Pulp Therapy Flashcards
What are the symptoms of pulpal inflammation?
Spontaneous pain
Pain on biting
Use of analgesics
Severe caries extent
Intra-oral swelling/sinus
Facial swelling
What are the special investigations needed for pulp therapy?
Assess tenderness and mobility.
Radiographs.
What are the indications for pulp therapy?
That the patient has a high risk for XLA/GA
Minimal number of caries
Hypodontia
To prevent mesial migration of the molars.
Regular attender
What are the indications for a Direct pulp cap?
Deep caries
No pulpal pathology
What is the indirect pulp capping procedure?
La
Rubber dam
Remove caries
Remove soft dentine covering pulp chamber
Calcium hydroxide
Restore
What are the indications for an XLA?
Many carious lesions
Unrestorable
Tooth close to exfoliation
Swelling
Irregular attender
Contralateral tooth is lost
Risk of infection
What are the indications for an direct pulp cap?
Asymptomatic
Small exposure
What is the process for an direct pulp cap?
LA
Rubber dam.
Remove caries
Stop bleeding with cotton pledget.
Calcium hydroxide/MTA
Restore.
What are the indications for a pulpotomy?
Asymptomatic
Carious exposure
