direct pulp capping in primary teeth

Carious or traumatised teeth with a normal pulp status or with reversible pulpitis need an indirect or direct pulp capping procedure to keep the pulp vital. This can lead to the pulp of the tooth either being exposed or nearly exposed which causes pulpitis. Methods: A total of 180 primary teeth from 9 healthy 4-month-old female pigs were divided into 3 experimental periods (7, 28, and 90 days) for each material used for the pulpotomy and direct pulp capping treatments. METHODS: Forty teeth of two 4-month old pigs were pulpotomized and … Indirect pulp capping in the primary dentition: a four year follow-up study. . • The success of indirect pulp capping has been reported to be over 90%; hence this approach can be used for symptom-free primary teeth provided that a proper leakage free restoration can be placed. Histological response of human pulps capped with calcium hydroxide and a self-etch adhesive containing an antibacterial component. Summary. 2005; Caicedo et al. ScienceDirect ® is a registered trademark of Elsevier B.V. ScienceDirect ® is a registered trademark of Elsevier B.V. doi: 10.1016/j.joen.2008.02.033. Despite advancements in the field of pulp biology, the technique and philosophy of direct pulp capping (DPC) remains a controversial subject. There are two considerations for direct pulp capping - accidental mechanical pulp exposure and exposure caused by caries. 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]. • Indications: The pulpotomy procedure is indicated when caries removal results in pulp exposure in a primary tooth with a normal pulp or reversible pulpitis or after a traumatic pulp exposure.6The coronal tissue is amputated, and the remaining radicular tissue is judged to be vital without suppuration, purulence, necrosis, or excessive hemorrhage that cannot be controlled by a damp cotton pellet after … Objective: To do a clinical and radiographic evaluation of the effectiveness of MTA when used as a direct pulp capping material in primary molars.Study design: Clinical and radiographic follow-up was performed on 30 primary molars with deep caries lesions in 30 patients from 3 to 9.75 years of age. Direct pulp capping is used when the pulp is visibly exposed (vital pulp exposure) due to caries, trauma, or iatrogenic insult such as accidental exposure during tooth preparation or caries removal. Epub 2018 Sep 5. With direct pulp capping and pulpotomy, some of the nerve in the tooth is left and therefore the filling material has to be put into contact with the living pulp tissue. J Clin Pediatr Dent. Caicedo R, Abbott PV, Alongi DJ, Alarcon MY. 2004 Sep;14(5):376-9.  |  DPC should not be disregarded as a vital pulp therapy procedure in the primary dentition. Published by Elsevier Ltd. All rights reserved. Keywords: Direct. Pulpitis, in turn, can become … We use cookies to help provide and enhance our service and tailor content and ads. Direst pulp capping (DPC) has been literally abolished from the repertoire of endodontic procedures for primary teeth. DIRECT PULP CAPPING. 2010 Winter; 5(1): 27–30.  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. Eur Arch Paediatr Dent. 2019 Nov 13;6(1):73-80. doi: 10.1080/26415275.2019.1688662. Clinical, radiographic and histological analysis of the effects of mineral trioxide aggregate used in direct pulp capping and pulpotomies of primary teeth. these studies are dealing with the pulp of permanent teeth, some of them are directed specifically to primary teeth. Background: The outcome of vital pulp treatment after carious pulp exposure is multifactorial and related to the procedure, biomaterial and pre-operative pulpal diagnosis. Direct Pulp-Capping with Calcium Enriched Mixture in Primary Molar Teeth: A Randomized Clinical Trial Iran Endod J. Clipboard, Search History, and several other advanced features are temporarily unavailable. In reviewing the various studies concerning the direct pulp capping procedure in primary teeth, using rigid criteria for case selection and procedure appears to insure a significant amount of success. Methodology Clinical follow‐up was performed on 25 symmetrical pairs of primary molars with deep occlusal caries, in 25 patients between the ages of 5 and 8 years. LIMITATION OF DIRECT PULP CAPPING IN PRIMARY TEETH Caries process or pulp capping material may stimulate the undifferentiated mesenchymal cells that differentiate into odontoblastic cells which lead to internal resorption. Direct pulp capping: A treatment option in primary teeth?? OBJECTIVES: a) preservation of vitality of the radicular pulp. 2013 Mar;16(2):92-8. doi: 10.4103/0972-0707.108173. Carious or traumatised teeth with a normal pulp status or with reversible pulpitis need an indirect or direct pulp capping procedure to keep the pulp vital. Copyright © 2021 Elsevier B.V. or its licensors or contributors. eCollection 2019. The aim of this study was to compare the pulpal responses to Pr… The purpose of this review is to "revisit" an earlier paper (1992) on the subject of direct pulp capping in primary teeth and bring some new considerations for the procedure by the use of dentin bonding adhesives. The purpose of the present study was to assess and compare the pulp response of pig primary teeth after capping with NHA and formocresol in pulpotomy and NHA and calcium hydroxide in direct pulp capping. Direct pulp capping of primary molars using a novel fast-setting calcium silicate cement: a randomized clinical trial with 12-month follow-up. b) relief of pain in patients with acute pulpagia. In case of direct pulp capping, the procedure is carried out in a single sitting with follow up appointments to determine the success of the procedure. Vital pulp therapies (VPT) are common treatments in pedodontics which help to preserve pulp vitality; direct pulp capping (DPC) is less invasive than pulpotomy or pulpectomy . 