Assessment-Based Pulp And Dentin Removal Protocols For Vital Pulp Therapy

Area of Science:

• Dentistry
• Endodontics
• Regenerative Medicine

Background:

• Pulpal pathology can be reversible if vital tissue is preserved.
• Conventional pulpotomy may remove viable tissue due to predetermined resection levels.
• Minimally invasive techniques are crucial for preserving pulp vitality in vital pulp therapy.

Purpose of the Study:

• To present a protocol for assessment-based dentin and pulp removal.
• To introduce the Minimized Dentin Removal (MDR) and Minimized Pulp Resection (MPR) techniques.
• To support the preservation of pulp vitality through a structured, minimally invasive approach.

Main Methods:

• Iterative application of MDR and MPR protocols.
• Continuous assessment guiding the extent of tissue removal.
• Selective removal of pathologically altered pulp and stained dentin.

Main Results:

• The MDR-MPR protocol enables assessment-based management of dentin and pulp.
• It selectively removes superficial, compromised tissue while preserving deeper, viable pulp.
• Achieves a clinically acceptable pulpal surface and dentin free of indicator staining.

Conclusions:

• The MDR-MPR protocol offers a structured, minimally invasive alternative to conventional pulpotomy.
• This approach may enhance the preservation of pulp vitality.
• Real-time evaluation guides intervention, optimizing tissue management in vital pulp therapy.