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Pulp capping is a technique used in dental restorations to protect the dental pulp, after it has been exposed, or nearly exposed during a cavity preparation, from a traumatic injury, or by a deep cavity that reaches the center of the tooth, causing the pulp to die. [1]
Due to its physical properties and biocompatibility, MTA has been used in numerous clinical situations other than as a root-end filling. It is widely used to repair perforations, to close open apices in apexification, as a direct pulp capping material for deep carious tooth, and to cover pulp stumps for apexogenesis.
Fracture involving enamel and dentine with pulp exposure Tooth not tender with normal mobility Exposed pulp will be sensitive to stimuli Loss of enamel and dentine May need lip or cheek x-ray to locate tooth fragments or other materials In developing teeth, preserve pulp vitality by pulp capping or partial pulpotomy using calcium hydroxide
Loss of enamel and dentine with exposure of pulp, no TTP, normal mobility, pulp sensitive to touch: Pulp capping, partial pulpotomy or coronal pulpotomy if root of tooth still forming or root canal treatment. Review and monitor every 3 months and then yearly: Extract tooth or pulp treatment if patient is cooperative. Monitor signs for symptoms ...
Antibiotic in case of a sudden onset of symptoms in less than 24 hours. [ 8 ] Periapical periodontitis or apical periodontitis [ 9 ] ( AP ) is an acute or chronic inflammatory lesion around the apex of a tooth root , most commonly caused by bacterial invasion of the pulp of the tooth . [ 10 ]
Suspected mushroom poisoning in Australia has made headlines around the world
Pulp capping is a method to protect the pulp chamber if the clinician suspects it may have been exposed by caries or cavity preparation. Indirect pulp caps are indicated for suspected micro-exposures whereas direct pulp caps are place on a visibly exposed pulp.
Symptoms can be a little tricky to decipher at first. "It causes general gastrointestinal distress," Pringle says. "That's the rough thing about death cap poisoning."