© J Can Dent Assoc 1999; 65:328-31 I encourage you to take a closer look at the class of ‘active’ restorative materials. 38. 5:165-76. Br Dent J 1966; Baume U, Holz J. 32. Berk H. Vital pulp capping. Dent 1997; 22:1-3. one must distinquish between pulp-cap failure and failure of the restoration subsequently (Premier Dental Products, Norristown, Pa.). 17:229-42. direct vital pulp capping remains a controversial subject. 42. Oper Dent 1992; Am J Dent 1998; 10:S35-44. from the cavity surface during resin polymerization, leaving a gap between the calcium ensuring pulpal vitality.40 Therefore, it is desirable to maximize the barrier washing the area with sterile saline and drying it with either paper points or cotton Although several studies1-4 have shown that endodontic procedures have an Utah) is placed directly in contact with pulp tissue. suggest, places the long-term therapeutic effect of calcium hydroxide in serious doubt. Survival rate and failure characteristics for Ave., Winnipeg, MB R3E 0W2. J Oral Pathol report for the American Journal of Dentistry. bonding systems on exposed primate pulps. 21. the hydrophilic primer, a thin layer of the adhesive resin is painted onto the enamel, 12. hemostasis. restoration over the calcium hydroxide cap.32,33 Zinc Following disinfection of the cavity, the enamel and dentin are etched with 32% Oper Pashley42 states that to minimize the pulpal if microleakage around various restorations could be measured in vivo, it is likely that Direct Pulp Caps. Quintessence Int 1995; 26:765-70. their formation following direct pulp capping. Which attempts, then endodontic therapy should be considered.15,22 Several studies23-28 hydroxide and dentin. Torbjorner A, Karlsson S, Odman PA. found that calcium hydroxide bases under resin composite restorations tended to pull away J Endod 1983; 9:131-6. 16. a thin layer of resin-modified glass ionomer is also applied over and around the exposure In a recent study,39 opponents of the 28. After three months, assuming pulp vitality and no Pameijer CH. very high success rates.15 Other studies15-18 have demonstrated that Pulp capping: conserving the dental pulp , can it be done? Dentin permeability and restorative dentistry: a status stream primer, adhesive and resin composite systems on non-exposed and exposed pulps of non-human formula such as Dycal (Dentsply Canada Ltd., Woodbridge, Ont. Throughout the life of a tooth, vital pulp tissue contributes The effects of calcium hydroxide on porcine pulp MeSH Key Words: acid etching, dental; calcium hydroxide; dental pulp Cox CF, Hafez AA, Akimoto N, Otsuki M, Suzuki S, Tarim B. Biocompatibility of Prepare cavity, rinse, and dry, but do not desiccate the tooth. Cox CF, Keall CL, Keall HJ, Ostro E, Bergenholtz G. Biocompatability of It has been suggested that a very small exposure, and certainly a near exposure, cannot The item(s) denoted below (*) cannot be added to your cart. 27. J Endod 1993; 19:87-91. J Prosthet Dent 1984; 51:780-4. Am J Dent 1998; 11:S45-54. Stanley HR, Broom CA, Spiegel EH, Schultz MS. Detecting dentinal sclerosis in make contact with living pulp tissue.15 In addition, Pashley38 states Lowenstein NR, Rathkamp R. A study on the pressoreceptive sensibility of the tooth. will degrade the interface during etching, and that calcium hydroxide does not adhere to have indicated that the size of the perforation is less important than obtaining vital pulp capping is predominately a restorative issue. pulp is balanced with the rate of removal of these materials by pulpal circulation, thus restorative dentistry in the faculty of dentistry, University of Manitoba. 1. J Oral Pathol 1982; 11:439-50. Biocompatability of dental materials in the absence of bacterial infection. This article has been peer reviewed. For unknown reasons, the pulp-capping agent used, and not the procedure itself, has Sedgley CM, Messer HH. of posts and cores beneath existing crowns. effect of dentin to provide the best pulpal protection.38 Each situation must pellets, by using cotton pellets soaked with hydrogen peroxide or 5.25% sodium 22. Vital pulp capping is the dressing of an exposed pulp with the aim of ZPإ��ouFT�G�n�=���� ��}jn@�h������ u���_�� �:K���/���T���i%R��HG3��g�P_��A�)39��4��� /7��B� �Uz�pL.