Pulp Therapy Flashcards
Used for indirect pulp cap.
1) Vitrebond
2) Calcium Hydroxide
A resin modified glass ionomer used as a liner.
Vitrebond
Not recommended for a carious exposure in primary teeth.
Direct pulp cap.
Do a pulpotomy instead.
Materials used for direct pulp cap.
MTA or Calcium Hydroxide.
May see this after doing a pulpotomy.
Internal root resorption
What you should not see on the radiograph in the follow-up of a pulpotomy.
Furcation involvement or pathologic external root resorption.
What must the pulpal diagnosis be for a tooth in order to do a pulpotomy?
Reversible pulpitis- pain only with a stimulus (NOT spontaneous).
Clinical exam of a tooth in order to do a pulpotomy?
No movement, no fistula, no pain with percussion.
Must be restorable.
Radiographic exam for a tooth in order to do a pulpotomy?
No furcation involvement.
No periapical RL
Want at least 2/3 of the root remaining.
What fraction of the root must remain in order to do a pulpotomy?
2/3
What does excessive bleeding after coronal pulp amputation indicate?
Radicular pulp is infected.
What does the following indicate: No bleeding after coronal pulp amputation.
Radicular pulp is necrotic.
What do you want to see in terms of bleeding when doing a pulpotomy?
SOME bleeding, but it shouldn’t be hemorrhagic or not bleed at all (indicates necrotic canal).
Chamber medicament for a pulpotomy.
Formocresol
Ferric sulfate
MTA
Once the chamber medicament has been placed for a pulpotomy, what material is used to fill the rest of the the camber?
IRM (Intermediate Restorative Material).
Then a stainless steel crown is placed on top.
Bad thing about formocresol.
Carcinogenic.
When is formocresol CONTRAINDICATED?
Cvek pulpotomy!
How does Ferric Sulfate work?
Seals off blood vessels to cause hemostasis.
This intracanal medicament promotes hard tissue formation.
MTA
Sets in the presence of moisture.
MTA
Pulpal diagnosis that indicates a kid needs a pulpectomy.
Necrotic or IRREVERSIBLE pulpitis
Resorbable filling material
Iodoform or Calcium Hydroxide.
How long after eruption are permanent roots formed?
3 years.
What do you have to remember to place on top of Calcium Hydroxide?
Vitrebond liner.
What is a Cvek pulpotomy?
Partial pulpotomy done for a traumatic exposure.
Whether an adult or child, what must the pulpal diagnosis be in order to do a pulpotomy?
Normal or REVERSIBLE pulpitis.
Continued physiologic development and formation of the root’s apex.
Apexogenesis
When you close the root end.
Apexification
