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Indirect pulp-capping of carious teeth with periapical lesions
Journal of the American Dental Association (1939)
|July 1, 1978
Summary
Indirect pulp capping effectively treated vital teeth with deep decay and periapical lesions. Many teeth healed, remaining vital and pain-free for up to seven years.
Area of Science:
- Dentistry
- Endodontics
- Conservative Dentistry
Background:
- Deep carious lesions can compromise tooth vitality.
- Periapical lesions indicate infection or inflammation at the root apex.
- Conservative treatments aim to preserve tooth structure and vitality.
Purpose of the Study:
- To evaluate the efficacy of indirect pulp capping for teeth with deep caries and periapical lesions.
- To assess the long-term outcomes of this conservative treatment approach.
Main Methods:
- Twenty-four vital teeth with deep carious lesions and periapical lesions were selected.
- Indirect pulp-capping technique was employed for conservative treatment.
- Follow-up assessments included radiographic evaluation, pain assessment, and vitality testing.
Main Results:
- Eleven teeth demonstrated apparent resolution of periapical pathology.
- Absence of pain was reported in the successfully treated teeth.
- Continued tooth vitality was observed for up to seven years postoperatively.
Conclusions:
- Indirect pulp capping is a viable conservative treatment for vital teeth with deep carious lesions and periapical pathology.
- This technique can lead to successful healing and long-term tooth retention.