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Indications for direct pulp capping include: [5] Immature/mature permanent teeth with simple restoration needs; Recent trauma less than 24 hours (less according to tichy [clarification needed]) exposure of pulp / mechanical trauma exposure (during restorative procedure)
The setting time of biodentine is shorter as compared with that of MTA, In conclusion, this material is clinically indicated for permanent dentin substitute, direct and indirect pulp capping, pulpotomy, repair of furcation and root perforations, retrograde root-end filling, and apexification. [7]
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.
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. [24] Therefore, preparations must be as conservative as possible, whilst producing a strong retentive restoration.
Inlays and Onlays are similar as they are a type of indirect restoration. However, the difference is that Inlays are indirect restorations which do not have cuspal coverage and are within the body of the tooth.(1) Onlays are indirect restorations that cover both body and cusps of teeth. [7] Inlay Indications: [7] Extensively restored or ...
It can be used for root-end filling material and as pulp capping material. It has better pulpotomy outcomes than calcium hydroxide or formocresol, and may be the best known material, as of 2018 data. [1] For pulp capping, it has a success rate higher than calcium hydroxide, and indistinguishable from Biodentin. [2]
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Procedural errors include the formation of ledges, perforation of the root or floor of the pulp chamber, [6] extruded root filling material, [7] file breakages, or underfilled canals. These are only indications for periradicular surgery if they cause persistent periapical radiolucency , swelling and pain.