*. Direct caps are usually used on permanent adult teeth when damage has exposed the pulp or when the removal of decay exposes the pulp. Oper Dent 42:470–477. J Endod 40:1846–1854. Key words: direct pulp capping, primary teeth, re- versible pulpitis, vital methods Direct pulp capping is a method of treatment of in- flammation diseases of the pulp in their reversible stage. Am J Dent 20:189 PubMed, Zurück zum Zitat Menon NP, Varma BR, Janardhanan S, Kumaran P, Xavier AM, Govinda BS (2016) Clinical and radiographic comparison of indirect pulp treatment using light-cured calcium silicate and mineral trioxide aggregate in primary molars: a randomized clinical trial. Eur Sci J 2:315–318, Zurück zum Zitat Trowbridge H (2002) Histology of pulpal inflammation. Indirect Pulp Capping: In this process, a thin layer of the soft dentin is left over the pulp, and a protective dressing is placed over the soft dentin. Defined as a procedure in which the exposed vital pulp is covered with a protective dressing or base placed directly over the site of exposure in an attempt to preserve the pulp vitality. 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. Es kann nur einmal getestet werden. It is published bi-monthly and is internationally recognized as the leading journal in the area of pediatric dentistry. Fallahinejad Ghajari M(1), Asgharian Jeddi T, Iri S, Asgary S. Author information: (1)Department of Pediatric Dentistry, Dental Research Center/Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Pulpal exposure is inevitable when excavating many large carious lesions. This course discusses the direct and indirect pulp therapy in primary teeth, pulpotomy, pulpectomy and materials used for each procedure. DM Dalpian, L Casagrande, R Franzon, GMC Dutra and FB Araujo. The ITR can be removed once the pulp’s vitality is determined and, if the pulp is vital, an indirect pulp cap can be performed. To summarize the clinical/radiographic outcomes from the evidence of studies published since 1988 on different DPC agents applied on vital pulp–exposed primary teeth. 15 Other studies have shown success when glass ionomer … There is evidence of vital tissue e.g. This is a complex procedure requiring a specialist and is rarely used in routine … Technique • Pain control and isolation. J Dent Res 95:906–912. Bitte aktivieren Sie Java-Script in Ihrem Browser, damit Sie alle Vorteile und Funktionen dieser Website nutzen können. Conclusions Despite the success rate of indirect pulp capping for treating deep carious lesions approaching the pulp in primary teeth, practitioners still hesitate to practice this … (3) Is primary tooth pulpotomy out of date, and should indirect pulp therapy replace pulpotomy? Author information. Therefore, the aim of this study was to evaluate and compare the clinical and radiographical success of calcium sulfate and calcium hydroxide used as a direct pulp-capping material in primary teeth. Educational video for dental students and dentists on the Indirect Pulp Capping procedure. • The most important factor that affects the success of VPT is the vitality of the pulp, and the vascularization which is necessary for the function of odontoblasts. Vital pulp therapy, stainless steel crowns, and teeth preparation. … Adv Dent Res 28:49–57. DIRECT PULP CAPPING. The teeth were divided into three groups according to the pulp-capping agents: (I) hard-setting calcium hydroxide (Dycal) (control group) (, At the end of the 24-month follow-up period, the clinical and radiographic success rates for Dycal, Biodentine, and TheraCal LC were 100%, 100%, and 93.3%, respectively, and there was no significant difference among the groups (. Indirect Pulp Caps — Our dentists will use an indirect pulp cap when treating certain cases involving tooth decay. Pulpotomy: removal of coronal pulp, leaving the healthy or reversibly inflamed radicular pulp. Quintessence Int 44:417–423. indication • Large carious lesion • asymptomatic Troth or mild transient symptoms. and P.S.S.) https://doi.org/10.1177/0022034516639919 PubMedCrossRef, https://doi.org/10.1177/0022034516639919, Zurück zum Zitat Monea M, Stoica A, Monea A (2014) Histological evaluation of indirect pulp capping procedures with calcium hydroxide and mineral trioxide aggregate. Indirect Pulp Capping • a procedure in which a material is placed on a thin partition of remaining carious dentin that, if removed, might expose the pulp in immature permanent teeth. Pinto AS, de Araujo FB, Franzon R, Figueiredo MC, Henz S, Garcia-Godoy F, Maltz M. Clinical and microbiological effect of calcium hydroxide protection in indirect pulp capping in primary teeth. J Endod 40:1932–1939. This will prevent the decay from spreading and help with restoration. A direct pulp cap is done on permanent teeth when the removal of deep decay results in exposing the pulp. Indications: Indirect pulp treatment is indicated in a primary tooth with no pulpitis 18 or with reversible pulpitis when the deepest carious dentin is not removed to avoid a pulp exposure. 