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Since pulp capping is not always successful in maintaining the vitality of the pulp, the dentist will usually keep the status of the tooth under review for about a year after the procedure. [4] Success rates (the chance that the tooth will be preserved) have risen with newer protective materials.
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 pulp capping, it has a success rate higher than calcium hydroxide, and indistinguishable from Biodentin. [2] MTA, when mixed with water, forms a calcium silicate hydrate gel which contains calcium hydroxide. When it contacts the tooth pulp or dentin, its alkalinity promotes tissue regeneration. It does not resorb, and is biocompatible ...
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.
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.
Periradicular surgery should be very considered where previous endodontic treatment has failed, and possible re-root treatment is the preferred option. [4] If re-root treatment is not possible, will not correct the problem or patient factors prevent it, periradicular surgery is indicated.
Youth Services International confronted a potentially expensive situation. It was early 2004, only three months into the private prison company’s $9.5 million contract to run Thompson Academy, a juvenile prison in Florida, and already the facility had become a scene of documented violence and neglect.
Root canal procedure: unhealthy or injured tooth, subsequent creation of an access cavity with a dental handpiece, cleaning and shaping the root canals with an endodontic file, and restoration with gutta-percha filling and a crown Removing infected pulp during a root canal procedure