… Indirect pulp therapy (IPT) is also indicated and has a significantly higher long-term success. Direct pulp capping: a review Lim KC, Kirk EEJ. Markovic D, Zivojinovic V, Vucetic M. Evaluation of three 36. 15. Aktuelle, verlässliche Information und Fortbildung für Ärzte im Berufsalltag. Affiliations. So, this study will verify the in vivo response of dentine–pulp complex after SCTR in primary teeth with or without pulp liner material. 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. Pediatr Dent 24:241–248 PubMed, Zurück zum Zitat Koc Vural U, Kiremitci A, Gokalp S (2017) Randomized clinical trial to evaluate MTA indirect pulp capping in deep caries lesions after 24-months. Teeth that have a history of trauma or previous restorations or that display pulpal calcification have a poorer prognosis than teeth showing only initial caries. *. The length of these procedures will vary based on the extent of tooth decay. J Dent Res 92:306–314. Materials and methods This clinical study was conducted with 40 primary . 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. 10. Indirect pulp capping and primary teeth: Is primary molar pulpotomy. Pulpitis, in … Teeth that have a history of unprovoked spontaneous pain, necrotic or partially necrotic pulps, radiographic pathology, or excessive hyperemia on direct pulp exposure due to irreversible pulpitis have a poor prognosis and often require endodontic intervention … Dr. Gordon Christensen answers a reader's question about pulp capping. Primary molars were restored with the compomer material, and permanent molars were restored with the resin composite material. 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. 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. c) ensuring the continuity of normal apexogenesis in immature permanent teeth. LR7 (47) Pre-op Radiograph. 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. Adv Dent Res 28:49–57. https://​doi.​org/​10.​1016/​j.​dental.​2018.​09.​008 PubMedCrossRef, https://​doi.​org/​10.​1016/​j.​dental.​2018.​09.​008, Zurück zum Zitat Casagrande L, Falster CA, Di Hipolito V, De Goes MF, Straffon LH, Nor JE, de Araujo FB (2009) Effect of adhesive restorations over incomplete dentin caries removal: 5-year follow-up study in primary teeth. It tried to explain the various reasons for the failure of Calcium hydroxide pulp capping in Primary teeth. The main aim of primary tooth pulp therapy is to maintain arch length and integrity by preserving the pulpally involved tooth as a natural space maintainer. INDIRECT PULP CAPPING. This combination of desirable qualities makes MTA “the material of choice” for cases of pulp exposure in both primary teeth and permanent teeth13,14 (Figs. 2006;31(2):68-71. 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. When practitioners in a dental PBRN were given a hypothetical scenario that involved this question, only 17% responded that they would stop, leave the remaining caries in place and restore the tooth.32 This procedure, where caries is allowed to remain adjacent to a vital pulp rather than risk pulp exposure, covered with a cavity sealer or liner and restored, is termed an indirect pulp cap. 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%). Oral Res. 2-4). Here, he covers the definition of direct and indirect pulp caps, steps in the indirect pulp cap procedure prior to placement of resin-based composite, desirable and undesirable direct pulp exposure conditions, steps in the direct pulp cap procedure prior to placement of resin-based composite, and success expectations for indirect and … • VPT includes three approaches: indirect pulp capping, direct pulp capping, and They can also be effective for children’s primary teeth in certain situations when accidents expose the pulp. Although a tooth can remain functional without a vital pulp, it is desirable to attempt to maintain the vitality of the pulp [American … This can lead to the pulp of the tooth either being exposed or nearly exposed which causes pulpitis (inflammation). Pressing the buy now button more than once may result in multiple purchases, Source: Pediatric Dentistry, Volume 30, Number 3, May / June 2008, pp. Abstract - The healthy pulp has good healing potential when it is exposed, although the exact repair mechanism is still undeter-mined, and it is not material-specific. indication • Large carious lesion • asymptomatic Troth or mild transient symptoms. 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. PULPOTOMY. 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. Department of Pediatric Dentistry, University of Maryland Dental School, Baltimore, Maryland, USA. In addition, taking two cone‐beam computed tomography images within 6 … 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. Indirect pulp caps are usually used on children’s teeth when removal of … A success rate of 92% for indirect pulp capping with calcium hydroxide in primary incisors followed for 42 months has been reported, 13 and 96% in primary molars after 1 year. pulpotomy out of date? Author information. There is evidence of vital tissue e.g. 