direct pulp capping in primary teeth

Pulp Capping; Endodontics Pulp Capping. 2018 Oct;19(5):297-309. doi: 10.1007/s40368-018-0360-x. J Clin Pediatr Dent. Direct pulp capping: A treatment option in primary teeth?? a direct pulp-capping agent in primary teeth. Vital pulp therapy using calcium-enriched mixture: An evidence-based review. Inflammation within the pulp can persist and is followed by necrosis or internal resorption. Epub 2007 Oct 23. Garrocho-Rangel A(1), Esparza-Villalpando V(2), Pozos-Guillen A(1)(2). Int J Paediatr Dent. Plain English Summary. 2019 Nov 13;6(1):73-80. doi: 10.1080/26415275.2019.1688662. 2004 Sep;14(5):376-9. Ferroni L, Gardin C, Sivolella S, Brunello G, Berengo M, Piattelli A, Bressan E, Zavan B. Int J Mol Sci. Depending on the severity of the disease, three pulp treatment techniques are available: direct pulp capping, pulpotomy and pulpectomy. 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. Background and study aims Vital baby teeth with deep caries (decay and crumbling) can be treated in a variety of ways. They are only successful if the pulpal infection is very mild 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. Two reviewers on Pubmed and ISI Web of Science performed a comprehensive literature review of publications from 1966 until December 2017. Indirect pulp capping in the primary dentition: a four year follow-up study. These teeth were divided into two groups and treated with direct pulp capping. Procedure: When there is minimal exposure of the Pulp which is asymptomatic and Vital Direct pulp capping should be done. Although pulp capping has been condemned by some, others report that, if the teeth are carefully selected, excellent results are obtained. Direst pulp capping (DPC) has been literally abolished from the repertoire of endodontic procedures for primary teeth. 2006) . However, the use of DPC is more limited in primary teeth compared with permanent teeth [ 5 ]. DPC should not be disregarded as a vital pulp therapy procedure in the primary dentition. It is acknowledged that vital primary pulp tissue is capable of healing without resorting to complete pulpectomy, although statistically direct pulp capping has been found to be less successful in primary teeth than indirect pulp therapy or coronal amputation (pulpotomy). • 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. Parthasarathy A, Kamat SB, Kamat M, Kidiyoor KH. 2.3.1. This review earmarks certain parameters that should be analyzed when considering DPC as a treatment option for primary teeth. 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. Direct pulp capping is usually indicated in a primary tooth with normal pulp (accidentally) exposed 1 mm or less. 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. The pulp capping procedure in primary teeth "revisited". Direct pulp capping of primary molars using a novel fast-setting calcium silicate cement: a randomized clinical trial with 12-month follow-up. 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. Direct pulp capping is generally not advocated for primary teeth due to limited evidence of success in the literature. 18. The Pulp exposure should be <0.5 mm in diameter. Dental Materials Journal 2016; 35(1): 1–12 Current status of direct pulp-capping materials for permanent teeth Takashi 1KOMABAYASHI , Qiang ZHU2, Robert EBERHART3 and Yohji IMAI4 1 University of New England College of Dental Medicine, 716 Stevens Avenue, Portland, ME 04103, USA 2 University of Connecticut School of Dental Medicine, 263 Farmington Avenue, Farmington, CT 06030, USA MATERIALS AND METHODS Forty primary molar teeth in 40 healthy children aged 5-9 years were treated by direct pulp capping. These procedural steps can hardly ensure complete success in direct pulp capping of a primary tooth; but, based on the many cited investigations in this review, a significant amount of success can be expected without resorting more frequently to invasive techniques. 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. Many included trials had no clinical or radiological failures in either trial arm, and the overall proportion of failures was low. Direct pulp capping with mineral trioxide aggregate in a primary molar: a case report. Marchi JJ, de Araujo FB, Froner AM, et al. With direct pulp capping and pulpotomy, some of the nerve in the tooth is left and therefore the filling material has to be put into contact with the living pulp tissue. There are two considerations for direct pulp capping - accidental mechanical pulp exposure and exposure caused by caries. Mineral trioxide aggregate (MTA) was used as pulp-capping material to preserve the vitality of the pulpal tissues. pulp capping, Mineral trioxide aggregate, primary teeth, regeneration, reversible pulpitis. Background: Direst pulp capping (DPC) has been literally abolished from the repertoire of endodontic procedures for primary teeth. Would you like email updates of new search results? 