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Related Concept Videos

Assessment of apical radial pulse01:25

Assessment of apical radial pulse

712
Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
712

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Related Experiment Video

Updated: May 28, 2025

Author Spotlight: Enhancing Dental Pulp Research with Improved Mouse Models
05:16

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Vital Pulp Therapy: Evidence-Based Techniques and Outcomes.

Saeed Asgary1, Ali Nosrat2,3

  • 1Iranian Centre for Endodontic Research, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Iranian Endodontic Journal
|February 12, 2025
PubMed
Summary

Vital pulp therapy (VPT) preserves living dental pulp in primary and permanent teeth. This review details seven techniques, highlighting their effectiveness and future potential despite current challenges.

Keywords:
Biodentine; Calcium DerivativeCalcium Silicate CementCalcium-enriched MixtureDental Pulp CappingEndodonticsIrreversible PulpitisMineral Trioxide AggregateMiniature PulpotomyPartial PulpectomyPulpotomyRoot Canal TreatmentStepwise Excavation

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Area of Science:

  • Dentistry
  • Endodontics
  • Conservative Dentistry

Background:

  • Vital pulp therapy (VPT) encompasses conservative treatments to maintain dental pulp vitality in compromised teeth.
  • A comprehensive understanding of various VPT modalities is crucial for effective clinical application.

Purpose of the Study:

  • To review and evaluate seven distinct vital pulp therapy techniques.
  • To analyze historical development, definitions, protocols, and treatment outcomes of these VPT modalities.
  • To identify current challenges and future directions in vital pulp therapy.

Main Methods:

  • PubMed-based literature review.
  • Comprehensive evaluation of systematic reviews and meta-analyses on seven VPT techniques.
  • Analysis of historical development, definitions, clinical protocols, and treatment outcomes.

Main Results:

  • Stepwise excavation is effective in preventing pulp exposure, especially in permanent teeth.
  • Indirect and direct pulp capping show promising outcomes with advanced biomaterials like calcium silicate cements.
  • Full pulpotomy is a viable alternative to root canal treatment for irreversible pulpitis; partial pulpectomy aids in complex cases.

Conclusions:

  • VPT offers a range of conservative options for pulp preservation.
  • Standardization of protocols and further high-quality, long-term studies are needed.
  • Biotechnologies may enhance future VPT precision and predictability.