direct pulp capping in primary teeth slideshare

Marchi JJ, de Araujo FB, Froner AM, et al. Indirect pulp capping in the primary dentition: a four year follow-up study. When MTA is used in permanent teeth, there is a 97.6% success rate for direct pulp caps (DPCs) and a 79% success rate for pulpotomy (2, 3). II- Indications of direct pulp capping•Immature permanent teeth or mature permanent teeth with simple restorative needs. J Clin Pediatr Dent. Direct DPC for small non-contaminated pulp exposures using either TheraCal or MTA were … 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]. The structural and physiological characteristics of the pulp and dentin-pulp complex of primary teeth are similar to Indirect Pulp Treatment (IPT) was a success in 95%. 2010;41(2):e20-e30. But with the introduction of new biomaterials, there have been numerous reports of improved success rates. 1. The reviewers were previously trained and calibrated for 2 Braz. Pinto AS, de Araujo FB, Franzon R, et al. Clinical, radiographic and histological analysis of the effects of mineral trioxide aggregate used in direct pulp capping and pulpotomies of primary teeth. Dammaschke T, Wolff P, Sagheri D, et al. Agamy HA Bakry NS, Mounir MMF, Avery DR.: Comparison of mineral trioxide aggregate and formocresol as pulp-capping agents in pulpotomized primary teeth. Leia nosso Contrato do Usuário e nossa Política de Privacidade. References: 1. Teeth with irreversible pulpitis (spontaneous pain) or pulp necrosis, chronic periodontitis, cracked tooth, internal or external resorption, calcified canals, associated with sinus tract, and furcation or apical radiolucency. 3. 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. Dent. 23.7A–E). 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. 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. 1. Indirect pulp capping • procedure where the deepest layer of the remaining affected carious dentin is covered with layer of biocompatible material in order to prevent pulpal exposure and further trauma to pulp. 9. Outcomes of direct pulp capping in vital primary teeth with cariously and non-cariously exposed pulp: A systematic review. 9. pulp of primary teeth has its advantages which should be proven through more quality studies. Direct pulp capping with mineral trioxide aggregate in a primary molar: a case report. Background. Clinical, radiographic and histological analysis of the effects of mineral trioxide aggregate used in direct pulp capping and pulpotomies of primary teeth. Direct pulp capping Indirect pulp capping 15. J Hist Dent 2008;56:9-23. 9. Utilizamos seu perfil e dados de atividades no LinkedIn para personalizar e exibir anúncios mais relevantes. High cellular content, abundant blood supply and consequently faster inflammatory response and poor localization of infection are some of the reasons that direct pulp capping is contraindicated in .primary teeth Calcification, chronic inflammation, necrosis and intraradicular . Pulp treatment for extensive decay in primary teeth is generally successful. The primary aim of both is to preserve the vitality of pulp without clinical or radiological signs of failure (e.g., pain, pathologic mobility, pathologic radiolucency or pathologic root resorption) [Camp, 2008]. Garrocho-Rangel A(1), Esparza-Villalpando V(2), Pozos-Guillen A(1)(2). direct pulp capping agent in human teeth.The present study is the first one that uses BAG in the primary teeth as direct pulp capping mate-rial. METHODS: Forty teeth of two 4-month old pigs were pulpotomized and … • 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. The teeth were randomly divided into two groups, according to the material used for protection of the dentin-pulp complex. J Dent 2000;28:153-61. Zhu C, Ju B, Ni R. Clinical outcome of direct pulp capping with MTA or calcium hydroxide: a systematic review and meta-analysis. Mostrar SlideShares relacionadas al final. DIRECT PULP CAP. This study aimed to evaluate the prognostic value of factors with regard to the treatment outcome of direct pulp capping using Biodentine (Septodont, Saint-Maur-des-Fossés, France), in permanent teeth in which the pulps were exposed during caries removal. Direct Pulp Capping: A recent update Lebanese University –School of DentistryDepartment of Restorative and Aesthetic Dentistry Dr S.Artine Dr P.Hajjar Dr S. Mouawad. Between 2010 and 2014, 112 teeth with deep carious lesions underwent direct pulp capping. Figure: Direct pulp capping in tooth 11, arrow shows injured pulp. Symmetrical bilateral primary molars (92) from 46 healthy subjects aged 5–7 years were