In this video I have discussed about Direct Pulp Capping (DPC), Indications, Contraindications, Objectives, Procedure & Criteria for success of DPC. DIRECT PULP CAPPING: Placement of a medicament / non medicated material on a pulp that has been exposed in course of excavating the last portions of deep dentinal caries. The clinical guidelines for the pulp capping procedure followed in the current study were issued in October 2002. It is not intended to replace your Dental Visit. In some cases, the dentist may not need to expose the pulp, and will cap the soft layer of dentin that covers the pulp chamber. Depending on the clinical setting, vital pulp therapy can be managed with an indirect or direct pulp-capping procedure. The tooth is then isolated by a Rubber dam. ; ° Pulp exposure is covered with MTA (fig. Direct pulp capping is a proven method of preserving tooth vitality of a mature permanent tooth in cases of pulp exposures. Direct Pulp Capping: Here the protective dressing is placed directly above an exposed pulp. There are two types of pulp capping: direct and indirect. Caplan DJ, Cai J, Yin G, White BA. Learn vocabulary, terms, and more with flashcards, games, and other study tools. 19. The main objectives are maintenance of pulp vitality/healing along with the formation of a calcified bridge beneath the PCA. The indication is given when “reversible pulpitis” is diagnosed. Some authors denigrate this method of preserving. • 2- Mineral Trioxide Aggregate MTA. Tziafas D. The future role of a molecular approach to pulp-dentinal regeneration. Direct Pulp capping is done mostly when there is accidental exposure of Pulp either by any Trauma or by accidental exposure by the dentist. Introduction: Biodentine is a new bioactive cement that is similar to the widely used mineral trioxide aggregate (MTA). 4. 2) Direct pulp capping Indications: If during cavity preparation (or following a traumatic injury) there is a mechanical exposure of the pulp at a pin point – direct pulp capping may be indicated; Rationale: Maintain tooth vitality; Aim to prevent any further signs or … The treatment is carried out under aseptic conditions using a rubber dam. The exposure is widened with a high speed diamond under constant water cooling to a depth of 1.5-2 mm. 2 1 Till Dammaschke, DDM, … b) relief of pain in patients with acute pulpagia. Educational video for dental students and dentists on the Direct Pulp Capping procedure. The indications for this treatment, treatment modalities and materials are discussed in this paper.CLINICAL RELEVANCE: This paper answers many of the frequently asked questions by general practitioners, dental students and specialists about direct pulp capping. 2004; 38(3):314–20. The wound … Either Amalgam or GIC. • - Bactericidal or bacteriostatic, able to provide bacterial seal. Caries Res. ° Pulp exposure (till 1 mm in diameter) is cleaned with physiological solution; ° Control of bleeding should be done in 1-2 min. 2.2.1 Rationale • To encourage the formation of a dentine bridge at the point of pulpal exposure with preservation of pulpal health and vitality Pulp therapy for primary molars • - Stimulate reparative dentin formation. The pulp was vital to the Endo Ice test with no inflammation. Indirect pulp treatment was applied using Dycal for 91 teeth, ProRoot MTA for 89 teeth and TheraCal LC for 115 teeth. You can change your ad preferences anytime. Because pulp capping studies have exhibited fluctuations in success rates according to different follow-up times, investigating the clinical pulpal survival rate and the potential factors contributing to the survival with respect to time is necessary. Indications: Indirect pulp treatment is indicated in a permanent tooth diagnosed with a normal pulp with no symptoms of pulpitis or with a diagnosis of reversible pulpitis. ditional injury and permits healing and repair (1). The determination of which therapy to employ is a decision that must be made by the clinician at the time of treatment. Canal is the next best thing hoped that the preceding discussion has informed c. Caplan DJ, Cai J, Schafer E. Long-term evaluation of direct pulp capping-treatment outcomes over an average of. Asymptomatic and vital direct pulp capping: pulp capping: ApaCal ART be! The formation of a clipboard to store your clips hard tissue formation by pulp cells ( 2.. 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