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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.
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.
Perform direct or indirect pulp capping [1] in cases with pulpal extension, [2] to try increase the rate of reparative dentin formation (but may result in obliteration of the canal) Seal exposed dentin with microhybrid acid-etched flowable light-cured resin [ 7 ]
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
Visual of tooth decay. Pulpotomy is a minimally invasive procedure performed in children on a primary tooth with extensive caries but without evidence of root pathology. [1] The minimally invasive, endodontic techniques of vital pulp therapy (VPT) are based on improved understanding of the capacity of pulp tissues to heal and regenerate plus the availability of advanced endodontic materials.
Medicaments are medications placed over the pulp to maintain survival and promote repair. Treatment options include: Indirect pulp capping (IPC) Direct pulp capping (DPC) Pulpotomy; Pulpectomy; Indirect pulp capping (IPC) is a treatment that leaves the deepest carious tooth material (dentin) next to the pulp undisrupted to avoid exposing the ...
An x-ray of a root canal operation. Before endodontic therapy is carried out, a correct diagnosis of the dental pulp and the surrounding periapical tissues is required. This allows the endodontist to choose the most appropriate treatment option, allowing preservation and longevity of the tooth and surrounding tissues.