical exposure, 2 = Carious exposure.
Spontaneous / night pain?
0 = No, 1 = Yes. History of unprovoked or nocturnal pain.
Periapical radiolucency?
0 = None, 1 = Present on radiograph.
Furcation involvement?
0 = None, 1 = Radiolucency in furcation area.
Internal resorption?
0 = None, 1 = Radiographic evidence of internal root resorption.
Root resorption (%)
Percentage of primary root already physiologically resorbed.
Hemostasis achievable?
0 = No (bleeding persists >5 min), 1 = Yes (hemostasis within 5 min).
Tooth restorable?
0 = Non-restorable crown, 1 = Adequate structure for restoration.

What each result means

Treatment recommendation
1=IPT, 2=Direct Pulp Cap, 3=Vital Pulpotomy, 4=Pulpectomy, 5=Extraction.
Expected success rate (%)
Literature-based success rate for the recommended treatment.
Follow-up interval (months)
Recommended radiographic and clinical follow-up interval.
Case complexity (1–5)
Higher score indicates more complex clinical situation.
Non-vital indicators count
Number of signs suggesting pulp necrosis (pain, radiolucency, furcation, resorption).

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