Start studying DONE Indications and contraindications of vital pulp therapy. Summary of the success rate of direct pulp capping of all studies in four follow‐up points. After the Restoration is done, the patient is recalled after 8 weeks and a Radiograph is taken to access the formation of Dentin Bridge. Only teeth with clinically normal pulps or revers-ible pulpitis, without recognizable radiologic changes, were included in this study. b) relief of pain in patients with acute pulpagia. 2010; 14(5):559–67. Teeth were divided into three groups according to the materials used for pulp capping. indirect pulp capping: the application of a suspension of calcium hydroxide to a thin layer of dentin overlying the pulp (near exposure) in order to stimulate secondary dentin formation and protect the pulp. Learn vocabulary, terms, and more with flashcards, games, and other study tools. The indications for this treatment, treatment modalities and materials are discussed in this paper.CLINICAL RELEVANCE: This paper answers many of the frequently asked questions by general practitioners, dental students and specialists about direct pulp capping. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. For a traumatic exposure or a mechanical exposure occurring during cavity preparation of shallow decay, performing a direct pulp capping with calcium hydroxide or mineral trioxide aggregate (MTA) is indicated [ … Indications:•Endodontic indications (repair of perforations orresorptions, apexification, root-end filling)•Permanent dentine substitute and temporary enamelsubstitute•Restoration of deep or large crown carious lesions•Direct pulp capping in adults presenting healthy pulp 33 I might have been lucky with the successful pulp capping in this case or maybe MTA is the next best thing. Direct The pulp was vital to the Endo Ice test with no inflammation. This is one-step procedure and is indicated in cases where there is pinpoint exposure of the pulp due to mechanical trauma (accidents, falls or fracture) or accidental exposure of the pulp during cavity preparation or removal of dental caries. (grossman) • without signs or symptoms of pulp degeneration. • - Bactericidal or bacteriostatic, able to provide bacterial seal. The treatment is carried out under aseptic conditions using a rubber dam. Direct pulp capping is defined as the treatment of an exposed pulp, which can be caused by caries, preparation measures or dental trauma. It has dentin-like mechanical properties, which may be considered a suitable material for clinical indications of dentin-pulp complex regeneration such as direct pulp capping. 18 A successful pulp cap has a vital pulp and a dentin bridge within 75 to 90 days. Because pulp capping studies have exhibited fluctuations in success rates according to different follow-up times, investigating the clinical pulpal survival rate and the potential factors contributing to the survival with respect to time is necessary. Indications: Indirect pulp treatment is indicated in a permanent tooth diagnosed with a normal pulp with no symptoms of pulpitis or with a diagnosis of reversible pulpitis. ; ° Pulp exposure is covered with MTA (fig. This is one-step procedure and is indicated in cases where there is pinpoint exposure of the pulp due to mechanical trauma (accidents, falls or fracture) or accidental exposure of the pulp during cavity preparation or removal of dental caries. Direct Pulp Capping : ApaCal ART can be placed directly on dental pulp after achieving complete haemostasis. Done by Weam faroun. Some of its indications include direct and indirect pulp capping, apexogenesis, apexification, treatment of; root resorption, iatrogenic root perforations, root fractures, replanted teeth and interappointment intracanal dressing. 2) Direct pulp capping Indications: If during cavity preparation (or following a traumatic injury) there is a mechanical exposure of the pulp at a pin point – direct pulp capping may be indicated; Rationale: Maintain tooth vitality; Aim to prevent any further signs or … 4. The tooth is then isolated by a Rubber dam. Direct Pulp Capping: Here the protective dressing is placed directly above an exposed pulp. Start studying DONE Indications and contraindications of vital pulp therapy. The pulp is judged by clinical and radiographic criteria to be vital and able to heal from the carious insult. Either Amalgam or GIC. to preserve vitality of the radicular pulp tissue after removal of the coronal portion. 2 1 Till Dammaschke, DDM, … If you continue browsing the site, you agree to the use of cookies on this website. Since the inflammatory response of the pulp occurs already when the carious process involves the superficial dentin layer, direct capping of fully healthy pulp is very rare and a clear verification indicating that the pulp Your email address will not be published. teeth and indications for application of direct pulp capping as a method of treatment. Direct Pulp capping is done mostly when there is accidental exposure of Pulp either by any Trauma or by accidental exposure by the dentist. • 4- Bioaggregate. Caries Res. MTA cements favor the mineralization process in human dental pulp cells, thus having the potential to be used as capping materi-als (18). Caplan DJ, Cai J, Yin G, White BA. The ultimate goal of direct pulp capping materials is the in-duction of hard tissue formation by pulp cells (2). A Radiograph should be taken to confirm wether Direct  Pulp Capping is sufficient or not. The success rate for direct pulp capping with Ca(OH)2, MTA and Biodentine was shown at 6 months follow‐up (A), 1 year (B), 2‐ 3yrs (C) and 4–5 year (D) • Indications: This procedure is indicated in a primary tooth with a normal pulp following a small mechanical or traumatic exposure when conditions for a favorable response are opti-mal.41-45 Direct pulp capping of a carious pulp exposure in a primary tooth is not recommended.1 • Objectives: The tooth’s vitality should be maintained. We give clinical steps for appli-cation of the method and summarized the clinical and ra-diographic criteria for success after treatment. 