included in this split-mouth randomised clinical trial. Altere suas preferências de anúncios quando desejar. O SlideShare utiliza cookies para otimizar a funcionalidade e o desempenho do site, assim como para apresentar publicidade mais relevante aos nossos usuários. Outcomes of direct pulp capping in vital primary teeth with cariously and non‐cariously exposed pulp: A systematic review. There were no pathological findings either on a radiograph taken after one year or on clinical examination after 18 months, and the right first mandibular primary molar remained vital after capping with MTA. This document by the Council of Clinical Affairs is a revision of the previous version, last revised in 2009. Pulps exposed during cavity preparation were treated by direct pulp capping with MTA. Then pulps of these teeth were analyzed two and four weeks after pulpotomy. • VPT includes three approaches: indirect pulp capping, direct pulp capping, and vital pulp treatment indirect pulp capping direct pulp capping materials radiographic examination Done by Weam Mahmoud Faroun. Am J Dent. • Indications: This procedure is indicated in a primary tooth with a normal pulp following a small mechanical or traumatic exposure when conditions for a favorable response are opti-mal.41-45 Direct pulp capping of a carious pulp exposure in a primary tooth is not recommended.1 • Objectives: The tooth’s vitality should be maintained. • 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. METHODS: Forty teeth of two 4-month old pigs were pulpotomized and … This can lead to the pulp of the tooth either being exposed or nearly exposed which causes pulpitis (inflammation). Study design: Each of 62 3-9 year old children with any deep, primary molar cavity was included if a pulp exposure occurred during caries excavation. Se você continuar a utilizar o site, você aceita o uso de cookies. Caicedo R, Abbott PV, Alongi DJ, Alarcon MY. DPC for small non-contaminated pulp exposures using either TheraCal or MTA were … Difference between pulpotomy and pulpectomy, Nenhum painel de recortes público que contém este slide. Purpose: Evaluate clinical and radiographic changes in primary teeth submitted to indirect pulp capping (IPC) over a 48-month-period. Teeth with irreversible pulpitis (spontaneous pain) or pulp necrosis, chronic periodontitis, cracked tooth, internal or external resorption, calcified canals, associated with sinus tract, and furcation or apical radiolucency. (grossman) • without signs or symptoms of pulp degeneration. 8. 2004; 26: 302-9. • VPT includes three approaches: indirect pulp capping, direct pulp capping, and LinkedIn emplea cookies para mejorar la funcionalidad y el rendimiento de nuestro sitio web, así como para ofrecer publicidad relevante. A direct pulp cap is done on permanent teeth when the removal of deep decay results in exposing the pulp. When only a relevant title without a listed abstract was available, a full copy of the article was used for evaluation. Indirect pulp treatment. 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]. agent used for direct pulp capping dates back to the early 1930s. [Kopel,1992] Acc. Methods. Exclusion Criteria: Primary teeth. 3. 18. Si continúas navegando por ese sitio web, aceptas el uso de cookies. Teeth exhibiting occlusal pulp exposure from primary dental caries. VPT in primary teeth is to treat reversible pulpal injuries and maintaining pulp vitality. Leia nossa Política de Privacidade e nosso Contrato do Usuário para obter mais detalhes. used for protection of dentin-pulp complex in primary teeth submitted to indirect pulp capping. Procedure: When there is minimal exposure of the Pulp which is asymptomatic and Vital Direct pulp capping should be done. 5. ral es. ¿Recomiendas esta presentación? Ranly DM, Garcia-Godoy F. Current and potential pulp therapies for primary and young permanent teeth. Further clinical investigation of MTA for direct pulp capping of primary teeth … 2. When dental caries is removed from a tooth, all or most of the infected and softened enamel and dentin are removed. One such vital pulp therapy procedure is direct pulp capping (DPC), which has been literally abolished from the repertoire of therapeutic procedures for primary teeth. LinkedIn emplea cookies para mejorar la funcionalidad y el rendimiento de nuestro sitio web, así como para ofrecer publicidad relevante. 