2.2 Direct pulp capping This approach has limited application and is gener-ally not recommended for primary molars. ... - Indirect pulp tx - direct pulp capping - Pulpotomy. Materials and methods This clinical study was conducted with 40 primary 0000010069 00000 n Under the premise of correct indication and technical implementation, direct pulp capping using calcium hydroxide can reach success rates of nearly 60 % after 10 years [76, 110]. Asgary S, Ahmadyar M (2013) Vital pulp therapy using calcium-enriched mixture: An evidence-based review. Calcium hydroxide liners increased the success rate of IPT. Results: The Dycal and Prime&Bond NT groups did not exhibit any clinical or radiographic failure. Background Direst pulp capping (DPC) has been literally abolished from the repertoire of endodontic procedures for primary teeth. 6. For example, direct pulp capping isn’t usually recommended for young children due to a low success rate in baby teeth. 0000006510 00000 n 0000011761 00000 n I recommend direct pulp capping primarily for operative dentistry procedures and not for crowns. Vital pulp therapy, including direct pulp Traumatic injuries resulting in pulp exposure in young patients present a challenge in treatment. A majority of failures were observed in teeth that received NRC and phosphoric acid pretreatments (Groups 3 and 4). (16) The results of the study of Garrocho-Rangel et al. DPC for small non-contaminated pulp exposures using either TheraCal or … 0000005667 00000 n 2.2.1 Rationale Efficacy of direct pulp capping for management of cariously exposed pulps in permanent teeth: A systematic review and meta-analysis S Cushley , H F Duncan, M J Lappin , … There was no difference between MTA and Biodentine. trailer << /Size 90 /Info 46 0 R /Root 52 0 R /Prev 1600903 /ID[<40f17eebb06b4cb185efd3442ec0cf8d><3bffe181b46c34d924d63633d3cab744>] >> startxref 0 %%EOF 52 0 obj << /Type /Catalog /Pages 45 0 R /PageMode /UseNone /FICL:Enfocus 47 0 R /OpenAction 53 0 R /Metadata 50 0 R /PageLayout /OneColumn >> endobj 53 0 obj << /S /GoTo /D [ 54 0 R /Fit ] >> endobj 88 0 obj << /S 149 /T 285 /Filter /FlateDecode /Length 89 0 R >> stream COVID-19 is an emerging, rapidly evolving situation. ... evidence-based recommendations on three vital pulp therapies: indirect pulp treatment (IPT; also known as indirect pulp cap), direct pulp cap (DPC), and pulpotomy. Clipboard, Search History, and several other advanced features are temporarily unavailable. Risk of bias assessed using Cochrane and modified Downs and Black quality assessment checklist. There are numerous reports about a positive outcome of direct pulp capping, with success rates of 93% 1 year after direct pulp capping with 13,19Calxyl.19In this case, the high success rate might have resulted from the low number of treated cases and a non- randomized patient collective. 2014 Aug 6;(8):CD003220. Mineral trioxide aggregate (MTA) success was 91%, 86%, 84% and 81% at the same time points. Initial searches identified 83 potentially relevant studies on DPC in primary teeth. CiteSeerX - Document Details (Isaac Councill, Lee Giles, Pradeep Teregowda): Objective: To compare the success rate between the one session and two session indirect pulp capping of asymptomatic pulpitis for 1 year after the treatment was performed in children with different caries risk. 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. 0000010618 00000 n However, if pulp exposure is sensible and non-symptomatic (i.e., presumably healthy), minimally invasive techniques should be considered for the man-agement of pulp exposure in vital teeth . 0000002364 00000 n The lack of influence of treatment delay is demonstrated once more. Pulp Capping; Endodontics Pulp Capping. 0000001691 00000 n It was known that the success rate of direct pulp capping with CA (OH) 2 is not high in primary teeth, (23) the reason of which may be that the effect of Start studying Pulp Dx and Pulp Therapy for Primary Teeth (lecture 3). The pulpotomy agents were ass… This article will provide a general discussion of direct and indirect pulp capping procedures, offering practitioners a pragmatic and science-based clinical protocol for treatment of vital pulp exposures. The high failure rate in calcium hydroxide pulpotomies can be attributed to: Calcium hydroxide has no beneficial effect on the inflamed pulp. 0000006531 00000 n Name some NON-vital pulp therapy - pulpectomy - extraction. Caplan DJ, Cai J, Yin G, White BA. J Clin Pediatr Dent. The outcome of vital pulp treatment after carious pulp exposure is multifactorial and related to the procedure, biomaterial and pre-operative pulpal diagnosis. The trials were published between 1989 and 2017 and provided 125 comparisons of different treatment options. The aim of this study was to evaluate the pulpal response of primary teeth after direct pulp capping (DPC) with two biocompatible materials namely mineral trioxide aggregate (MTA) and bioactive glass (BAG). Overall, DPC clinical and radiographic success rates among the selected studies ranged between 53% and 100%. Keywords: Epub 2019 May 16. This can lead to the pulp of the tooth either being exposed or nearly exposed which causes pulpitis (inflammation). I know that the literature is confusing with reported success rates of pulp caps varying from as low as 10% to as high as 90%. The success rate is presented in percentage to the number of teeth treated in the group. Sixty‐four of these studies were excluded, whereas 19 articles satisfied the inclusion criteria and were retrieved in full text for data extraction and a methodological quality assessment. ... the whole coronal pulp with a spoon you remove 2-3mm of coronal pulp through the exposure site with a high speed before capping with calcium hydroxide. Journal of Conservative Dentistry, 16, 92-8. The teeth were evaluated clinically and radiographically for 24 months. ... not done if there is caries present as low success rate. Pulp Capping; Endodontics Pulp Capping. The tooth/teeth in question are examined and a decision is made to do direct or indirect pulp capping based on the condition of the tooth. 2010; 14(5):559–67. Overall, DPC clinical and radiographic success rates among the selected studies ranged between 53% and 100%. Al-Hiyasat AS, Barrieshi-Nusair KM, Al-Omari MA (2006) The radiographic outcomes of direct pulp-capping procedures performed by dental students. Try to avoid exposing the pulp. The aim of this paper is to present the approbated by us protocol for application of direct pulp capping … Sources: MEDLINE Ovid-SP, Cochrane Central Register of Controlled Trials (CENTRAL), International Clinical Trials Registry Platform (ICTRP), ClinicalTrials.gov, Embase and Web of Science until April 2020. Summary. Abstract: Among the goals of pulp capping are to manage bacteria, arrest caries progression, stimulate pulp cells to form new dentin, and produce a durable seal that protects the pulp complex.