There are two types of pulpal caps … indirect pulp treatment in primary teeth, such as calcium hydroxide liner,4,5,6 dentin bonding agents5,7 mineral trioxide aggregate 6, glass ionomer cement,8 zinc oxide/eugenol,9 calcium silicate 10 or medical Portland cement. OBJECTIVES: a) preservation of vitality of the radicular pulp. J Clin Diagn Res 8:316–321. When removal of infected dentin exposes the pulp, but the pulp tissue is still healthy, … Dent Mater 35:24–35. Indirect pulp capping and primary teeth: is the primary tooth pulpotomy out of date? Pulpal exposure is inevitable when excavating many large carious lesions. Indirect pulp capping in the primary dentition: a four year follow-up study. This will prevent the decay from spreading and help with restoration. https://doi.org/10.1111/j.1365-2591.2012.02013.x PubMedCrossRef, https://doi.org/10.1111/j.1365-2591.2012.02013.x, Zurück zum Zitat Falster CA, Araujo FB, Straffon LH, Nor JE (2002) Indirect pulp treatment: in vivo outcomes of an adhesive resin system vs calcium hydroxide for protection of the dentin-pulp complex. A clinical study on the success rates of indirect pulp capping and pulpotomy in the treatment of deep dentinal caries in primary second molars KB Vidya 1, Shruthi B Patil 2, Rajesh T Anegundi 2 1 Department of Pediatric Dentistry, Farooqia Dental College and Hospital, Farooqia Educational Complex, Eidgah, Mysore, Karnataka, India 2 Department of Pediatric Dentistry, Sri Dharmasthala Manjunatheshwara … https://doi.org/10.3290/j.qi.a29503 PubMedCrossRef, https://doi.org/10.3290/j.qi.a29503, Zurück zum Zitat Nowicka A, Lipski M, Parafiniuk M, Sporniak-Tutak K, Lichota D, Kosierkiewicz A, Kaczmarek W, Buczkowska-Radlinska J (2013) Response of human dental pulp capped with biodentine and mineral trioxide aggregate. 19. Zurück zum Zitat Gruythuysen RJ, van Strijp AJ, Wu MK (2010) Long-term survival of indirect pulp treatment performed in primary and permanent teeth with clinically diagnosed deep carious lesions. https://doi.org/10.1590/s1678-77572003000400002 PubMedCrossRef, https://doi.org/10.1590/s1678-77572003000400002, Zurück zum Zitat Cox CF, Subay RK, Ostro E, Suzuki S, Suzuki SH (1996) Tunnel defects in dentin bridges: their formation following direct pulp capping. The two major procedures used to perform pulp therapy in primary teeth, pulpotomy and pulpectomy, have evolved over the years. Table 2. Pediatr Dent 39:16–123 PubMed, Zurück zum Zitat Marchi JJ, de Araujo FB, Froner AM, Straffon LH, Nor JE (2006) Indirect pulp capping in the primary dentition: a 4 year follow-up study. Bestellen Sie unseren kostenlosen Newsletter Update Zahnmedizin und bleiben Sie gut informiert – ganz bequem per eMail. This video by Aspire32 is a part of an ongoing series on Pulp capping. Direct pulp capping: a review Lim KC, Kirk EEJ. 2016) reported successful clinical (no pain, absence of sinus tract) and radiographic (no sign of external and internal resorption, presence of calcified bridge) outcomes following the use of MTA and TheraCal LC when used for indirect pulp capping in primary teeth. Für Ihren Erfolg in Klinik und Praxis - Die beste Hilfe in Ihrem Arbeitsalltag als Mediziner. Pulpal exposure is inevitable when excavating many large carious lesions. https://doi.org/10.1016/j.joen.2014.06.018 PubMedCrossRef, https://doi.org/10.1016/j.joen.2014.06.018, Zurück zum Zitat Qureshi A, Soujanya E, Nandakumar, Pratapkumar, Sambashivarao (2014) Recent advances in pulp capping materials: an overview. CLINICAL SIGNIFICANCE: The results of this study suggested that indirect pulp capping in primary teeth arrests the progression of the underlying caries, regardless of the material used as a liner. Int Endod J 45:571–579. In the selection of a specific vital pulp treatment, it is important to consider the remaining tooth structure and future restorative plan. Formocresol pulpotomy (FP) in the United States is most frequently used to treat asymptomatic caries near the pulp in primary teeth. Indirect Pulp Caps — Our dentists will use an indirect pulp cap when treating certain cases involving tooth decay. There are two main types of pulp caps: indirect pulp caps and direct pulp caps. Formocresol pulpotomy (FP) in the United States is most frequently used to treat asymptomatic caries near the pulp in primary teeth. Defined as a procedure wherein the deepest layer of the remaining affected carious dentin is covered with a layer of biocompatible material in order to prevent pulp exposure and further trauma to the pulp. The objectives of treatment are the same as for a pulpotomy If the pulp is too close to becoming exposed, instead of removing all of the tissue, our dentists may instead seal off the decayed material. Am J Dent. pulpotomy out of date? Direct pulp capping after pulp exposures resulting from excavating deep caries has been shown to have low success in permanent teeth [17, 18].In a randomized multicenter study on direct pulp capping or partial pulpotomy with calcium hydroxide involving 58 patients with exposed pulps after caries excavation in permanent teeth, the authors reported a low success rate (31.8 % vs. 34.5 %, respectively) and no … Quintessence Int 33:151–9, Zurück zum Zitat American Academy on Pediatric D and American Academy of P (2017) Use of vital pulp therapies in primary teeth with deep caries lesions. J Endod 40:1846–1854. 3. Depending on the proximity to the dental pulp or nerve, there are two pulp-capping procedure types: 1) direct pulp-capping – dressing is placed directly on the tooth pulp, and 2) indirect pulp-capping –dressing is placed on top of the dentin. Direct pulp capping: a review. Primary teeth or milk teeth; Evidence of infection, pain or sensitive tooth; Wide exposure; Excessive bleeding from exposed site; Older patients; Grossly decayed teeth or non-restorable teeth. J Dent 73:76–90. Indirect caps are usually used on children, protecting baby (primary) teeth or the new, adult (permanent) teeth. https://doi.org/10.1016/j.jdent.2018.04.007 PubMedCrossRef, https://doi.org/10.1016/j.jdent.2018.04.007, Zurück zum Zitat Akcay M, Sari S, Duruturk L, Gunhan O (2015) Effects of sodium hypoclorite as disinfectant material previous to pulpotomies in primary teeth. (1) a calcium … It is published bi-monthly and is internationally recognized as the leading journal in the area of pediatric dentistry.