2016 May-Jun;19(3):274-9. doi: 10.4103/0972-0707.181947. 18. In primary teeth, pulpal therapy includes vital pulp therapy (including the placement of a protective liner), indirect pulp capping, direct pulp capping, or pulpotomy. Indirect Pulp Treatment (IPT) was a success in 95%. 2006) . By continuing you agree to the use of cookies. A Radiograph should be taken to confirm wether Direct Pulp Capping is sufficient or not; The Tooth affected is Anesthetised wither by a Local infiltration or a Nerve block. Depending on the severity of the disease, three pulp treatment techniques are available: direct pulp capping, pulpotomy and pulpectomy. To evaluate the clinical outcome of both interventions for treating vital primary teeth. A medicament is then applied as a cap before a restoration is placed. The Pulp exposure should be <0.5 mm in diameter. They are only successful if the pulpal infection is very mild 1. pulp capping – placing a medicament over the exposed tooth pulp 2. pulpotomy – removal of some of the tooth pulp 3. pulpectomy – removal of all of the tooth pulp. Calcium hydroxide was used for 10 teeth and Bioactive glass for 10 teeth. However, the use of DPC is more limited in primary teeth compared with permanent teeth [ 5 ]. Get the latest public health information from CDC:, Get the latest research information from NIH:, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: Mathewson and Primosch5 did not endorse the routine application of direct or indirect pulp treatments for primary teeth. Fig. Which is the best capping material for DPC in primary teeth? Pulp treatment for extensive decay in primary teeth is generally successful. It tried to explain the various reasons for the failure of Calcium hydroxide pulp capping in Primary teeth. To achieve success for direct pulp capping in primary teeth, the considerations involve: selecting teeth with minimal or no clinical signs of pulpal inflammation; or pretreating the carious tooth with a sedative restoration before excavating the caries; disinfecting the cavity floor; enlarging the actual exposure, and flushing out dentinal debris with mild solutions; controlling bleeding by not allowing a clot to form; placing a hard-set, CaOH material over the exposure, followed by a fast-setting, zinc oxide-eugenol cement to achieve a hermetic seal; and lastly, placing a stainless steel crown to minimize microleakage and prevent a fractured or defective restoration. Please enable it to take advantage of the complete set of features! Garrocho-Rangel A(1), Esparza-Villalpando V(2), Pozos-Guillen A(1)(2). 1. that direct pulp capping for a carious exposure in pri-mary teeth was not recommended but the higher suc-cess rate for indirect pulp treatment warranted its ap-plication in vital primary teeth. Indirect pulp capping and primary teeth: is the primary tooth pulpotomy out of date? These procedural steps can hardly ensure complete success in direct pulp capping of a primary tooth; but, based on the many cited investigations in this review, a significant amount of success can be expected without resorting more frequently to invasive techniques. When dental caries is removed from a tooth, all or most of the infected and softened enamel and dentin are removed. Plain English Summary. This versatile material has been regarded as the “gold standard” for pulp capping [20]. 2006;19(6):382-386. The reported treatments in the latter studies are: a) pulpotomy b) pulp capping Both treatments are still widely practised and both have their strong adherents. 8. This review earmarks certain parameters that should be analyzed when considering DPC as a treatment option for primary teeth. Recommendations Primary teeth. It is acknowledged that vital primary pulp tissue is capable of healing without resorting to complete pulpectomy, although statistically direct pulp capping has been found to be less successful in primary teeth than indirect pulp therapy or coronal amputation (pulpotomy). Two reviewers on Pubmed and ISI Web of Science performed a comprehensive literature review of publications from 1966 until December 2017. • Objectives: The tooth’s vitality should be maintained. This study investigates the medium to long term clinical and radiographic outcomes of such treatment. A literature search to identify articles relating to DPC in primary teeth was carried out. 2008 Feb;41(2):128-50. doi: 10.1111/j.1365-2591.2007.01329.x. Pulp Capping; Endodontics Pulp Capping. The pulp capping procedure in primary teeth "revisited".

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