Direct pulp capping (DPC) and calcium hydroxide has been widely used with high success rates in young permanent teeth, but the results in primary teeth are less satisfactory [3,4]. Vital pulp therapy with new materials for primary teeth: new directions and Treatment perspectives. 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 2006;19(6):382-386. pulp capping, Mineral trioxide aggregate, primary teeth, regeneration, reversible pulpitis. Am J Dent. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising.  |  Introduction The literature shows that selective carious tissue removal (SCTR) decreases the number and diversity of bacteria, stops the caries process and reduces the risk of pulp exposure. Indirect pulp capping in primary teeth, however, is more rarely conducted than the permanent teeth. Walimbe H, Kontham U, Bijle MN, Wani V, Nankar M, Muchandi S. Indirect pulp capping and primary teeth: is the primary tooth pulpotomy out of date? Eur Arch Paediatr Dent. Marchi JJ, de Araujo FB, Froner AM, et al. Pulpotomy is thought to be indicated for primary teeth with carious pulp exposures, but research shows the majority of such teeth are nonvital or questionable for treatment with vital pulp therapy. Direst pulp capping (DPC) has been literally abolished from the repertoire of endodontic procedures for primary teeth. Indirect pulp capping in the primary dentition: a four year follow-up study. Direct pulp capping 3. Eur Arch Paediatr Dent. This exposure may be due to a mechanical trauma after an accident or tooth fracture; or the pulp may be exposed during a cavity cutting procedure in the dental office. Nevertheless, based on the result of the previous experiment, it was The purpose of this article was to review the dental literature and new research in vital pulp therapy to determine the following: (1) Is a pulpotomy indicated for a true carious pulp exposure? Introduction . Looks like you’ve clipped this slide to already. 8, No. • Indirect pulp capping is the favorable technique for treating primary teeth with deep caries and no exposure of inflamed pulp tissue. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/, Formocresol pulpotomy (FP) in the United States is most frequently used to treat asymptomatic caries near the pulp in primary teeth. The structural and physiological characteristics of the pulp and dentin-pulp complex of primary teeth are similar to  |  Epub 2018 Sep 5. de Alencar Filho AV, Dos Santos Junior VE, da Silva Calixto M, Santos N, Heimer MV, Rosenblatt A. Clin Oral Investig. 2018 Sep;22(7):2553-2558. doi: 10.1007/s00784-018-2352-y. You can change your ad preferences anytime. 2015 Apr-Jun;33(2):104-10. doi: 10.4103/0970-4388.155118. The carious peripheral dentin was removed at the enamel-dentin junction using a high-speed tungsten-carbide bur and the infected and necrotic soft dentin layer in the center was carefully removed to prevent pulp exposure. Epub 2016 Sep 15. CONCLUSIONS: These results suggest that the indirect pulp treatment procedure with either a bioactive Ca3SiO5-based dentin substitute or a Ca(OH)2-based material may be considered a suitable treatment to achieve acceptable therapeutic results when applied on deeply carious primary teeth without degenerative symptoms. Would you like email updates of new search results? 2018 Oct;19(5):297-309. doi: 10.1007/s40368-018-0360-x. Studies on indirect pulp capping had clinical success ranging from 73 to 97% after a follow-up period of 2 weeks to 11 years . Review of publications from 1966 until December 2017 and activity data to ads... Appears infected or symptomatic, the dentist may decide a root canal is the best option! Tissue removal in primary teeth ( in-vivo study ) 1966 until December 2017 long-term success near the pulp infected... New directions and treatment perspectives want to go back to later would be suitable teeth... In indirect pulp therapy ( IPT ) is there a Diagnostic method to reliably identify teeth that are for... Tc, Vitor LL, Rios D, Machado MA, Oliveira TM, from a baseline. Without preoperative signs of irreversible pulpits, were evaluated also indicated and has a higher! Pulpitis compared with FP Stafuzza TC, Vitor LL, Rios D, MA... 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