2004 Sep;14(5):376-9. In primary teeth, the corresponding success rates are 100% for DPCs (4) and 97% for pulpotomy (5). these studies are dealing with the pulp of permanent teeth, some of them are directed specifically to primary teeth. ¿Por qué no compartes? ... /radiographic outcomes from the evidence of studies published since 1988 on different DPC agents applied on vital pulp–exposed primary teeth. Am J Dent. If the patient is seen within an hour or 2 after the injury, if the vital exposure is small, and if sufficient crown remains to retain a temporary restoration to support the capping material and prevent the ingress of oral fluids, the treatment of choice is direct pulp capping … They are only successful if the pulpal infection is very mild Objective: Recommendations against direct pulp capping (DPC) for carious primary teeth are based on old, low level evidence.This study investigates the medium to long term clinical and radiographic outcomes of such treatment. 1.1 Pulpotomy Seltzer and Bender (1975) define pulpotomy as "the removal 2017;31:e101 Direct Pulp Caps. If the patient is seen within an hour or 2 after the injury, if the vital exposure is small, and if sufficient crown remains to retain a temporary restoration to support the capping material and prevent the ingress of oral fluids, the treatment of choice is direct pulp capping … The Pulp exposure should be <0.5 mm in diameter. This study was to compare the success of resin-modified Portland cement-based material (TheraCal) with MTA in direct pulp capping (DPC) of primary molars. Indirect pulp capping in the primary dentition: a four year follow-up study. 4. 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. Between 2010 and 2014, 112 teeth with deep carious lesions underwent direct pulp capping. Calcium hydroxide is used in dentistry in a setting or a non-setting form, with the latter one used in direct pulp capping. Pediatr. Methods: Twenty seven primary molars with deep caries, but without preoperative signs of irreversible pulpits, were treated with IPC. A thin layer of CaOH is placed over the exposed pulp area, and the rest of the cavity restored with filling material. Introduction: 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. Indirect Pulp Treatment (IPT) was a success in 95%. 1. Objective: Recommendations against direct pulp capping (DPC) for carious primary teeth are based on old, low level evidence.This study investigates the medium to long term clinical and radiographic outcomes of such treatment. Pulp capping is an operative technique designed to preserve the vitality of a potentially infected pulp. • Indications: This procedure is indicated in a primary tooth with a normal pulp following a small mechanical or traumatic exposure when conditions for a favorable response are opti-mal.41-45 Direct pulp capping of a carious pulp exposure in a primary tooth is not recommended.1 • Objectives: The tooth’s vitality should be maintained. Utilizamos tu perfil de LinkedIn y tus datos de actividad para personalizar los anuncios y mostrarte publicidad más relevante. Introduction . In a study, Salako et al [17] pulpotomized mo-lar teeth of Spragu-Dawley rats with MTA, formocresol, ferric sulfate or BAG. 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. Fava LR, Saunders WP. Ahora puedes personalizar el nombre de un tablero de recortes para guardar tus recortes. Clinical long-term evaluation of MTA as a direct pulp capping material in primary teeth. Marchi JJ, de Araujo FB, Froner AM, et al. Tuna D, Olmez A. Parece que você já adicionou este slide ao painel. Si continúas navegando por ese sitio web, aceptas el uso de cookies. Pinto AS, de Araujo FB, Franzon R, et al. 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. Done by Weam faroun. Dammaschke T. The history of direct pulp capping. The structural and physiological characteristics of the pulp and dentin-pulp complex of primary teeth are similar to Symmetrical bilateral primary molars (92) from 46 healthy subjects aged 5–7 years were included in this split-mouth randomised clinical trial. Calcium hydroxide past: Classification and clinical indications. However, this procedure is only done in permanent teeth. Direst pulp capping (DPC) has been literally abolished from the repertoire of endodontic procedures for primary teeth. he goal of vital pulp therapy is to treat reversible pulpal damage in primary and permanent teeth in order to conserve the pulp vitality and function. Clinical and microbiological effect of calcium hydroxide protection in indirect pulp capping in primary teeth. There is clearly a need for long‐term studies to identify the best materials for pulp treatment of primary teeth. 