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 … The study included a total of 109 patients aged 5–9 years who had primary teeth with deep carious lesions and symptoms of reversible pulpitis. Indirect pulp capping and primary teeth: Is the primary tooth . The aim of this randomized, controlled, three-arm parallel group, and double-blinded clinical trial was to evaluate the clinical, radiographic, and histopathological success of three different pulp-capping materials in one-stage indirect pulp treatment of primary teeth. Siriporn Songsiripradubboon, Wijit Banlunara, Polkit Sangvanich, Chutima Trairatvorakul, Pasutha Thunyakitpisal, Clinical, radiographic, and histologic analysis of the effects of acemannan used in direct pulp capping of human primary teeth: short-term outcomes, Odontology, 10.1007/s10266-015-0215-4, 104, 3, (329-337), (2015). and practice of indirect pulp capping in primary teeth. a direct pulp-capping agent in primary teeth. J Dent Res 95:906–912. This technique has been derived with the ideology that the dental pulp possesses the ability to form a dentin-like matrix (tertiary dentin) as a part of the repair in the dentin-pulp complex. The AAPD and the American Association of Endodontists recommend indirect pulp capping for primary teeth and young permanent teeth. 18-month results. https://​doi.​org/​10.​1111/​jerd.​12338 PubMedCrossRef, Zurück zum Zitat Ricketts D, Lamont T, Innes NP, Kidd E, Clarkson JE (2013) Operative caries management in adults and children. 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. 50. (2) Is there a diagnostic method to reliably identify teeth that are candidates for vital pulp therapy? Pediatr Dent 26:214–220 PubMed, Zurück zum Zitat Franzon R, Casagrande L, Pinto AS, Garcia-Godoy F, Maltz M, De Araujo FB (2007) Clinical and radiographic evaluation of indirect pulp treatment in primary molars: 36 months follow-up. The Direct Pulp Cap The following must hold true: The exposure is surgical, not carious. Bestellen Sie unseren kostenlosen Newsletter Update Zahnmedizin und bleiben Sie gut informiert – ganz bequem per eMail. • Remove superficial caries. 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 … The teeth were randomly divided into two groups, according to the material used for protection of the dentin-pulp complex. Pulp capping in permanent teeth, ending with revascularization and MTA apexification. SpringerMedizin.de – Mein Arztwissen. When dental caries is removed from a tooth, all or most of the infected and softened enamel and dentin are removed. J Dent Res … https://​doi.​org/​10.​7860/​JCDR/​2014/​7719.​3980 PubMedPubMedCentralCrossRef, https://​doi.​org/​10.​7860/​JCDR/​2014/​7719.​3980, Zurück zum Zitat Gandolfi MG, Siboni F, Prati C (2012) Chemical-physical properties of TheraCal, a novel light-curable MTA-like material for pulp capping. Sie können e.Med Interdisziplinär 14 Tage kostenlos testen (keine Print-Zeitschrift enthalten). Int Endod J 52:923–934. The two major procedures used to perform pulp therapy in primary teeth, pulpotomy and pulpectomy, have evolved over the years. Pinto AS, de Araujo FB, Franzon R, et al. In the selection of a specific vital pulp treatment, it is important to consider the remaining tooth structure and future restorative plan. Int J Paediatr Dent 24:23–31. But with the introduction of new biomaterials, there have been numerous reports of improved success rates. Two reviewers (D.P. Keywords: Pulp capping, indirect, primary dentition. Direst pulp capping (DPC) has been literally abolished from the repertoire of endodontic procedures for primary teeth. Am J Dent 26:196–200 PubMed, Zurück zum Zitat Trairatvorakul C, Sastararuji T (2014) Indirect pulp treatment vs antibiotic sterilization of deep caries in mandibular primary molars. Indirect pulp therapy (IPT) is also indicated and has a significantly higher long-term success. 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. Pulpectomy: removal of all coronal and radicular pulp. Clin Oral Investig 12:91–96. PURPOSE: To evaluate clinical and radiographic outcomes of indirect pulp treatment (IPT) in primary molars after long-term function (up to 60 months). 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. Schwendicke F, Dorfer C, Paris S. Incomplete caries re- pulpotomy medicaments in primary teeth. However, histological examination indicated that the pulp status was affected by the chosen capping material especially when selecting a resin-containing material such as TheraCal LC. 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 … All authors. This choice is indirect pulp therapy (IPT), because the direct pulp cap in a primary tooth is contraindicated for carious exposures . https://​doi.​org/​10.​1590/​s1678-7757200300040000​2 PubMedCrossRef, https://​doi.​org/​10.​1590/​s1678-7757200300040000​2, 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. In patients with uncontrolled caries or extensive loss of coronal structure, in which full coverage is … DM Dalpian, L Casagrande, R Franzon, GMC Dutra and FB Araujo. 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. Additionally, the with CH showed favorable clinical and radiographic responses of dentin pulp complex by production of tertiary results.8,12,19-22 Maltz et al,6 with a similar experimental design dentin matrix and peritubular dentin (sclerotic dentin) that in … … IPT has a significantly higher success in treating all primary first molars, but especially those with reversible pulpitis compared with FP. edn. graphic success of CH capping in primary teeth and reported a. An indirect pulp cap procedure is used when bacterial decay has reached near to the pulpal chamber, causing inflammation and threatening the survival of the tooth. If the pulp appears infected or symptomatic, the dentist may decide a root canal is the best treatment option. 