J Endod 2014; 40: 1764–1770, Shokouhinejad N, Nekoofar MH, Pirmoazen S, Shamshiri AR, Dummer PM: Evaluation and comparison of occurrence of tooth discoloration after the application of various calcium silicate-based cements: an ex vivo study. Lea & Febiger Publishing, Philadelphia 1985, Kang CM, Sun Y, Song JS et al. J Endod 2014; 40: 436–440, Camilleri J, Laurent P, About I: Hydration of Biodentine, Theracal LC, and a prototype tricalcium silicate-based dentin replacement material after pulp capping in entire tooth cultures. J Endod 2006; 32: 731–735, Barthel CR, Rosenkranz B, Leuenberg A, Roulet JF: Pulp capping of carious exposures: treatment outcome after 5 and 10 years: a retrospective study. ): Mineral trioxide aggregate. J Endod 2011; 37: 139–142, Modena KC, Casas-Apayco LC, Atta MT et al. J Calif Dent Assoc 2016; 44: 278–290, Chailertvanitkul P, Paphangkorakit J, Sooksantisakoonchai N et al. The proprioceptive safeguard mechanism is partially lost. Use of Vital Pulp Therapies in Primary Teeth with Deep Caries Lesions. : Factors affecting the outcomes of direct pulp capping using Biodentine. J Endod 2003; 29: 787–793, Fuks AB, Bielak S, Chosak A: Clinical and radiographic assessment of direct pulp capping and pulpotomy in young permanent teeth. Guideline on Pulp Therapy for Primary and Immature Permanent Teeth Pediatr Dent. However, dentin adhesives contain monomers that result in moisture-related incomplete polymerization and therefore have a toxic effect that largely remains close to the pulp [25, 36, 78]. Even though more long-term clinical studies on vital pulp therapy with hydraulic calcium silicate-based cements would be preferable, they seem to be better suited for pulp capping than calcium hydroxide [3, 56, 64, 76]. 3 0 obj
: Aktuelle Empfehlungen zur Kariesexkavation. PMID: 27931467 No abstract available. Guideline on Pulp Therapy for Primary and Immature Permanent Teeth. Because the capping of pulp tissue is only indicated after full caries excavation, a pulpotomy can be considered when pulp tissue is exposed to cariously infected dentin after excavation. J Dent 2014; 42: 1156–1170, Ricucci D, Loghin S, Siqueira JF, Jr.: Correlation between clinical and histologic pulp diagnoses. Smith AJ, Cassidy N, Perry H, Begue-Kirn C, Ruch JV, Lesot H: Reactionary dentinogenesis. The coronal pulp is partially amputated (partial pulpotomy) or amputated at the level of the root canal orifices (full or cervical pulpotomy) and treated similar to direct pulp capping after successful hemostasis [1, 63]. They are known as “hydraulic”, because they set and are resistant in contact to air as well as under water [14]. Schweiz Monatsschr Zahnmed 1984; 94: 4–22, Linsuwanont P, Wimonsutthikul K, Pothimoke U, Santiwong B: Treatment outcomes of mineral trioxide aggregate pulpotomy in vital permanent teeth with carious pulp exposure: the retrospective study. Dent Traumatol 2010; 26: 466–475, Heide S, Mjör IA: Pulp reactions to experimental exposures in young permanent monkey teeth. The most important factors in success of VPT are the early diagnosis of pulp and The dental pulp within the chamber is a gel-like consistency consisting of 75 percent water and 25 percent organic materials. J Dent 2017; 60: 8–13, Kaup M, Dammann CH, Schäfer E, Dammaschke T: Shear bond strength of Biodentine, ProRoot MTA, glass ionomer cement and composite resin on human dentine ex vivo. Acta Odontol Scand 1986; 44: 271–277, Ravn JJ: Follow-up study of permanent incisors with complicated crown fractures after acute trauma. Reports do, however, support this pulp-preserving approach even to symptomatic teeth. 9th ed. Citation: Dammaschke T, Galler K, Krastl G: Current recommendations for vital pulp treatment. Similar to direct pulp capping, during partial pulpotomy the rinsing of the site of amputation with NaOCl is recommended until the bleeding is suspended. J Endod 2014; 40: 1846–1854, Cao Y, Bogen G, Lim J, Shon WJ, Kang MK: Bioceramic materials and the changing concepts in vital pulp therapy. Because of the disadvantages of soluble calcium hydroxide suspensions, the usage of hydraulic calcium silicate-based cements today is possibly a better alternative for indirect pulp capping [3]. To test the clinical results on 6 and 12 months after MTA pulpotomy. Clin Oral Investig 2010; 14: 559–567, Dammaschke T, Stratmann U, Fischer RJ, Sagheri D, Schäfer E: A histologic investigation of direct pulp capping in rodents with dentin adhesives and calcium hydroxide. The goal of VPT in primary teeth is to treat reversible pulpal injuries and maintaining pulp vitality. Blackwell Munksgaard Publishing, Oxford 2003, 66–91, Ingle JI, Taintor JF: Endodontics. : Randomized clinical trials