���n?��. 1031 Mendota Heights Rd. Dental Society; 1992. placed. procedures and bacterial micro-infiltration of the pulp via dentinal tubules. An alternative is to place a zinc oxide-eugenol (IRM, L.D. J Endod 1992; 6. 29. Dent 1992; Suppl. J Dent Res 1955; 34:287-94. Gwinnett AJ, Tay F. Early and intermediate time response of the dental pulp to an primate teeth. extracted vital and endodontically treated teeth. cements. Am J Dent 1998; 11:S55-63. If the operator properly selects the case, obtains hemostasis, disinfects the exposure and TheraCal LC is indicated for both direct and indirect pulp capping, and can be used safely with pediatric patients. Testori T, Badino M, Castagnola M. Vertical root fractures in endodontically 24. The entire preparation , including enamel, dentin and pulpal surface-sealed dentinal materials against exposed pulp. Lewis R, Smith BGN. %PDF-1.5 If bleeding fails to stop after two or three be assessed to determine which method is most likely to achieve a maximal barrier effect. Cox CF, Suzuki S. Re-evaluating pulp protection: calcium hydroxide liners vs. 20. A successful pulp cap has a vital pulp and a dentin bridge within 75 to 90 days.19. Bergenholtz G, Cox CF, Loersche WJ, Syed SA. 4. 9.2 Direct pulp capping. The tooth is restored with a material that seals the tooth from microleakage.7 Headquarters. Apply 1-1½mm of Lime-Lite Enhanced to the dentin. Abdel Wahab MHA, Kennedy JG. separate primer and adhesive is recommended, as little research has been published to date A dentist's inability to perform proper pulp cap procedures can lead to microbial it? He attributes this similarity to the high An investigation of the Not indicated for direct placement on the exposed pulp. phosphoric acid for 15 seconds. involving the pulp in vital primary or young permanent teeth. Oper Dent 1987; 12:146-52. The effects of acid etching on the pulpodentin complex. JADA 1983; 107:610-3. either must be in place from the start of the restorative procedure or be placed once a acid etch technique in vivo. 26. circulation extending into the tubular dentin , keeps the dentin moist, which in turn 39. 1981; 31:251-60. be treated with calcium hydroxide, as it is essential that the calcium hydroxide dressing Long term clinical assessment of direct pulp capping. Please update your selection to one item. 11. 2. Proponents of this technique point out that germ-free Heitmann T, Unterbrink G. Direct pulp capping with a dentinal adhesive resin • Mild pain associated with eating. The healing of pulp exposures may depend on the capacity of the capping material33 <> treated teeth: a clincial survey of 36 cases. Forrester DJ, Wagner ML, Fleming J. Pediatric dental medicine. These characteristics 10. Torneck CD, Moe H, Howley TP. on the cavity floor.29 The area is then air dried, and calcium hydroxide in a Direct pulp capping should not %���� Goracci G, Mon G. Scanning electron microsocpic evaluation of resin-dentin and Clinicians are well aware of They also suggest that calcium hydroxide disintegrates and is lost over a period of time. Hatzikyriakos AH, Reisis GI, Tsingos N. A 3-year postoperative clinical evaluation y��4��X���d1�'�8�j%ammZuV��t��Ӻ����Z�`��/S������=Eo����x�o�ӌ6y�Ϧ;9o�w���Ti�\��L�3�.�Ty�����Tu�����v�ۆ�C�,'��){;����4�m���kY����g��(�b�w�L�\��"�x��S8�ջ���-"��zDڎ�����]WYj��>> �O�r���(�m���cm��� ��������d=�8�/�=�׈��]�"��=���L~�#T��l�mZo���"Λ��$�63i�Y����_�#{���IM�,�H�g��%a2��Ln����I�8 tooth to register a proprioceptive response10-12 the natural protection against J Prosthet Dent 1987; 57:1-8. Only one item can be personalized at a time. 33. J Dent Res 1985; 64:1155-8. Dentistry's friend: calcium hyroxide [editorial]. on the fifth-generation dentin bonding systems). not reinforce teeth7,9,13,14 but may weaken them, restorative procedures that 41. JADA 1994; 125:823-31. 1988; 165:95-7. during packing or condensation. be performed on a pulp that has been exposed as a result of penetrating caries.18 J Endod 1989; 15:512-6. Pulpdent, Pulpdent Corp. of America, Brookline, Mass.) fibroblasts in vitro. prevalence of reactive and physiologic sclerotic dentin, reparative dentin and dead tracts technique in vital pulp capping in primates. Philadelphia: Lea