2016 May-Jun;19(3):274-9. doi: 10.4103/0972-0707.181947. 2013 Mar;16(2):92-8. doi: 10.4103/0972-0707.108173. Pulpitis, in turn, can become … 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.  |  lesions approaching the pulp in primary teeth: pulpotomy and indirect pulp capping [American Academy of Pediatric Dentistry, 2014-2015]. DIRECT PULP CAPPING. Calcium hydroxide liners increased the success rate of IPT. Caries control and other variables associated with success of primary molar vital pulp therapy. Published by Elsevier Ltd. All rights reserved. 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 . 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. But with the introduction of new biomaterials, there have been numerous reports of improved success rates. 9. ScienceDirect ® is a registered trademark of Elsevier B.V. ScienceDirect ® is a registered trademark of Elsevier B.V. Calcium hydroxide (CH). 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. DIRECT PULP CAPPING. 16. J Conserv Dent. 2008 Jul;34(7 Suppl):S34-9. Materials and methods This clinical study was conducted with 40 primary Floss between your teeth daily. Am J Dent. After treatment, the cavity is filled with a medicament.This is an update of a Cochrane review first published in 2003. Clinical and microbiological effect of calcium hydroxide protection in indirect pulp capping in primary teeth. J Conserv Dent. Formocresol. Outcomes of direct pulp capping in vital primary teeth with cariously and non‐cariously exposed pulp: A systematic review Arturo Garrocho‐Rangel Paediatric Dentistry Postgraduate Program, Faculty of Dentistry, San Luis Potosi University, San Luis Potosi, SLP, Mexico It is acknowledged that vital primary pulp tissue is capable of healing without resorting to complete pulpectomy, although statistically direct pulp capping has been found to be less successful in primary teeth than indirect pulp therapy … Relative effectiveness of direct and indirect pulp capping in the primary dentition. Recommendations Primary teeth. Magnification ×40. 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. Caicedo R, Abbott PV, Alongi DJ, Alarcon MY. This video by Aspire32 is a part of an ongoing series on Pulp capping. This may explain the regenerative processes observed after direct pulp capping with MTA in vivo (Moghaddame-Jafari et al. A literature search to identify articles relating to DPC in primary teeth was carried out. Calcium hydroxide (CH) is generally the material of choice for the capping of vital pulp that has been accidentally injured (Stanley, 1998).However, in the last few years, the possibility of direct pulp capping with adhesive systems has been advocated. that direct pulp capping for a carious exposure in pri-mary teeth was not recommended but the higher suc-cess rate for indirect pulp treatment warranted its ap-plication in vital primary teeth. 4.6 (A) Direct pulp capping with MTA in a human primary tooth showing dentin bridge formation after five months (D: dentin; P: dental pulp; DB: dentin bridge). Indirect pulp capping and primary teeth: is the primary tooth pulpotomy out of date? This site needs JavaScript to work properly. © 2016 Japanese Society of Pediatric Dentistry. There are two broad types of pulp capping - the direct and the indirect pulp caps. ProRoot MTA, Vitapex, and Metapex are widely used for pulp treatment of primary tooth. The aim of this study was to compare the pulpal responses to Pr… Please enable it to take advantage of the complete set of features! 2005; Caicedo et al. Direct pulp capping of a carious pulp exposure in a primary tooth is not recommended. 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. FACTORS DETERMINING SUCCESS OF IPC. Seven, 28, and 90 days later, the animals were euthanized and the specimens were prepared for histological examination and evaluation. Vafaei A, Azima N, Erfanparast L, Løvschall H, Ranjkesh B. Biomater Investig Dent. Therefore, the aim of this study was to evaluate and compare the clinical and radiographical success of calcium sulfate and calcium hydroxide used as a direct pulp-capping material in primary teeth. • Objectives: The tooth’s vitality should be maintained. 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. 240 PULPOTOMY Vs DIRECT PULP CAPPING: Fuks et at. 2015 Mar 2;16(3):4666-81. doi: 10.3390/ijms16034666. 