It was produced after a simplified operative technique was performed in one appointment on very deep proximal carious lesions, radiographically suspected of pulp exposure.
While in permanent teeth it might be acceptable to leave more carious dentine behind, leaving too much softened dentine to secure avoidance of pulp exposure might have compromised long term retention of the RMGIC restorations.
In case of pulp exposure
, application of Ca(OH) or MTA had been indicated as direct pulp capping agents.
Keys Words: Caries, First permanent molars, periapical radiographs, pulp exposure
, clinical examination.
None of the respondents responded that they would instruct a student to perform an elective pulpotomy where there was no pulp exposure
in either of those two scenarios.
Exten- sive loss of enamel with dentine involvement or pulp exposure
is scored 2 or 3, respectively.
Of note, animal studies are based on mechanical pulp exposures
of noncarious teeth, whereas human studies are conducted on carious teeth with pulps likely already inflamed.
Direct pulp capping and partial pulpotomy are two clinical modalities to preserve tooth vitality in cases of pulp exposure
in young permanent teeth [Mass and Zilberman, 1993; Mejare and Cvek, 1993].
Whereas the United Kingdom (UK) national clinical guidelines in paediatric dentistry state that "Primary molars with loss of more than two-thirds of the marginal ridge usually require a pulpotomy" [Llewelyn, 2000], the American Academy of Pediatric Dentistry (AAPD) recommends indirect pulp treatment, without removal of the deepest carious dentine so as to avoid a pulp exposure
, if the tooth has no or reversible pulpitis [American Academy of Pediatric Dentistry, 2006].
Direct pulp capping and vital pulpotomy are two accepted clinical modalities to preserve tooth vitality in cases of pulp exposure
in carious young permanent teeth but the success rates are often less than 50%.
Autoradiographic analysis of odontoblasts replacement following pulp exposures
in primate teeth.
It is generally indicated for (1) vital pulp exposures
in caries/trauma, (2) mutilated crowns, (3) abutments and (4) medically compromised/non ambulatory patients who cannot afford multi visits.