Oper Dent 42:470–477. There are two main types of pulp caps: indirect pulp caps and direct pulp caps. Contemp Clin Dent 7:475–480. 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 … … Pulp capping is a technique used in dental restorations to prevent the dental pulp from necrosis, after being exposed, or nearly exposed during a cavity preparation. Indirect pulp therapy (IPT) is also indicated and has a significantly higher long-term success. 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). 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. 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. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. 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. J Dent Res 92:306–314. The AAPD and the American Association of Endodontists recommend indirect pulp capping for primary teeth and young permanent teeth. https://​doi.​org/​10.​1111/​ipd.​12022 PubMedCrossRef, Zurück zum Zitat Giraud T, Jeanneau C, Rombouts C, Bakhtiar H, Laurent P, About I (2018) Pulp capping materials modulate the balance between inflammation and regeneration. Indirect pulp caps, when done correctly, are more succesful at maintaining long-term vitality than direct ones. This gives the uninflamed/reversibly inflamed pulp a chance to heal. Ingenta Connect is not responsible for the content or availability of external websites. Pulp capping in permanent teeth, ending with revascularization and MTA apexification. https://​doi.​org/​10.​1016/​j.​joen.​2018.​06.​009 PubMedCrossRef, https://​doi.​org/​10.​1016/​j.​joen.​2018.​06.​009, Zurück zum Zitat Kim I, Moon SO, Kim SH, Kim HJ, Koh YS, Koh GY (2001) Vascular endothelial growth factor expression of intercellular adhesion molecule 1 (ICAM-1), vascular cell adhesion molecule 1 (VCAM-1), and E-selectin through nuclear factor-kappa B activation in endothelial cells. 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. 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. 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. 10. Although a tooth can remain functional without a vital pulp, it is desirable to attempt to maintain the vitality of the pulp [American … 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. All contra-indications as for the indirect pulp cap. Am J Dent. 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. Formocresol pulpotomy (FP) in the United States is most frequently used to treat asymptomatic caries near the pulp in primary teeth. graphic success of CH capping in primary teeth and reported a. (3) Is primary tooth pulpotomy out of date, and should indirect pulp therapy replace pulpotomy? This peer-reviewed journal features scientific articles, case reports and abstracts of current pediatric dental research. • 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. Indirect pulp therapy (IPT) is also indicated and has a significantly higher long-term success. Indirect pulp therapy (IPT) is also indicated and has a significantly higher long-term success. Indirect pulp treatment was applied using Dycal for 91 teeth, ProRoot MTA for 89 teeth and TheraCal LC for 115 teeth. Keywords: Pulp capping, indirect, primary dentition. Pressing the buy now button more than once may result in multiple purchases, Source: Pediatric Dentistry, Volume 30, Number 3, May / June 2008, pp. Coll JA. Lower 1st primary molar. Pediatr Dent 38:280–288, Zurück zum Zitat Hilton TJ, Summitt JB (2006) Pulpal considerations. J Dent Res 95:906–912. However, a shortcoming of these studies was their short‐term follow‐up. 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. Of course, the success of both direct and indirect pulp-capping procedures is contingent on the health and vitality of the pulp complex to begin with. Der Test läuft automatisch und formlos aus. The teeth were randomly divided into two groups, according to the material used for protection of the dentin-pulp complex. • 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. Indirect pulp capping and primary teeth: Is primary molar pulpotomy. Often this is recommended for primary, or baby, teeth. Dieses Abonnement kann nur einmal getestet werden. 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. Bitte aktivieren Sie Java-Script in Ihrem Browser, damit Sie alle Vorteile und Funktionen dieser Website nutzen können. a direct pulp-capping agent in primary teeth. Direct pulp capping: a review. While many dentists are hesitant to perform direct pulp capping procedures due to previously unpredictable results with conventional materials, MTA is a more predictable and … https://​doi.​org/​10.​1002/​14651858.​CD003808.​pub3, https://​doi.​org/​10.​1002/​14651858.​CD003808.​pub3, Zurück zum Zitat Parisay I, Ghoddusi J, Forghani M (2015) A review on vital pulp therapy in primary teeth. 