7. When to Perform Pulp Capping . The indication for direct pulp capping was given when a tooth pulp was exposed on account of caries lesions, caries excava-tion and trauma, or definitive restoration. Depending on the clinical setting, vital pulp therapy can be managed with an indirect or direct pulp-capping procedure. The indications for this treatment are the same as for direct pulp capping. Juniordentist.com is intended for educational, informative and entertainment purposes only. exposed dental pulp is covered with a protective. Many materials have been used and tested in indirect pulp capping (IPC) treatments for primary and permanent teeth [Marchi et al., 2006; Renata et al., 2007; Gruythuysen et al., 2010]. Materials Used for Direct Pulp Capping: Direct pulp capping - indications - Asymptomatic - Small exposure (<0.5mm) - Haemorrhage easily controlled (within 10 min) - Exposure occurred is clean and uncontaminate - Atramatic exposure and little desiccation of tooth with no evidence of aspiration of blood into dentin. The remaining cavity is filled with Any permanent restoration. Pulp protection therapies aim to maintain the vitality of the tooth in which pulp tissue has been exposed due to trauma, carious lesions, or restorative procedures. • 2- Mineral Trioxide Aggregate MTA. Your email address will not be published. Indications. Direct Pulp Caps. This is known as indirect pulp capping. Direct pulp capping should not be performed on a pulp that has been exposed as a result of penetrating caries. DIRECT PULP CAPPING: Placement of a medicament / non medicated material on a pulp that has been exposed in course of excavating the last portions of deep dentinal caries. 2.2.1 Rationale • To encourage the formation of a dentine bridge at the point of pulpal exposure with preservation of pulpal health and vitality Pulp therapy for primary molars If the pulp appears infected or symptomatic, the dentist may decide a root canal is the best treatment option. Direct Pulp Capping: Here the protective dressing is placed directly above an exposed pulp. View full-text. The exposure is widened with a high speed diamond under constant water cooling to a depth of 1.5-2 mm. • - Adhere well to dentin and restorative material. This is known as indirect pulp capping. Direct pulp capping refers to the procedure of placing a dental material (most often calcium hydroxide) directly over the exposed (or nearly exposed) dental pulp … plying direct pulp capping method. If so, disinfect the tooth preparation as described above, place a pulp capping material of your choice (again, I prefer resin-modified glass ionomer), and place a bonding agent and a direct restoration of your choice. Pulp Capping; Endodontics Pulp Capping. It is not intended to replace your Dental Visit. Tziafas D. The future role of a molecular approach to pulp-dentinal regeneration. Direct pulp capping involves the application of a dental material to the exposed pulp in an attempt to act as a barrier, protect the dental pulp complex and preserve its vitality (1). Radiographic appearance of pulp, periradicular degeneration, Excess of haemorrhage at the time of exposure. Biodentine is a new bioactive cement that is similar to the widely used mineral trioxide aggregate (MTA). Learn vocabulary, terms, and more with flashcards, games, and other study tools. Direct pulp capping is a treatment option for teeth with carious-exposed pulp. Medications and materials used for Pulp Capping: Inert Materials – Iso butyl Cyanoacrylate & tricalcium phosphate. Medical Information Search. Indirect pulp treatment was applied using Dycal for 91 teeth, ProRoot MTA for 89 teeth and TheraCal LC for 115 teeth. 30. Liner : ApaCal ART can be used as an effective cavity liner under various restorations. Indications Tooth selection for direct pulp capping involves the same vital pulp therapy considerations mentioned previously, to rule out signs of irreversible pulp inflammation and degeneration. Dental pulp exposure is a common incident during dental treatment. I am Varun, a Dentist from Hyderabad, India trying my bit to help everyone understand Dental problems and treatments and to make Dental Education simplified for Dental Students and Dental fraternity. Results/conclusion: We gather all the information for applying direct pulp cappingfor treatment of reversible Direct Pulp capping is done mostly when there is accidental exposure of Pulp either by any Trauma or by accidental exposure by the dentist. the vitality and function of the exposed dental pulp. Analytical, Diagnostic and Therapeutic Techniques and Equipment 24 Educational video for dental students and dentists on the Direct Pulp Capping procedure. 18 A successful pulp cap has a vital pulp and a dentin bridge within 75 to 90 days. The commonly used materials are MTA, CaOH which are used as Base materials to seal the pulp exposure. If you have any doubts feel free to contact me or comment in the post, thanks for visiting. BRONJ bisphosphonates osteonecrosis of jaw, No public clipboards found for this slide. Biodentine is an interesting alternative to calcium hydroxide. A direct pulp cap is done on permanent teeth when the removal of deep decay results in exposing the pulp. 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