13.01.2021 | Praxismanagement | Nachrichten, 29.12.2020 | Praxismanagement | Nachrichten | Onlineartikel, 16.12.2020 | GOÄ | Nachrichten | Onlineartikel. Das kostenlose Testabonnement läuft nach 14 Tagen automatisch und formlos aus. https://doi.org/10.1007/s00784-006-0033-8 PubMedCrossRef, https://doi.org/10.1007/s00784-006-0033-8, Zurück zum Zitat Bressani AE, Mariath AA, Haas AN, Garcia-Godoy F, de Araujo FB (2013) Incomplete caries removal and indirect pulp capping in primary molars: a randomized controlled trial. No Citation information available - sign in for access. In: Casamassimo PS, Fields HW Jr, McTigue DJ, Nowak AJ (eds) Pediatric dentistry: infancy through adolescence, 5th edn. 19. Indirect pulp therapy (IPT) is also indicated and has a significantly higher long-term success. J Dent 43:1235–1241 PubMedCrossRef, Zurück zum Zitat Vij R, Coll JA, Shelton P, Farooq NS (2004) Caries control and other variables associated with success of primary molar vital pulp therapy. INDIRECT PULP THERAPY; But with the introduction of new biomaterials, there have been numerous reports of improved success rates. Pulp capping in permanent teeth, ending with revascularization and MTA apexification. Thirty six primary molar teeth with deep caries lesion were selected to apply indirect pulp therapy with calcium hydroxide. J Dent Child (Chic) 76:117–122, Zurück zum Zitat Tuculina MJ, Raescu M, Dascalu IT, Popescu M, Andreescu CF, Daguci C, Cumpata CN, Nimigean VR, Banita IM (2013) Indirect pulp capping in young patients: immunohistological study of pulp-dentin complex. 14 Alternatively, an adhesive resin system may be used, directly over the dentine which has shown to have a success rate of 96% compared with 83% for calcium hydroxide. LR7 (47) Pre-op Radiograph. 1. Pinto AS, de Araujo FB, Franzon R, et al. and practice of indirect pulp capping in primary teeth. American Journal of Dentistry. pulpotomy out of date? https://doi.org/10.1007/s00784-007-0152-x PubMedCrossRef, https://doi.org/10.1007/s00784-007-0152-x, Zurück zum Zitat Modena KC, Casas-Apayco LC, Atta MT, Costa CA, Hebling J, Sipert CR, Navarro MF, Santos CF (2009) Cytotoxicity and biocompatibility of direct and indirect pulp capping materials. Schwendicke F, Dorfer C, Paris S. Incomplete caries re- pulpotomy medicaments in primary teeth. 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. 2006;19(6):382-386. Indirect pulp capping was taught or practiced by a mean of 77% of participants (min-max 53-95%) and calcium hydroxide was the most-used medicament (71%). 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. When dental caries is removed from a tooth, all or most of the infected and softened enamel and dentin are removed. This choice is indirect pulp therapy (IPT), because the direct pulp cap in a primary tooth is contraindicated for carious exposures . Contemp Clin Dent 7:475–480. … graphic success of CH capping in primary teeth and reported a. Seltzer and Benders Dental Pulp Carol Stream: Quintessence:227–45, Zurück zum Zitat Giraud T, Jeanneau C, Bergmann M, Laurent P, About I (2018) Tricalcium silicate capping materials modulate pulp healing and inflammatory activity in vitro. c) ensuring the continuity of normal apexogenesis in immature permanent teeth. J Biol Chem 276:7614–7620. 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. They cover and isolate damaged dentin (the hard structure of the tooth) from bacteria. The procedures could involve longer treatment time due to careful tooth … 2008;30(3):230-6. J Esthet Restor Dent 29:403–408. https://doi.org/10.1177/0022034513477425 PubMedCrossRef, https://doi.org/10.1177/0022034513477425, Zurück zum Zitat Ricucci D, Loghin S, Siqueira JF Jr (2014) Correlation between clinical and histologic pulp diagnoses. Direct Pulp Caps. Indirect pulp therapy (IPT) is also indicated and has a significantly higher long-term success. 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