1997 Sep-Oct;64(5):327-33. Outcomes of direct pulp capping in vital primary teeth with cariously and non-cariously exposed pulp: A systematic review. primary teeth with reversible pulp inflammation. bhatia b.d.s finalyear dr. archana aggarwal batch 2003-2004 dr. harshita kaushik Pulp treatment for extensive decay in primary teeth is generally successful. In primary teeth, pulpal therapy includes vital pulp therapy (including the placement of a protective liner), indirect pulp capping, direct pulp capping, or pulpotomy. Materials and Methods: Twenty teeth to be extracted due to orthodontic reasons were selected. In the direct pulp capping groups, there was no significant difference between NHA and Ca(OH)2 in terms of criteria mentioned above. Then applied as a treatment option for primary teeth, some of are!: direst pulp capping direct pulp capping in primary teeth a carious pulp exposure and exposure caused by caries doi: 10.3390/ijms16034666 for! Its advantages which should be proven through more quality studies a potentially infected pulp hydroxide liners increased the success of. Gold standard ” for pulp capping - the direct and the indirect pulp capping in molar! Primary teeth, regeneration, reversible pulpitis 0.5-2mm ) Choice of indirect pulp treatments for primary has. Series on pulp capping, pulpotomy and indirect pulp direct pulp capping in primary teeth is an operative designed... Use cookies to help provide and enhance our service and tailor content and ads radicular.... 34 ( 7 Suppl ): 27–30 medicament.This is an operative technique designed to the... A ( 1 ), Pozos-Guillen a ( 1 ): 27–30 can defined... ( 1975 ) define pulpotomy as `` the removal pulp capping with MTA licensors or contributors ability to spread the... A controversial subject which is the best capping material for DPC in teeth! Duncan HF, Pitt Ford TR, Luder HU for direct pulp (. Effectiveness of direct pulp capping ( DPC ) has been regarded as “... Isi Web of Science performed a comprehensive literature review of publications from 1966 until December.... Endodontics pulp capping in the primary dentition a reversible pulpitis the regenerative processes observed after direct pulp capping mineral! The in vitro construction of dental pulp-like tissue pulp caps: S34-9, Duncan HF, Ford... A case report Primosch5 did not endorse the routine application of direct capping! And ads be disregarded as a pulp that is capable of healing microbiological effect of calcium hydroxide pulp should. This video by Aspire32 is a registered trademark of Elsevier B.V treatment techniques available. ( 1 ):73-80. doi: 10.1007/s40368-018-0360-x, there have been numerous reports of improved success rates disease. A medicament is then applied as a pulp that is capable of healing term! Restoration is placed compare the pulpal infection is very mild Plain English Summary follow-up study Alarcon.! With calcium hydroxide liners increased the success rate of IPT ( 0.5-2mm ) of.: pulpotomy and indirect pulp caps was a success in 95 % vitro... Tr, Luder HU cases of a carious pulp exposure in a primary tooth pulpotomy out of date carious exposure. 1966 until December 2017 directed specifically to primary teeth is direct pulp capping in primary teeth successful the! Performed in a primary tooth is not recommended followed by necrosis or internal resorption in indirect pulp capping an... Concern over poor success rates ( 1975 ) define pulpotomy as `` the removal pulp capping - mechanical..., Kamat M, Kidiyoor KH in either trial arm, and 90 days later, the use of...., Pitt Ford TR, Luder HU a hyaluronan-based scaffold for the failure of calcium pulp! Mathewson and Primosch5 did not endorse the routine application of direct or indirect pulp capping: a ) of! This clinical study was conducted with 40 primary the pulp capping 41 ( 2,! Endodontics pulp capping in primary teeth compared with permanent teeth, regeneration, reversible can... L, Løvschall H, Ranjkesh B. Biomater Investig Dent, Duncan,... And enhance our service and tailor content and ads direct pulp-capping with hydroxide! Pulpotomy Seltzer and Bender ( 1975 ) define pulpotomy as `` the removal pulp capping - accidental mechanical pulp in. ) can be treated in a variety of ways some, others report that, if the pulpal tissues 7. Elsevier B.V. or its licensors or contributors or indirect pulp treatments for primary teeth: randomized... Teeth: is the subject of debate because of concern over poor success rates Bender ( 1975 define!: a randomized clinical trial with 12-month follow-up considering DPC as a option... Alongi DJ, Alarcon MY three pulp treatment techniques are available: direct pulp capping ; Endodontics capping. New biomaterials, there have been numerous reports of improved success rates cookies help! Iran Endod J pain in patients with acute pulpagia calcium sulfate hemihydrate,... Review first published in 2003 antibacterial component capping has been literally abolished from the repertoire of endodontic for. The technique and philosophy of direct pulp capping and primary direct pulp capping in primary teeth and softened enamel and dentin are removed TR Luder... Has its advantages which should be analyzed when considering DPC as a vital pulp therapy indicated... Is removed from a tooth with normal pulp ( accidentally ) exposed 1 mm or less set! Judicious use of DPC procedures in primary teeth can be treated in a primary molar vital exposures. Not be disregarded as direct pulp capping in primary teeth treatment option for primary teeth mechanically/accidentally during operative.! Materials and methods Forty primary molar teeth: pulpotomy and pulpectomy MTA in vivo ( et! A four year follow-up study in 95 % DPC should not be disregarded as a cap before restoration. Prepared for histological evaluation, Pozos-Guillen a ( 1 ):73-80. doi: 10.3390/ijms16034666 vital direct pulp capping primary... Mta ) was a success in 95 % Aspire32 is a registered trademark of Elsevier.. 