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. • Preoperative radiograph confirms the absence of radicular pathology . Often this is recommended for primary, or baby, teeth. Indirect pulp caps, when done correctly, are more succesful at maintaining long-term vitality than direct ones. independently assessed the identified publications and selected them by title and abstract based on the following inclusion criteria: clinical trials comparing different materials used for protection of dentin-pulp complex in primary teeth submitted to indirect pulp capping. 3. 15 Other studies have shown success when glass ionomer … Indirect Pulp Caps — Our dentists will use an indirect pulp cap when treating certain cases involving tooth decay. Am J Dent. Current literature indicates that there is inconclusive evidence that it is necessary to reenter the tooth to remove the residual caries. J Endod. There are two types of pulpal caps … Romanian J Morphol Embryol 54:1081–1086, Zurück zum Zitat Choung HW, Lee DS, Lee JH, Shon WJ, Lee JH, Ku Y, Park JC (2016) Tertiary dentin formation after indirect pulp capping using protein CPNE7. Direct pulp-capping with calcium enriched mixture in primary molar teeth: a randomized clinical trial. 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. Indirect pulp treatment was applied using Dycal for 91 teeth, ProRoot MTA for 89 teeth and TheraCal LC for 115 teeth. 11 Braz. Indirect pulp capping and primary teeth: is the primary tooth pulpotomy out of date? 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. Hence, some infected dentine near the pulp is left intact, and a thin layer of calcium hydroxide (CaOH) is placed over the area near to the pulp, and a temporary restoration given, as described in the steps below. Contraindications: Same as for primary teeth except for the information regarding root resorption. The non-randomised study found a statistically significant difference in favour of indirect pulp capping for clinical and radiological success at 3 years but with high overall risk of bias. In: Casamassimo PS, Fields HW Jr, McTigue DJ, Nowak AJ (eds) Pediatric dentistry: infancy through adolescence, 5th edn. Lower 1st primary molar. which primary tooth need metal crown in indirect pulp capping? 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. Pulpotomy is thought to be indicated for primary teeth with carious pulp exposures, but research shows the majority of such teeth are nonvital or … 2-4). J Endod 40:1932–1939. Indirect pulp capping and primary teeth: is the primary tooth pulpotomy out of date? Indirect pulp capping in the primary dentition: a four year follow-up study. This video by Aspire32 is a part of an ongoing series on Pulp capping. • deep carious lesions where caries excavation was conservative and direct pulp exposures were avoided • either Ca (OH)2 or zinc oxide–eugenol (ZOE) in a one- or two-stage procedure. Resin-free calcium silicate-based materials appear to be more favorable in the indirect pulp treatment of primary teeth, particularly in young-age groups that require long-term success. 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. INDIRECT PULP THERAPY; https://​doi.​org/​10.​1016/​j.​joen.​2013.​01.​005 PubMedCrossRef, https://​doi.​org/​10.​1016/​j.​joen.​2013.​01.​005, Zurück zum Zitat Rajasekharan S, Martens LC, Cauwels R, Anthonappa RP, Verbeeck RMH (2018) Biodentine material characteristics and clinical applications: a 3 year literature review and update. Indirect pulp capping (IDPC) IDPC is recommended for teeth with deep carious lesions approximating the pulp but there are no signs or symptoms of pulp degeneration. 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. J Endod 36:1490–1493. VPT in primary teeth is to treat reversible pulpal injuries and maintaining pulp vitality. The aim is to preserve the life of the pulp by stimulating healing processes in it. Direct caps are usually used on permanent adult teeth when damage has exposed the pulp or when the removal of decay exposes the pulp. Pediatr Dent 2008;30:230-236. Clin Oral Investig 10:134–139. American Journal of Dentistry. Clinical and microbiological effect of calcium hydroxide protection in indirect pulp capping in primary teeth. In this review, new concepts in preservation of the healthy pulp tissue in deciduous teeth and induction of the reparative dentin … As long as the tooth remains sealed from bacterial contamination, the prognosis is good for caries to arrest and reparative dentin to form to protect the … Oper Dent 42:470–477. Formocresol pulpotomy (FP) in the United States is most frequently used to treat asymptomatic caries near the pulp in primary teeth. No Reference information available - sign in for access. This will prevent the decay from spreading and help with restoration. https://​doi.​org/​10.​4103/​0976-237X.​194109 PubMedPubMedCentralCrossRef, https://​doi.​org/​10.​4103/​0976-237X.​194109, Zurück zum Zitat Leye Benoist F, Gaye Ndiaye F, Kane AW, Benoist HM, Farge P (2012) Evaluation of mineral trioxide aggregate (MTA) versus calcium hydroxide cement (Dycal((R)) ) in the formation of a dentine bridge: a randomised controlled trial. (1) a calcium … primary teeth. Mit e.Med Interdisziplinär erhalten Sie Zugang zu allen CME-Fortbildungen und Fachzeitschriften auf SpringerMedizin.de.