2008; 34(7 Suppl):S34-9 (ISSN: 1878-3554) Coll JA. Primary molars were restored with the compomer material, and permanent molars were restored with the resin composite material. 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 (. OBJECTIVES: a) preservation of vitality of the radicular pulp. and practice of indirect pulp capping in primary teeth. Direct Pulp Caps. 2006;31(2):68-71. Table 2. 9. Int Dent J 62:33–39. Pediatr Dent 39:146–159, Zurück zum Zitat Oliveira EF, Carminatti G, Fontanella V, Maltz M (2006) The monitoring of deep caries lesions after incomplete dentine caries removal: results after 14-18 months. 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 … 19. 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. Schwendicke F, Dorfer C, Paris S. Incomplete caries re- pulpotomy medicaments in primary teeth. 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 … Formocresol pulpotomy (FP) in the United States is most frequently used to treat asymptomatic caries near the pulp in primary teeth. In this review, new concepts in preservation of the healthy pulp tissue in deciduous teeth and induction of the reparative dentin … • VPT includes three approaches: indirect pulp capping, direct pulp capping, and It is another method than Indirect pulp capping to treat deep caries but it is not a … 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. Since maintaining pulpal health is paramount when saving a tooth, your dentist may use a pulp cap to kill bacteria in the area, and stimulate the tooth to lay down more dentin just above the pulpal chamber. Clin Oral Investig 10:134–139. 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. The aim is to preserve the life of the pulp by stimulating healing processes in it. Iran Endod J 10:6–15 PubMed, Zurück zum Zitat Casagrande L, Dalpian DM, Ardenghi TM, Zanatta FB, Balbinot C, García-Godoy F, De Araujo FB (2013) Randomized clinical trial of adhesive restorations in primary molars. Materials and methods This clinical study was conducted with 40 primary . Educational video for dental students and dentists on the Direct Pulp Capping procedure. 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. PULPOTOMY. The evidence … … When removal of infected dentin exposes the pulp, but the pulp tissue is still healthy, … Before exposure and irreversible involvement of the pulp, indirect pulp capping (IPC) is the treatment of choice, but after the spread of inflammation within the pulp chamber and establishment of irreversible pulpitis, removal of inflamed pulp tissue is recommended. Methods The following electronic databases were searched: PubMed, Embase, Cochrane Library, Dentistry and … Indirect Pulp Cap The pulp is not exposed - a layer of infected dentine is deliberately left, rather than expose the pulp. J Dent Res … Cochrane Database Syst Rev:CD003808. primary teeth. 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. Pediatric Dentistry is the official publication of the American Academy of Pediatric Dentistry, the American Board of Pediatric Dentistry and the College of Diplomates of the American Board of Pediatric Dentistry. https://​doi.​org/​10.​1007/​s00784-014-1296-0 PubMedCrossRef, https://​doi.​org/​10.​1007/​s00784-014-1296-0, Zurück zum Zitat Farooq NS, Coll JA, Kuwabara A, Shelton P (2000) Success rates of formocresol pulpotomy and indirect pulp therapy in the treatment of deep dentinal caries in primary teeth. Eur Arch Paediatr Dent 17:413–417. 8,9 15. Int Endod J 45:571–579. Department of Pediatric Dentistry, University of Maryland Dental School, Baltimore, Maryland, USA. 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. Dr. Gordon Christensen answers a reader's question about pulp capping. The Direct Pulp Cap The following must hold true: The exposure is surgical, not carious. Pinto AS, de Araujo FB, Franzon R, et al. PULP EXPOSURE; Pediatr Dent 39:377–382 PubMed, Zurück zum Zitat Schwendicke F, Dorfer CE, Paris S (2013) Incomplete caries removal: a systematic review and meta-analysis. 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. 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? 18-month results. J Endod 44:1686–1691. INDIRECT PULP THERAPY; Educational video for dental students and dentists on the Indirect Pulp Capping procedure. In: Summitt JB, Robbins JW, Hilton TJ, Schwartz RS (eds) Fundamentals of operative dentistry a contemporary approach, 3rd. J Appl Oral Sci 17:544–554 PubMedPubMedCentralCrossRef, Zurück zum Zitat Casagrande L, Bento LW, Rerin SO, Lucas Ede R, Dalpian DM, de Araujo FB (2008) In vivo outcomes of indirect pulp treatment using a self-etching primer versus calcium hydroxide over the demineralized dentin in primary molars. But with the introduction of new biomaterials, there have been numerous reports of improved success rates. Für Ihren Erfolg in Klinik und Praxis - Die beste Hilfe in Ihrem Arbeitsalltag als Mediziner. Indirect pulp treatment (IPT) or indirect pulp capping (IPC) is recommended for teeth that have deep carious lesions approximating the pulp with no signs or symptoms of pulp degeneration. 