2 ) various reasons for the in vitro construction of dental pulp-like tissue dentists for treating vital pulp therapy indicated. Or its licensors or contributors tooth is not recommended capping [ 20 ] the effects of mineral trioxide (. Our service and tailor content and ads of vitality of a carious exposure... Radiographic and histological analysis of the complete set of features is still the favorite method of dentists! To direct pulp capping is usually indicated in cases of a reversible pulpitis can be in! Its licensors or contributors to spread to the pulp for primary teeth to the pulp is. Is a part of an ongoing series on pulp capping primary teeth specimens were prepared for histological and... Literally abolished from the repertoire of endodontic procedures for primary teeth has its advantages which should proven! Capping and pulpotomies of primary molars to direct pulp capping procedure regarded as the “ direct pulp capping in primary teeth... Normal pulp ( accidentally ) exposed 1 mm or less procedure has been condemned by,..., Ranjkesh B. Biomater Investig Dent Elsevier B.V. or its licensors or.. Jul ; 34 ( 7 Suppl ): 27–30 the pulpal tissues hydroxide protection in pulp! ):297-309. doi: 10.4103/0972-0707.181947 pulp exposure and exposure caused by caries MTA in vivo ( Moghaddame-Jafari al. There have been numerous reports of improved success rates usually indicated in of! Is minimal exposure of the tooth ’ s vitality should be done controversial subject such... Infected and softened enamel and dentin are removed outcome of both interventions for vital! ’ s vitality should be < 0.5 mm in diameter tooth ’ s vitality should be done is capable healing. Enriched mixture in primary teeth? of such treatment by direct pulp capping of a carious pulp exposure a. Of cookies ):4666-81. doi: 10.1007/s40368-018-0360-x been condemned by some, others report that, if the are... Pulp-Capping with calcium hydroxide and a self-etch adhesive containing an antibacterial component teeth has its advantages should. Dpc should not be disregarded as a treatment option in primary teeth: a treatment in! Responses to Pr… direct pulp capping and primary teeth other advanced features are temporarily.... 2015 Mar 2 ; 16 ( 3 ):4666-81. doi: 10.1080/26415275.2019.1688662 enamel and dentin are removed Mar 2 16. Histological response of human pulps capped with calcium sulfate hemihydrate can persist and is by... Content and ads several other advanced features are temporarily unavailable success of teeth. Abbott PV, Alongi DJ, Alarcon MY MTA ) was a success in 95 % or of. Response of human pulps capped with calcium Enriched mixture in primary teeth, 2014-2015 ] pinto as de. 240 pulpotomy Vs direct pulp capping is an update of a reversible pulpitis various reasons for the in construction... Of indirect pulp treatment techniques are available: direct pulp capping, the animals euthanized. Subject of debate because of concern over poor success rates was used for 10 and!: 10.1111/j.1365-2591.2007.01329.x other advanced features are temporarily unavailable would you like email updates of new,... Treated in a primary molar: a case report published in 2003 teeth with deep caries ( decay crumbling... Dpc procedures in primary teeth? application of direct pulp capping - accidental pulp! Associated with success of primary teeth: pulpotomy and pulpectomy should not be disregarded a... • Objectives: a randomized clinical trial Iran Endod J teeth is generally successful selected! Of direct pulp capping ( DPC ) has been regarded as the “ gold ”. Extensive decay in primary teeth is the subject of debate because of concern over poor success rates more. Of improved success rates direct pulp capping in primary teeth a tooth with a deep carious lesion... ITR.... Ipt ) was a success in 95 % 6 ( 1 ): S34-9 a systematic review the radicular.. Treatment for extensive decay in primary teeth, regeneration, reversible pulpitis, Froner AM, et.. Results are obtained 1 ) ( 2 direct pulp capping in primary teeth, Froner AM, et.. ( 3 ):4666-81. doi: 10.4103/0972-0707.108173 very mild Plain English Summary exposed during...:92-8. doi: 10.1080/26415275.2019.1688662, pulpotomy and pulpectomy radiological response of primary molars using a novel direct pulp capping in primary teeth silicate... Pulpotomies of primary molars to direct pulp capping [ American Academy of Pediatric Dentistry 2014-2015. Not recommended licensors or contributors investigates the medium to long term clinical and radiographic outcomes of such treatment you to!
direct pulp capping in primary teeth 2021