(Pediatr Dent 2017;15;39[1]:16-23.) 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. To avoid an infection of exposed pulp tissue during or after pulp capping, further conditions must be met. ���E�i�QȊ_�@��B����XZ�&� ��DRdu�I��O��|�|�$�K���R I3BY婫���4�D��映g�Yh�Nl�Q�������;DŽA�QĦ>�@�N��&�6˚�ݳ�Y8��� Despite the overall favorable success rates for vital pulp treatment after carious exposure, the selective or step-wise excavation method is another treatment alternative with comparable success rates. METHODS The following databases were searched from 1960 to September 2016: MEDLINE, EMBASE, CENTRAL, EBSCO, … : Randomized clinical trials on deep carious lesions: 5-year follow-up. ): Endodontology – an integrated biological and clinical view. After applying calcium hydroxide, porosities (“tunnel defects”) in the reparative dentin are observed, which can act as an entry point for microorganisms [28]. J Endod 2014; 40: 1932–1939, Ricucci D, Siqueira JF Jr.: Vital pulp therapy. If vital pulp therapies are not indicated, root canal treatment should be performed, where remaining pulp tissue is ideally completely removed, the root canals are enlarged, disinfected and finally obturated with a root canal filling material. Success rates after using hydraulic calcium silicate-based cements such as mineral trioxide aggregate (MTA) are even higher at 80 % [56, 64, 71, 76]. Vital pulp therapy (VPT) is a way of saving deciduous teeth. Furthermore, after pulp exposure in carious dentin a contamination of tissue with infected dentin chips is possible. This review is divided into 2 parts: the first aims to illustrate the basic biology of the pulp and the effects o … Author(s): Omar Saleh, Ebtissam Murshid, Ahmed Alzahrani*, Hisham Aqeel, Mona Alsaykhan, Sarah Alsougi and Oula Tashkandi Abstract. The two major procedures used to perform pulp therapy in primary teeth, pulpotomy and pulpectomy, have evolved over the years. PMID: 27931467 No abstract available. Int Endod J 2017; 50: 126–134, Qudeimat MA, Barrieshi-Nusair KM, Owais AI: Calcium hydroxide vs mineral trioxide aggregates for partial pulpotomy of permanent molars with deep caries. Vital pulp therapy for cariously exposed permanent teeth remains one of the most controversial areas in dentistry. d^@k� X���p�ؐ��kNY�օ� �h���� The issue of how much infected dentin can remain in order to enable healing of the pulp is not entirely resolved [19]. J Endod 2010; 36: 16–27, Parirokh M, Torabinejad M, Dummer PMH: Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview – part I: vital pulp therapy. Dent Clin North Am 2013; 57: 59–73, Costa CA, Hebling J, Hanks CT: Current status of pulp capping with dentin adhesive systems: a review. • Accepted endodontic therapy for primary teeth can be divided into two categories: vital pulp therapy (VPT) and root canal treatment (RCT). ): Mosby’s dental dictio­nary. Taha NA, Ahmad MB, Ghanim A: Assessment of mineral trioxide aggregate pulpotomy in mature permanent teeth with carious exposures. J Conserv Dent 2014; 17: 526–530, Berzins DW: Chemical properties of MTA. Calcium silicate-based cements, that contain zirconium oxide or tantalum oxide appear to be especially color-stable [79]. J Calif Dent Assoc 2016; 44: 278–290, Chailertvanitkul P, Paphangkorakit J, Sooksantisakoonchai N et al. Author information: (1)Department of Preventive and Social Dentistry, Faculty of Dentistry, University of Pernambuco, Av. If hemostasis has not taken place within this time, it may be concluded the pulp has not been reduced to a healthy level. 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. !�S��Y�"�*����C�}gQ�2 �v�����q�TSg{�cQ�_,�9�q��6%��-u�� 9��u��EYV�rj1�F����~A�gm0fcP�VqK2U�Vm�7�ۭ9s��#/�h�|2����?��&���^/��.���2,��eob���q��@��ϣ��� 0)���O�!d{+��A��� Int Endod J 2013; 46: 79–87, . Vital pulp therapy is performed to preserve the health status of the tooth and its ultimate position in the arch. Clinically and radiographically, teeth treated with indirect pulp capping using MTA show higher success rates after 3 months compared to using a setting calcium salicylate cement (Dycal, Dentsply Sirona, Konstanz, Germany). In contrast, the prognosis after direct pulp capping and partial pulpotomy during the same observation period was 6 % and 11 %, respectively [16]. This correlates clinically with the development of a reversible pulpitis, where it is assumed that the healing of the tissue could be enabled by therapeutic intervention. It is worth mentioning that the cited studies concerning full pulpotomies also included teeth that were diagnosed with irreversible pulpitis. Hørsted-Bindslev P, Konde S, Prashanth P: an in vitro for these materials in same., Hørsted-Bindslev P, Paphangkorakit j, Sooksantisakoonchai N et al, Hørsted-Bindslev P, Erik-Reit C Ed! To fear damage of the material over time [ 10, 49 ] and! Disease management covered previously apply equally well to the pulp [ 94 ] spreading carious processes pose a threat the... 95 ] pulps were directly exposed to the primary and Immature permanent teeth “ reversible pulpitis is in! 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