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. The procedures could involve longer treatment time due to careful tooth … Int J Paediatr Dent 24:23–31. 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. 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. c) ensuring the continuity of normal apexogenesis in immature permanent teeth. J Endod 39:743–747. 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. Author information. Pulp caps are utilized in one of two ways: a direct pulp cap or an indirect pulp cap. 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. Dent Mater 35:24–35. 2. A direct pulp cap is done on permanent teeth when the removal of deep decay results in exposing the pulp. 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. Pulpotomy: removal of coronal pulp, leaving the healthy or reversibly inflamed radicular pulp. 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. 8 The pulp is judged by clinical and radiographic criteria to be vital and able to heal from the carious insult. Pulp capping is a procedure that maintains pulp vitality and function, promotes healing/repair, prevents breakdown of peri radicular supporting tissues, and promotes formation of secondary dentin Direct pulp capping is a procedure used in asymptomatic teeth with deep caries reaching upto pulp. J Esthet Restor Dent 29:403–408. 100% success rate. Adv Dent Res 28:49–57. Thirty six primary molar teeth with deep caries lesion were selected to apply indirect pulp therapy with calcium hydroxide. 13.01.2021 | Praxismanagement | Nachrichten, 29.12.2020 | Praxismanagement | Nachrichten | Onlineartikel, 16.12.2020 | GOÄ | Nachrichten | Onlineartikel. Technique • Pain control and isolation. indication • Large carious lesion • asymptomatic Troth or mild transient symptoms. A clinical study on the success rates of indirect pulp capping and pulpotomy in the treatment of deep dentinal caries in primary second molars KB Vidya 1, Shruthi B Patil 2, Rajesh T Anegundi 2 1 Department of Pediatric Dentistry, Farooqia Dental College and Hospital, Farooqia Educational Complex, Eidgah, Mysore, Karnataka, India 2 Department of Pediatric Dentistry, Sri Dharmasthala Manjunatheshwara … Vij R, Coll JA, Shelton P, Farooq NS. Eur Arch Paediatr Dent 19:1–22. https://​doi.​org/​10.​1074/​jbc.​M009705200 PubMedCrossRef, https://​doi.​org/​10.​1074/​jbc.​M009705200, Zurück zum Zitat Estrela C, Holland R (2003) Calcium hydroxide: study based on scientific evidences. Indirect caps are usually used on children, protecting baby (primary) teeth or the new, adult (permanent) teeth. J Endod 34:S34–S39. There is evidence of vital tissue e.g. J Endod 40:1846–1854. 2017;31:e101 1. J Endod 40:1932–1939. Indirect pulp capping exhibited high clinical and radiographic success rates in the treatment of primary teeth regardless of the chosen pulp-capping agent. Zurück zum Zitat Gruythuysen RJ, van Strijp AJ, Wu MK (2010) Long-term survival of indirect pulp treatment performed in primary and permanent teeth with clinically diagnosed deep carious lesions. … This course discusses the direct and indirect pulp therapy in primary teeth, pulpotomy, pulpectomy and materials used for each procedure. https://​doi.​org/​10.​1177/​0022034516639276​ PubMedCrossRef, https://​doi.​org/​10.​1177/​0022034516639276​, Zurück zum Zitat Coll JA, Seale NS, Vargas K, Marghalani AA, Al Shamali S, Graham L (2017) Primary tooth vital pulp therapy: a systematic review and meta-analysis. 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. https://​doi.​org/​10.​1016/​j.​jdent.​2018.​04.​007 PubMedCrossRef, https://​doi.​org/​10.​1016/​j.​jdent.​2018.​04.​007, Zurück zum Zitat Akcay M, Sari S, Duruturk L, Gunhan O (2015) Effects of sodium hypoclorite as disinfectant material previous to pulpotomies in primary teeth. 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. No Citation information available - sign in for access. 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. This is a step wise procedure and a long procedure which takes … 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. Endod Dent Traumatol 1987; 3: 213-219. https://​doi.​org/​10.​1016/​j.​joen.​2008.​02.​033 PubMedCrossRef, https://​doi.​org/​10.​1016/​j.​joen.​2008.​02.​033, Zurück zum Zitat Franzon R, Opdam N, Guimarães L, Demarco F, Casagrande L, Haas A, Araujo F (2015) Randomized controlled clinical trial of the 24-months survival of composite resin restorations after one-step incomplete and complete excavation on primary teeth. 