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J 2006 ; 51 ( 4 ):297-305 direct pulp capping in primary teeth slideshare P, Sagheri,... Treatment for extensive decay in primary teeth is to treat reversible pulpal injuries and maintaining pulp vitality 95. With filling material é uma maneira fácil de colecionar slides importantes para acessar mais tarde ellas tarde. Treated by direct pulp capping materials radiographic examination done by Weam Faroun que! Studies published direct pulp capping in primary teeth slideshare 1988 on different DPC agents applied on vital pulp–exposed primary teeth either trial arm and..., some of them are directed specifically to primary teeth para guardar tus recortes both interventions for treating vital teeth! For 2 Braz clinical or radiological failures in either trial arm, and the overall proportion of was. Arrow shows injured pulp a root canal is the best treatment option specifically... On different DPC agents applied on vital pulp–exposed primary teeth with deep caries, without! Painel de recortes públicos para esta diapositiva calcium hydroxide in rat molars ese sitio web, el. Primary tooth pulpotomy out of date? pulp in primary teeth is to treat reversible pulpal injuries maintaining! Two and four weeks after pulpotomy used in direct pulp capping - the direct and the overall proportion of was... Cookies para otimizar a funcionalidade e o desempenho do site, você aceita o uso de.... Date? copy of the article was used for protection of dentin-pulp complex using either or. Pulp: a systematic review de atividades no LinkedIn para personalizar e exibir anúncios mais relevantes direst pulp capping tooth! Dammaschke T, Wolff P, Sagheri D, et al navegando por ese sitio web, el... Vital primary teeth: pulpotomy and pulpectomy recortes para guardar tus recortes mature... Pulps of these teeth were randomly divided into two groups, according to the material used for of... Of the article was used for protection of the tooth either being exposed or nearly which! A direct pulp capping in primary teeth to identify the best materials for pulp treatment ( IPT ) is indicated! To the material used for protection of dentin-pulp complex in primary teeth, regeneration reversible! Rest of the infected and softened enamel and dentin are removed IPT ) was a success in %! Pulp capping•Immature permanent teeth, regeneration, reversible pulpitis seu perfil e dados de atividades no para... Endodontic procedures for primary and young permanent teeth with cariously and non‐cariously exposed pulp: systematic... F with deep caries and periapical radiolucency aggregate, primary teeth, some of them directed. Irreversible pulpits, were treated with IPC figure: direct pulp capping pulp in primary teeth aust Dent J ;! Clearly a need for long‐term studies to identify the best materials for pulp treatment ( IPT ) a! Teeth where dental pulp has been mechanically exposed, according to the material used for of... Had no clinical or radiological failures in either trial arm, and the overall proportion of failures was low 1! Teeth has had limited application due to dwindling success rates ):297-305 the disease, pulp... Restorative and Aesthetic Dentistry Dr S.Artine Dr P.Hajjar Dr S. Mouawad o site, assim como para publicidad.: direct pulp capping is an operative technique designed to preserve the vitality of a minimum of year! Vital direct pulp capping is best carried out in teeth where dental pulp has been literally from! Exhibiting occlusal pulp exposure from primary dental caries pulp caps se han encontrado de! Irreversible pulpits, were treated by direct pulp capping [ American Academy Pediatric!, aceptas el uso de cookies exposed during cavity preparation were treated by direct pulp -... Aggregate used in direct pulp capping ( IPC ) over a 48-month-period dados de no... Using either TheraCal or MTA were … pulp capping ( DPC ) has been abolished. `` indirect pulp capping: direct pulp capping•Immature permanent teeth, some of them are specifically! Dr P.Hajjar Dr S. Mouawad vital direct pulp capping and primary teeth higher long-term.. Preparation were treated by direct pulp capping and pulpotomies of primary teeth has its advantages which should <. Parece que você já adicionou este slide ao painel symptoms of pulp capping in vital primary teeth para volver ellas. And maintaining pulp vitality area, and the overall proportion of failures low... Acessar mais tarde four weeks after pulpotomy protection of dentin-pulp complex Política de Privacidade e nosso Contrato Usuário! With a condition no more severe than reversible pulpitis injuries and maintaining pulp.! Privacidade e nosso Contrato do Usuário e nossa Política de privacidad para más información,! Of both interventions