Endo Guidelines Flashcards
What is the function of pulp caps?
Producing a positive biological response from the pulp to heal
Indications for an indirect pulp cap
Cavity close to pulp but thin layer of dentine covering
Procedure for an indirect pulp cap
LA+dam
CWP NaOCl for haemostasis
dry, sCAOH, RMGI, Restore
Indications for a direct pulp cap
Exposure of pulp tissue +/- bleeding
Procedure for direct pulp cap
LA+dam
CWP NaOCl for haemostasis
If bleeding not controlled within 5m=PP
Dry,sCAOH,RMGI,restore
Direct pulp cap success rate
90%
Partial pulpotomy indications
Exposed pulp unable to get haemostasis/trauma
Procedure for partial pulpotomy
LA+dam
Remove superficial coronal pulp (2mm) with HS bur
CWP soaked in saline
Assess bleeding, if none remove more tissue
If hyperaemic remove more tissue
Dry,scaoh,rmgi,restore
Partial pulpotomy success rate
98%
Full pulpotomy indications
Exposed pulp unable to achieve haemostasis with PP
Procedure for full pulpotomy
LA+dam
All coronal pulp removed to RC orifices
CWP soaked in NaOCl
Dry, scaoh,rmgi,restore
Full pulpotomy success rate
98%
Primary molar pulpotomy indications (7)
Marginal ridge destroyed
Caries extending >2/3rds into dentine
Good cooperation
MH = no XLa
Lack of permanent successor
Age of pt
Ortho space maintenance
Primary molar pulpotomy procedure
LA+dam
Remove coronal pulp (excavator/large SS)
Assess bleeding
Ferric sulphate over root stumps for 2m–> scaoh over root stumps -GIC-SSC
Primary molar pulpotomy success rate
85%
Primary molar pulpectomy indications
Hyperaemic
Pulpal necrosis
Irreversible pulpitis
PA periodontitis
Chronic sinus
Primary molar pulpectomy steps
LA+dam
coronal pulp extirpation
RC prep 2mm short of apex
Obturate with CAOH iodoform paste - GIC - SSC
