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Pulp capping: conserving the dental pulp--can it be done? Is it worth it?
1University of Florida, College of Dentistry, Department of Oral Diagnostic Sciences.
Oral Surgery, Oral Medicine, and Oral Pathology
|November 1, 1989
Summary
Vital pulp therapy using calcium hydroxide (CH) offers hope for pulp recovery. Success depends on controlling bleeding, ensuring CH contact with vital pulp, and minimizing contamination for dentinal bridge formation.
Area of Science:
- Dentistry
- Biomaterials
Background:
- The traditional view of exposed pulp as "doomed" has evolved.
- Vital pulp therapy (VPT) has advanced significantly with calcium hydroxide (CH) products.
Purpose of the Study:
- To detail the process of dentinal bridge formation with various CH formulations.
- To re-evaluate factors traditionally considered detrimental to direct pulp capping success.
Main Methods:
- Review of the sequence of events in dentinal bridge formation.
- Analysis of factors influencing direct pulp capping outcomes.
Main Results:
- CH products enhance the potential for pulp recovery and dentinal bridge formation.
- Factors like cariously exposed pulps, salivary contamination, and patient age may not preclude successful pulp capping.
Conclusions:
- Successful direct pulp capping requires careful management of specific factors.
- Key factors for improved success rates include controlling bleeding, ensuring CH contact with vital pulp, minimizing debris, and understanding CH chemical effects.