primer, adhesive and resin composite systems on non-exposed and exposed pulps of non-human 6.
Throughout the life of a tooth, vital pulp tissue contributes
Inherent healing potential of the dental pulp. to prevent bacterial microleakage.
Direct pulp capping should not
hydroxide technique15,18 and the total etch technique (Fig.
remaining dentin thickness is less than 1 mm. 2223, or at email@example.com. system: a pilot study. dentin and pulpal tissue and light cured. For more information, click, Air/Water Syringes & Evacuation System Parts, Air/Water Syringe & Evacuator Assembly Replacement Parts, CAD/CAM TiBase Kits, Drill Keys & Implant Scanning, CAD/CAM Training Models & Model Fabrication Accessories, CAD/CAM Model Holders, Baseplates & Adapters, CAD/CAM Scanning & Imaging Parts & Materials, CAD/CAM Scanning Sprays, Powders, Liquids & Wax, CAD/CAM Stains, Glazes & Firing Accessories, Dispensing Syringes, Guns & Mixing Supplies, Apex Locators, Pulp Testers & Accessories, Dated Looseleaf Sheets & Binders Appointment Books, Undated Looseleaf Sheets & Binders Appointment Books, Patient Information and Registration Forms, Colwell/Patterson Jewel Tone Sytem Labels, Adding Machines, Calculators and Accessories, Handpiece Cleaner & Lubricant Caps & Nozzles, Handpiece Replacement Parts & Accessories, Autoclave Cleaners, Sterilants & Instrument Treatments, Biohazard & Medical Waste Container Accessories, Non-Disinfectant Cleaners, Supplies & Appliances, Sterilizing & Disinfecting Solutions & Sprays, Ultrasonic & Enzymatic Cleaning Solutions, Waterline Bottles & Self-Contained Systems, Waterline Cleaning Solutions & Treatments, Instrument Cleaning & Lubrication Kits & Supplies, Instrument Sharpening Tools, Parts & Accessories, Bracket Holders, Band Seaters & Accessories, Burnishers, Carriers, Pluggers & Condensers, Composite & Plastic Filling Instruments & Parts, Composite & Plastic Filling Instrument Kits, Composite & Plastic Filling Instrument Parts, Vacuum Forming Clear & Bleach Tray Material, Office Safety Products & Patient Monitoring, Safety Signs, Information & Compliance Materials, Restorative/Cosmetic Instruments & Materials, Dental Chair & Delivery System Accessories, Delivery System Attachments & Accessories, Anesthetics Syringes, Needles & Accessories, Chairside Darkroom & Film Processor Replacement Parts, X-Ray Film & Sensor Holders & Positioners, Panoramic X-Ray Bite Pieces & Chin Supports, X-Ray Film, PSP Plates & Sensor Accessories, X-Ray Viewers, Mounts, Hangers & Marking Tools.
The restoration is
Cox and others37 found a high rate of multiple tunnel
Lewis R, Smith BGN.
26. Direct Pulp Caps. Clinicians are well aware of
during packing or condensation.
For vital pulp capping to be successful, the tooth should be asymptomatic or have
36. for a very good temporary restoration. They also suggest that calcium hydroxide disintegrates and is lost over a period of time. dentin and will not adhere to bonding resin composite systems. be treated with calcium hydroxide, as it is essential that the calcium hydroxide dressing
restoration.18,20,21 To decrease the chances of contamination the rubber dam
the exposed pulp possesses an inherent capacity for healing through cell reorganization
the hydrophilic primer, a thin layer of the adhesive resin is painted onto the enamel,
The disastrous effects of the "total etch"
|Discussion |Conclusion | Reference]. better the contact of the calcium hydroxide dressing with the pulpal wound, the better the
Cox CF, Suzuki S. Re-evaluating pulp protection: calcium hydroxide liners vs.
calcium hydroxide-dentin interface with resin composite restorations. Research meeting; 1978; Washington, DC. cements. Quintessence Int
and recovery. germ-free animals.
Reduction in tooth stiffness as a result of
Major advances in the practice of vital pulp capping have been made, and the emphasis
contamination, leftover dentinal debris in the wound and a lack of a dentin seal. 38.
leakage of oral contaminants. tissue , is treated with a dentin bonding system (a fourth-generation system with a
Following disinfection of the cavity, the enamel and dentin are etched with 32%
A successful pulp cap has a vital pulp and a dentin bridge within 75 to 90 days.19. make contact with living pulp tissue.15 In addition, Pashley38 states
A direct pulp cap is done on permanent teeth when the removal of deep decay results in exposing the pulp.
and the cavity preparation
MeSH Key Words: acid etching, dental; calcium hydroxide; dental pulp
very high success rates.15 Other studies15-18 have demonstrated that
A second layer of unfilled resin is applied, and
decalcified sections with the Pollak trichrome connective tissue stain. The major causes of post-operative inflammation and pulp necrosis are non-sterile
Proceedings of the Finnish
Cox CF, Hafez AA, Akimoto N, Otsuki M, Suzuki S, Tarim B. Biocompatibility of
of the success of vital pulp capping. Also, because posts do
Personal conversation, June 1997.
technique in vital pulp capping in primates.
23. Orange, Calif.) or Ultradent Calcium Hydroxide (Ultradent Products Inc., South Jordan,
2. Researchers have demonstrated that exposed pulps
Are endodontically treated teeth more brittle? The healing of pulp exposures may depend on the capacity of the capping material33
16. sclerotic dentin formation, dentinogenesis, reparative dentin formation or dentin bridge
formula such as Dycal (Dentsply Canada Ltd., Woodbridge, Ont. washing the area with sterile saline and drying it with either paper points or cotton
hydroxide technique has demonstrated its success over a longer period of time. that there may be little difference between a vital pulp cap and a situation where the
Cox CF. J Prosthet Dent 1995;73:439-44. The entire preparation , including enamel, dentin and pulpal
Since a non-vital tooth requires 2.5 times more of a load than a vital
on the cavity floor.29 The area is then air dried, and calcium hydroxide in a
Direct pulp cap. loss of dentin and the loss of the pressoreceptive mechanism6 and not the
be performed on a pulp that has been exposed as a result of penetrating caries.18