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Vital pulp therapy: 2 years follow up

The size of pulp exposure and the presence of spontaneous pain were significant criteria for treatment decisions in traditional direct pulp capping procedures. Direct pulp capping was considered viable when the pulp exposure size was 1 mm or less, and the patient did not experience spontaneous pain. Root canal treatment was routinely treatment choice in cases that did not meet these criteria. However, in light of contemporary insights from the literature, a new classification of pulp conditions has emerged. Consequently, this has led to a shift in our range of indications, predominantly favoring vital pulp treatments.

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Direct pulp capping with MTA: 6 years follow-up

Minimally Invasive Dentistry refers to the philosophy of preserving the maximum amount of original dental tissue through a systematic approach. In this paradigm, the fundamental principle is to minimize the removal of dental structure. Therefore, in cases where the pulp is exposed, we should prioritize vital pulp treatments rather than root canal treatments.

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Vital pulp therapy

Endodontic treatment is the most common procedures that performed in daily clinic routine the aim of endodontic therapy is to treat the infectious situation caused by bacteria from carious lesion which reached to the pulp chamber causing necrosis and lesion formation. Since pulp is the most important part of the tooth, in this article we […]

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Pulpotomy in mature permanent teeth - Part II

There are three techniques available for treatment of immature permanent teeth with exposed vital pulps: direct pulp capping, partial pulpotomy and complete pulpotomy. Indication for permanent tooth pulpotomy : Tooth has no history of spontaneous pain Tooth has no discomfort to percussion, no vestibular swelling and no mobility Radiographic examination shows normal appearance of periodontal […]

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Vital Pulp Therapy: Part 1: Direct Pulp Capping for A Traumatic Exposure of Permanent Maxillary Right Central Incisor

Pulp inflammation or exposure may occur as a result of many reasons like carries, trauma, or over-zealous preparation. However, if left untreated, this may lead to pulpits, pulp necrosis, and then apical periodontitis, which means more cost and chair-time spent. In addition, more tooth structure loss would jeopardise the survival rate and the outcomes of […]

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Direct pulp capping

A direct pulp capping is a procedure in which a medicament is placed directly over the exposed dental pulp, with the specific aim of maintaining pulp vitality and health (Camp and Fuks, 2006; Hilton, 2009; Mente et al., 2010). Advantages of a successful direct pulp capping are numerous, including the avoidance of more extensive treatment, […]

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