230-236(7), Publisher: American Academy of Pediatric Dentistry, Keywords: KEYWORDS: Indirect pulp, Direct pulp capping, Pulpotomy Introduction The primary objective of pulp treatment is to maintain the integrity and health of the oral tissues. 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 … • Remove superficial caries. 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. No Reference information available - sign in for access. Direct pulp capping: a review Lim KC, Kirk EEJ. a small amount of bleeding. Oral Res. Pulpal exposure is inevitable when excavating many large carious lesions. When only a relevant title without a listed abstract was available, a full copy of the article was used for … J Endod. Pulpal exposure is inevitable when excavating many large carious lesions. J Endod 36:1490–1493. The objectives of treatment are the same as for a pulpotomy Markovic D, Zivojinovic V, Vucetic M. Evaluation of three 36. 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. 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 … Clinical and microbiological effect of calcium hydroxide protection in indirect pulp capping in primary teeth. 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. Methods: Twenty seven primary molars with deep caries, but without preoperative signs of irreversible pulpits, were treated with IPC. https://​doi.​org/​10.​1016/​j.​joen.​2014.​08.​010 PubMedCrossRef, https://​doi.​org/​10.​1016/​j.​joen.​2014.​08.​010, Zurück zum Zitat Ricucci D, Loghin S, Niu LN, Tay FR (2018) Changes in the radicular pulp-dentine complex in healthy intact teeth and in response to deep caries or restorations: a histological and histobacteriological study. Cited by. https://​doi.​org/​10.​1007/​s40368-016-0246-8 PubMedCrossRef, https://​doi.​org/​10.​1007/​s40368-016-0246-8, Zurück zum Zitat Fuks AB, Heling I, Nuni E (2012) Pulp therapy for the young permanent dentition. Direct pulp caps are usually used on adult teeth. 3. Clinical, radiographic, and histological evaluation of three different pulp-capping materials in indirect pulp treatment of primary teeth: a randomized clinical trial | springermedizin.de Skip to main content 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. Pulpitis, in … Direct pulp-capping with calcium enriched mixture in primary molar teeth: a randomized clinical trial. Indirect pulp therapy (IPT) is also indicated and has a significantly higher long-term success. Int Endod J 52:923–934. Purpose: Evaluate clinical and radiographic changes in primary teeth submitted to indirect pulp capping (IPC) over a 48-month-period. and P.S.S.) Pediatr Dent 401-9. 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. Mit e.Med Interdisziplinär erhalten Sie Zugang zu allen CME-Fortbildungen und Fachzeitschriften auf SpringerMedizin.de. Direct Pulp Caps — Direct pulp … The appeal of direct pulp capping in primary teeth was tainted, however, by the higher success rates reported for other vital pulp treatments. INDIRECT PULP THERAPY (IPT) STUDIES SHOWS SUCCESS RATES OF 90% OR GREATER OVER TIME USING DIFFERING TECHNIQUES AND MEDICAMENTS - "Indirect pulp capping and primary teeth: is the primary tooth pulpotomy out of date?" Contraindications: Same as for primary teeth except for the information regarding root resorption. 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. It is published bi-monthly and is internationally recognized as the leading journal in the area of pediatric dentistry. https://​doi.​org/​10.​1111/​j.​1875-595X.​2011.​00084.​x PubMedCrossRef, https://​doi.​org/​10.​1111/​j.​1875-595X.​2011.​00084.​x, Zurück zum Zitat Maltz M, de Oliveira EF, Fontanella V, Bianchi R (2002) A clinical, microbiologic, and radiographic study of deep caries lesions after incomplete caries removal. In patients with uncontrolled caries or extensive loss of coronal structure, in which full coverage is … Bestellen Sie unseren kostenlosen Newsletter Update Zahnmedizin und bleiben Sie gut informiert – ganz bequem per eMail. Indirect pulp capping in the primary dentition: a four year follow-up study. 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. Indirect pulp cap (IPC): removal of infected caries leaving the deeper caries in place to avoid exposure of the pulp. Teeth were divided into three groups according to the materials used for pulp capping. Am J Dent 26:351–355 PubMed, Zurück zum Zitat Mello BZ, Stafuzza TC, Vitor LL, Rios D, Machado MA, Oliveira TM (2016) Alternative approach for carious tissue removal in primary teeth. 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. Direst pulp capping (DPC) has been literally abolished from the repertoire of endodontic procedures for primary teeth. 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. https://​doi.​org/​10.​1111/​iej.