When do you use indirect pulp cap?

An indirect pulp cap is a procedure that protects a compromised tooth without exposed pulp. It may help you avoid more invasive procedures like tooth extraction or a root canal. It retains the tooth and allows its roots to continue developing. You can receive a pulp cap in one or two appointments.

What is the difference between an indirect pulp cap and a direct pulp cap?

Two different types of pulp cap are distinguished. In direct pulp capping, the protective dressing is placed directly over an exposed pulp; and in indirect pulp capping, a thin layer of softened dentin, that if removed would expose the pulp, is left in place and the protective dressing is placed on top.

Is indirect pulp capping indicated in primary teeth?

Indirect pulp therapy (IPT) is also indicated and has a significantly higher long-term success. Pulpotomy is thought to be indicated for primary teeth with carious pulp exposures, but research shows the majority of such teeth are nonvital or questionable for treatment with vital pulp therapy.

What are the indications of direct pulp capping?

Indications: Direct pulp capping is indicated for a perma- nent tooth that has a small carious or mechanical exposure in a tooth with a normal pulp. Objectives: The tooth's vitality should be maintained. No post-treatment clinical signs or symptoms of sensitivity, pain, or swelling should be evident.

What is an indirect pulp treatment?

The conventional technique for indirect pulp treatment in- volves the application of a bacteriostatic/bactericidal liner, such as calcium hydroxide, over the carious dentin to induce remineralization and protect the pulp.

Indirect Pulp capping

What is pulp cap indirect excluding final restoration?

D3120 pulp cap — indirect (excluding final restoration): "Procedure in which the nearly exposed pulp is covered with a protective dressing to protect the pulp from additional injury and to promote healing and repair via formation of secondary dentin." It is most inappropriate to deceptively seek additional ...

Can Dycal be used for direct pulp capping?

Dycal® Calcium Hydroxide Liner is a two-component, rigid-setting, self-curing material designed for use in direct and indirect pulp capping and as a protective liner under dental adhesives, varnishes, filling materials, cements, and other base materials.

Is pulp capping necessary?

Pulp-capping procedures are a critical cornerstone of our philosophy of minimally invasive dentistry. Not every tooth that has symptoms of sensitivity, pain or deep lesions needs the root canal therapy that is often ordered by the dentist.

What is considered the best pulp protection?

Dental cements are also used as protecting materials to protect the pulp after the cavity preparation against further trauma, like thermal and chemical insulating bases under metallic restorations[2, 3].

What is Apexogenesis and Apexification?

Apexification is a method of inducing a calcified barrier at the apex of a nonvital tooth with incomplete root formation. Apexogenesis refers to a vital pulp therapy procedure performed to encourage physiological development and formation of the root end.

Can you pulp cap a primary tooth?

Direct pulp capping is usually indicated in a primary tooth with normal pulp (accidentally) exposed 1 mm or less. A medicament is then applied as a cap before a restoration is placed. The use of direct pulp capping in primary teeth is the subject of debate because of concern over poor success rates.

When do you use pulpotomy vs pulpectomy?

Which type of restoration would be used for full coverage of a primary tooth?

Stainless steel crowns (SSCs) are the restoration of choice for primary molars of children with high-caries risk, after pulp therapy, for large, multisurface caries and interproximal preparation that extends beyond the line angle.

Can you use Dycal under composite?

Further studies are necessary to suggest that Dycal can be used without any inhibitions under composite resin restorations, may be in vivo studies with long-term follow-up of the outcome are required.

Can MTA be used for pulp capping?

MTA is a new and biocompatible biomaterial used for dental practice. It has been proved to be an excellent material for repairing of root perforations, apexification, root-end filling, repairing of root resorption and pulp capping.

What is MTA in dentistry?

The mineral trioxide aggregate (MTA) is a dental material with biocompatibility properties to oral and dental tissues. MTA was developed for dental root repair in endodontic treatment and it is formulated from commercial Portland cement, combined with bismuth oxide powder for radiopacity.

Can you use Dycal under GIC?

CaOH under GIC is redundant and counterproductive. One is placing a hard compressive strength materiral (GIC) on a softer one (Dycal). The rate of reparative dentin is constant and is not determined by the use of Dycal.

Do you etch before Dycal?

10 The loss of material from Dycal as a result of acid contact is generally regarded as disadvantageous. Therefore, etching procedure should be done before Dycal application.

Can you use Dycal and Vitrebond together?

Both studies demonstrated that the pulp–dentin complex response to Vitrebond and Dycal indicated acceptable biocompatibility of these materials and there are no statistically significant difference between calcium hydroxide and Resin-Modified Glass Ionomer.

Is a pulp cap the same as a filling?

A temporary filling is then placed on the tooth. Direct Pulp Cap — Pulp tissue has been exposed. After removal of some affected dentin, a biocompatible material is placed directly over the tooth's pulp. The temporary or a permanent filling is placed.

Does an endodontist do pulp capping?

Direct pulp capping of mature teeth is considered controversial by endodontists who prefer the removal of the entire pulp ¹².

Is a pulp cap the same as a crown?

There is no difference between a cap and a crown. For a long time, dental crowns were referred to as caps, and even now you may still hear the term 'cap' used by older people and by those who do not work in dentistry. Most dentists today use the term 'crown' instead.

Why is Biodentine better than Dycal?

The results of the present study showed that pulps that were treated with Biodentine were essentially free of inflammation and led to the formation of a good quality bridge which was more predictable, uniform, thick, continuous, and completely sealed the pulp tissue in comparison to Dycal.

Why do we use calcium hydroxide in direct pulp capping?

Calcium Hydroxide Cavity Liners

Calcium hydroxide cements are used for lining specific areas of deep cavities or for direct pulp capping. The antibacterial action of calcium hydroxide makes these cements useful in indirect pulp-capping procedures involving carious dentin.

Which is better MTA or calcium hydroxide?

MTA is more effective and superior comparing the Calcium Hydroxide as a direct pulp capping material, showed higher success rate with favorable outcomes in maintaining long term tooth vitality and easier to use in pulp capping. MTA is less toxic, less pulpal inflammation capping compared to Calcium Hydroxide.