pulp of primary teeth has its advantages which should be proven through more quality studies. In primary teeth, pulpal therapy includes vital pulp therapy (including the placement of a protective liner), indirect pulp capping, direct pulp capping, or pulpotomy. This review earmarks certain parameters that should be analyzed when considering DPC as a treatment option for primary teeth. J Conserv Dent. When dental caries is removed from a tooth, all or most of the infected and softened enamel and dentin are removed. Which is the best capping material for DPC in primary teeth? 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. Remaining dentin thickness(0.5-2mm) Choice of indirect pulp capping agent. DIRECT PULP CAPPING. Clinical and microbiological effect of calcium hydroxide protection in indirect pulp capping in primary teeth.  |  Indirect pulp capping and primary teeth: is the primary tooth pulpotomy out of date? these studies are dealing with the pulp of permanent teeth, some of them are directed specifically to primary teeth. Vafaei A, Azima N, Erfanparast L, Løvschall H, Ranjkesh B. Biomater Investig Dent. By continuing you agree to the use of cookies. • Objectives: The tooth’s vitality should be maintained. Ferroni L, Gardin C, Sivolella S, Brunello G, Berengo M, Piattelli A, Bressan E, Zavan B. Int J Mol Sci. Please enable it to take advantage of the complete set of features! Mineral trioxide aggregate (MTA) was used as pulp-capping material to preserve the vitality of the pulpal tissues. 2019 Nov 13;6(1):73-80. doi: 10.1080/26415275.2019.1688662. DIRECT PULP CAPPING. Prevent the Need for Pulp Capping Brush twice a day, using fluoride toothpaste and a soft-bristled toothbrush. Direct pulp capping: A treatment option in primary teeth?? J Clin Pediatr Dent. eCollection 2019. 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. Depending on the severity of the disease, three pulp treatment techniques are available: direct pulp capping, pulpotomy and pulpectomy. A medicament is then applied as a cap before a restoration is placed. Relative effectiveness of direct and indirect pulp capping in the primary dentition. Teeth were randomly assigned to two groups (n=20) according to material used for capping, as follows: Group 1: calcium hydroxide cement … 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. For DPC in primary teeth, this systematic review found that diverse new biologically and compatible agents with promising success rates are currently available for paediatric dentistry practitioners. 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. 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 . , In the case of permanent dentition, when CaH is applied in direct pulp capping, because of its high alkaline pH, it promotes pulp cells to differentiate into new odontoblast-like cells that generate a mineralized dentin bridge on the area of pulp exposure. Histological response of human pulps capped with calcium hydroxide and a self-etch adhesive containing an antibacterial component. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. 9. Histological, ultrastructural and quantitative investigations on the response of healthy human pulps to experimental capping with mineral trioxide aggregate: a randomized controlled trial. b) relief of pain in patients with acute pulpagia. When exposure of the pulp (the centre of the tooth) occurs in these teeth, a method called direct pulp capping (DPC) may be an excellent treatment of choice, as it might prevent unnecessary loss of the tooth structure. 240 PULPOTOMY Vs DIRECT PULP CAPPING: Fuks et at. Copyright © 2021 Elsevier B.V. or its licensors or contributors. 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. Many included trials had no clinical or radiological failures in either trial arm, and the overall proportion of failures was low. These teeth were divided into two groups and treated with direct pulp capping. 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. Caicedo R, Abbott PV, Alongi DJ, Alarcon MY. Pulp capping is an operative technique designed to preserve the vitality of a potentially infected pulp. Aim To evaluate the effectiveness of mineral trioxide aggregate (MTA) when used as a pulp capping material in primary teeth.. Clipboard, Search History, and several other advanced features are temporarily unavailable. 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.  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. 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]. Eur Arch Paediatr Dent. Direct pulp capping is usually indicated in a primary tooth with normal pulp (accidentally) exposed 1 mm or less. Educational video for dental students and dentists on the Direct Pulp Capping procedure. There is no evidence that justifies discarding the judicious use of DPC procedures in primary teeth. To evaluate the clinical outcome of both interventions for treating vital primary teeth. In order to obtain a positive prognosis when performing DPC in the primary dentition it is imperative to place due emphasis on certain treatment considerations and make use of newer biomaterials available today. The main aim of pulp capping is to protect the dental pulp and maintain the vitality of the healthy pulp; and thereby avoid other complicated procedures such as root canal treatment. The aim of this trial was to compare clinical and radiographic success rates of direct pulp capping [DPC] using a novel biomaterial called Calcium Enriched Mixture [CEM] cement versus Mineral Trioxide Aggregate [MTA] in primary molar teeth. Nair PN, Duncan HF, Pitt Ford TR, Luder HU. • 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. Indirect pulp treatment. 2016 May-Jun;19(3):274-9. doi: 10.4103/0972-0707.181947. Outcomes of direct pulp capping in vital primary teeth with cariously and non-cariously exposed pulp: A systematic review. 2008 Jul;34(7 Suppl):S34-9. We use cookies to help provide and enhance our service and tailor content and ads. Vital pulp therapy using calcium-enriched mixture: An evidence-based review. • 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 … A reversible pulpitis can be defined as a pulp that is capable of healing. Procedure: When there is minimal exposure of the Pulp which is asymptomatic and Vital Direct pulp capping should be done. 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