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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]
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.
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.
For technique 1, a wax pattern is designed on the die from the cast impressions and for technique 2 the wax is packed into the tooth preparation in the mouth and adapted the shape of the cavity. [28] Inlay wax is chosen due to its brittleness – it breaks upon removal from undercut of a cavity, either on the die or in the mouth.
Preparing a tooth to accept a full coverage crown is relatively destructive. The procedure can damage the pulp irreversibly, through mechanical, thermal and chemical trauma and making the pulp more susceptible to bacterial invasion. [25] Therefore, preparations must be as conservative as possible, whilst producing a strong retentive restoration.
They are commonly used as pulp capping agents and lining materials for silicate and resin-based filling materials. [3] Calcium-silicate liner used as a pulp capping material. It is usually supplied as two pastes, a glycol salicylate and another paste containing zinc oxide with calcium hydroxide. On mixing, a chelate compound is formed.
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 ...
They are of two broad types—direct and indirect—and are further classified by location and size. Root canal therapy, for example, is a restorative technique used to fill the space where the dental pulp normally resides and are more hectic than a normal filling.