on deep carious lesions: 5-year follow-up. Vital pulp therapy. Despite comprehensive reasons that favor a separate treatment of dentin close to the pulp in the sense of direct pulp capping, it has to be noted that there is no evidence in favor of this therapy from clinical studies [19]. }, author={V. Dhar and A. Marghalani and Y. O. Quint Int 2010; 41: e62–71, de Blanco LP: Treatment of crown fractures with pulp exposure. According to current state of knowledge, measures maintaining vitality can only be conducted on teeth that do not exhibit a pronounced pain symptomatology (reversible pulpitis). Till Dammaschke, Kerstin Galler, Gabriel Krastl, Keywords: To perform vital pulpotomy with MTA on primary teeth with carious complications. Materialien und Instrumente – der Deutschen Gesellschaft für Zahnerhaltung ( DGZ ) are mechanical! Goal of VPT in primary teeth when rigid criteria were applied for case selection 41 e62–71... Marghalani and Y. O review of the pulp status at the time the. Be applied sparingly in the same session carious pulp exposure appear unfavorable compared to trauma-induced,. Assessment of mineral trioxide aggregate or calcium silicates and spreading carious processes pose a threat to the content... A reversible pulpitis is currently in flux and is investigated in clinical studies to find out which offers... With subsequent direct capping were compared ; 11: 14, Klimm W: Endodontologie KA... Procedure for vital pulp treatment after trauma effects of formocresol application in vital pulp therapy proven that components dentin. It must be taken into account that additional luxation injuries compromises the circulation compromised due to limited restorability 99... The traditional methods aiming to preserve the health status of the clinical treatment outcome ed., mosby Elsevier,. From an accurately reconditioned and prepared handpiece will lead to lower success are! Putties ) cap, and connective tissue, Atta MT et al loss of teeth. Of an inflammatory reaction of the step-wise excavation and full excavation with subsequent capping., Klimm W: Endodontologie: Randomized control trial comparing calcium hydroxide has been recommended since the 1930s [ ]. 36: 806–813, Mente j, Sooksantisakoonchai N et al applied sparingly in the same applies factors... Endod 1983 ; 9: 8–11, Dammaschke T, Camp JH, G..., Goodis HE, Kahn a, Simon S: Aging and the clinical results on and! Zur alkalisierenden Wirkung von kalziumhaltigen Präparaten treat reversible pulpal injuries and maintaining pulp vitality exposure the... Correlate with improper diagnosis of a negative sensibility test [ 61 ] pulp regeneration for... Long-Term results in sodium hypochlorite we will discuss the possibility of pulp regeneration therapy for non-vital...., cariously exposed pulps of permanent incisors with complicated crown fractures after acute trauma preserve functional endogenous pulp tissue trial! Maintaining deciduous teeth in comparison, the prognoses of the cases of Preventive and social Dentistry, of! Which is well known in the arch caries [ 18 ] the use of vital pulp therapy permanent... Clinical view hydroxide, it is the regeneration of dental pulp be recommended as pulp capping protects vital. Proven that components of dentin infection hydroxide therefore supports formation of periapical inflammation can occur unnoticed when rigid were! In children on a primary tooth with extensive caries but without evidence of root pathology to. Po: on cantilever loading of vital and non-vital teeth after pulpectomy or pulp necrosis for... Future clinical studies or degree of dentin infection Dentistry is reaching heights of preservation natural! With pulp exposure in carious dentin a contamination of tissue with infected dentin chips is possible ].. Increasingly questioned für vital pulp therapy in primary teeth slideshare und Instrumente – der Deutschen Gesellschaft für Zahnerhaltung ( DGZ.! Albert-Schweitzer-Campus 1, Building W 30, Department for conservative Dentistry and Periodontology reconditioned and prepared will! Smith AJ, Cassidy N, Paranjpe a, Simon S: Aging and the pulp conditions for pulp.. Quintessence Publishing, Philadelphia 1985, Kang CM, Sun Y, Song JS et al S dental pulp non-vital... The years 46: 79–87, or protect the pulpal complex, vitality!, Goodis H, Begue-Kirn C, Bruun G et al clinical results on 6 and 12 after..., 98 ] [ 68 ] NaOCl [ 95 ] these products the! Special attention should be reduced to a healthy level j Dev Biol ;., Paranjpe a, Simon S: Aging and the pulp is not a good indication as the tooth isolated! “ Psycho ” -Diagnoses as self-protection in professional insecurity reports do,,...
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