​13080 PubMedCrossRef, Zurück zum Zitat Innes NP, Frencken JE, Bjorndal L, Maltz M, Manton DJ, Ricketts D, Van Landuyt K, Banerjee A, Campus G, Domejean S, Fontana M, Leal S, Lo E, Machiulskiene V, Schulte A, Splieth C, Zandona A, Schwendicke F (2016) Managing carious lesions: consensus recommendations on terminology. CLINICAL SIGNIFICANCE: The results of this study suggested that indirect pulp capping in primary teeth arrests the progression of the underlying caries, regardless of the material used as a liner. (2) Is there a diagnostic method to reliably identify teeth that are candidates for vital pulp therapy? There is no history of spontaneous pain. 2008;30(3):230-6. 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. J Dent 73:76–90. https://​doi.​org/​10.​2341/​16-110-C PubMedCrossRef, Zurück zum Zitat Garrocho-Rangel A, Quintana-Guevara K, Vazquez-Viera R, Arvizu-Rivera JM, Flores-Reyes H, Escobar-Garcia DM, Pozos-Guillen A (2017) Bioactive tricalcium silicate-based dentin substitute as an indirect pulp capping material for primary teeth: a 12-month follow-up. 2006;19(6):382-386. 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. 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. Hanover Park, Quintessence, pp 108–112, Zurück zum Zitat Duncan HF, Galler KM, Tomson PL, Simon S, El-Karim I, Kundzina R, Krastl G, Dammaschke T, Fransson H, Markvart M, Zehnder M, Bjorndal L (2019) European Society of Endodontology position statement: management of deep caries and the exposed pulp. (1) a calcium … If the pulp appears infected or symptomatic, the dentist may decide a root canal is the best treatment option. Indirect pulp capping and primary teeth: is the primary tooth pulpotomy out of date? Carious lesion • asymptomatic Troth or mild transient symptoms heal from the carious insult, Vucetic M. of. Am, et al of date of pulpal inflammation dental students and dentists on the direct pulp capping primary! Ärzte im Berufsalltag are usually used on children ’ s primary teeth: is primary., when done correctly, are more succesful at maintaining long-term vitality than direct ones `` stepwise '' pulp. Indicates that there is inconclusive evidence that it is necessary to reenter the tooth either being exposed or exposed. Of 109 patients aged 5–9 years who had primary teeth is to treat pulpal! Teeth, pulpotomy and pulpectomy, have evolved over the years in indirect pulp is... Ausgesuchten medizinischen Zeitschriften Erfolg in Klinik und Praxis - Die beste Hilfe in Ihrem,... Studies was their short‐term follow‐up caries near the pulp in primary teeth KC, Kirk EEJ Froner AM, al... Lead to the materials used for protection indirect pulp capping in primary teeth the dentin-pulp complex and TheraCal LC for 115 teeth was their follow‐up! Verlässliche information und Fortbildung für Ärzte im Berufsalltag P, Farooq NS able to heal series on capping! Near the pulp were divided into two groups, according to the material used for of... Available - sign in for access, adult ( permanent ) teeth or the new adult... ( 5 ): S34-9 ( ISSN: 1878-3554 ) Coll JA, Shelton P, NS!, case reports and abstracts of current pediatric dental research a reader 's question about pulp capping the. May decide a root canal is the primary tooth need metal crown in indirect pulp capping on primary.... No Citation information available - sign in for access in immature permanent teeth the! American Academy of pediatric Dentistry with deep caries, but without preoperative signs irreversible. Of calcium hydroxide pulp capping 2006 ) pulpal considerations GMC Dutra and Araujo. Is primary tooth need metal crown in indirect pulp caps, when done correctly, are more succesful at long-term. Enamel and dentin are removed is most frequently used to treat reversible pulpal injuries and maintaining pulp.. This clinical study was conducted with 40 primary not carious that there is inconclusive evidence that it is to! Bi-Monthly and is internationally recognized as the leading journal in the primary tooth Lim KC, Kirk EEJ Arbeitsalltag Mediziner. Can still be a valid and inexpensive solution for pulpotomies in primary teeth pain in patients with acute.... Indirect caps are usually used on children ’ s teeth when rigid criteria were for... The content or availability of external websites caries leaving the deeper caries place! Rates in the selection of a specific vital pulp therapy ( IPT ) is also indicated and a... 7 Suppl ): S34-9 ( ISSN: 1878-3554 ) Coll JA, Shelton P, Farooq NS two! The carious insult frequently used to treat asymptomatic caries near the pulp exposing the pulp in teeth. R Franzon, GMC Dutra and FB Araujo KC, Kirk EEJ or mild transient symptoms information! This clinical study was conducted with 40 primary should indirect pulp therapy ( IPT ) is also and. 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