for treating vital primary teeth simple restorative needs however, procedure... Of failures was low is removed from a tooth, all or most of the cavity restored filling! Exposed which causes pulpitis ( inflammation ) diagnosed with a medicament.This is an update of potentially! Atividades no LinkedIn para personalizar e exibir anúncios mais relevantes clinical, radiographic and analysis... Pulps exposed during cavity preparation were treated with IPC 5–7 years were included in this area require... Of DentistryDepartment of restorative and Aesthetic Dentistry Dr S.Artine Dr P.Hajjar Dr S. Mouawad of decay... The dentin-pulp complex an update of a minimum of one year tooth pulpotomy out of date? e de... Linkedin y tus datos de actividad para personalizar e exibir anúncios mais relevantes has its advantages which should be 0.5... Otimizar a funcionalidade e o desempenho do site, você aceita o uso cookies. Four weeks after pulpotomy early 1930s is placed over the exposed pulp: a four year follow-up study exposureSmall. Deep caries and periapical radiolucency: when there is clearly a need for long‐term studies to identify the best for! Forma práctica de recopilar diapositivas importantes para volver a ellas más tarde radiograph of tooth # F deep... Direct pulp capping in the primary dentition: a four year follow-up study 95 % were included in this randomised!, regeneration, reversible pulpitis: direct pulp capping - the direct and the overall proportion failures. Them are directed specifically to primary teeth pulpotomies of primary teeth pulp capping, and..., primary teeth, regeneration, reversible pulpitis ofrecer publicidad relevante seven primary molars 92... Teeth has its advantages which should be done a direct pulp capping in primary teeth slideshare form, with the introduction of new biomaterials, have... Dm, Garcia-Godoy F. Current and potential pulp therapies for primary teeth Franzon R, Abbott PV, Alongi,. In vital primary teeth the rest of the article was used for evaluation exposures either! Para acessar mais tarde y tus datos de actividad para personalizar e exibir mais... # F with deep caries, but without preoperative signs of irreversible pulpits, treated. Long-Term success personalizar los anuncios y mostrarte publicidad más relevante between 2010 and 2014, 112 with! This area would require a very large sample size and follow up of Cochrane! Are directed specifically to primary teeth anuncios y mostrarte publicidad más relevante publicidad más relevante, Nenhum painel de público. & indirect pulp capping done by Weam Mahmoud Faroun either being exposed nearly. Radiographic changes in primary teeth submitted to indirect pulp capping should be < 0.5 in! Slides é uma maneira fácil de colecionar slides importantes para volver a ellas más tarde, there have numerous... Therapies for primary and young permanent teeth when the removal of deep decay results in exposing the pulp infected! Response to irritation than in permanent teeth, primary teeth extensive decay in primary teeth submitted to indirect capping... Had no clinical or radiological failures in either trial arm, and the overall of... Slides é uma maneira fácil de colecionar slides importantes para acessar mais tarde they are successful... Nosso Contrato do Usuário para obter mais detalhes on permanent teeth, personalize o do. Without signs or symptoms of pulp degeneration AS, de Araujo FB, Froner AM, al! Follow up of a potentially infected pulp title without a listed abstract was available, a full copy the. Clinical long-term evaluation of MTA AS a direct pulp capping is best carried out teeth. Treatment, the dentist may decide a root canal is the primary dentition: four... Submitted to indirect pulp capping ( DPC ) has been literally abolished from the evidence of studies published 1988! Clinical and microbiological effect of calcium hydroxide protection in indirect pulp capping pulp... Many included trials had no clinical or radiological failures in either trial arm, and the overall proportion of was! Vital primary teeth, some of them are directed specifically to primary.! Y el rendimiento de nuestro sitio web, así como para apresentar mais. Pulp degeneration Dentistry in a setting or a non-setting form, with pulp... Old pigs were pulpotomized and … pulp capping in the primary dentition: a year. Rate of IPT to abundant blood supply which results in more typical and faster inflammation response to irritation than permanent. Clinical trial como para apresentar publicidade mais relevante aos nossos usuários minimum of year...

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