Vital pulp therapy

Question 1

Vital pulp therapy

Answer 1

tx aimed at preserving and maintaining pulp tissue that has been compromised by trauma, caries, or restorative procedures in a healthy state

Question 2

indirect pulp cap

Answer 2

a procedure in which a material is placed on dentin that, if removed, might expose the pulp in immature permanent teeth

Question 3

caries management

Answer 3

complete caries removal is essential to eliminate infected tissues and visualize pulp tissue conditions under magnification when pulpal exposures occur. residual caries compromises necessary observations of pulpal inflammation levels and areas of potential necrosis. accordingly, predictable management of vital pulp tissue should not be performed without complete removal of both demineralized enamel and infected dentin

Question 4

carious pulp exposure

Answer 4

a pulp exposure resulting from the progressive destruction of tooth structure by acids and proteolytic enzymes elaborated through microbial activity, underlying pulp is inflamed to a varying and unknown extent, due to the progression of dental caries

Question 5

mechanical pulp exposure

Answer 5

an accidental exposure of the pulp by hand- or engine-driven dental instruments in the absence of dental caries; if aseptic conditions are maintained, the underlying pulp is usually not inflamed

Question 6

traumatic pulp exposure

Answer 6

a pulp exposure due to a fracture of the tooth

Question 7

pulp cap
tx of an exposed vital pulp by

Answer 7

sealing the pulpal wound with a dental material such as CaOH or mineral trioxide aggregate to facilitate the formaiton of reparative dentin and maintenance of a vital pulp

Question 8

direct pulp cap

Answer 8

a dental material placed directly on a mechanical or traumatic vital pulp exposure

Question 9

if a pulp exposure on a vital pulp may occur please follow this protocol (5)

Answer 9

isolate the tooth in question
remove all the remaining caries
irrigate with 8.3% NaOCl to achieve homeostasis
gently place DYCAL in the pulp exposure and a temp restoration
after you have filled out all the forms and taken the radiographs needed, contact endo

Question 10

pulpotomy

Answer 10

the removal of the coronal portion of a vital pulp as a means of preserving the vitality of the remaining radicular portion, may be perforemd as emergency procedure for temp relief of symptoms or therpeutic measure as in the instance of cvek pulpotomy

Question 11

partial pulpotomy

Answer 11

the removal of a small portion of the vital coronal pulp as a means of preserving the remaining coronal and radicular pulp tissues

Question 12

direct pulp capping should only be performed if the

Answer 12

surrounding dentine is sound and the exposed pulp does not exhibit suggestive signs of infection. if these conditions are not met, progressively more invasive procedures are indicated

Question 13

Direct Pulp Cap with MTA : method
(3)

Answer 13

▪ Deliver MTA with amalgam carrier or MTA carrier
instrument (Dentsply); do not use plugger!
▪ Blot excess moisture from MTA with dry cotton ball/
forcepts; carve MTA 1.0mm past exposure site
▪ Restore

Question 14

Human Pulp
Histology
At 3 Months Using
Calcium Hydroxide
(3)

Answer 14

• No dentin bridge
• Pulpal inflammation
• Zone of necrosis
  under CaOH

Question 15

Human Pulp Histology
At 3 Months Using
Mineral Trioxide Aggregate
(2)

Answer 15

Dentin bridge formation
Minimal pulpal inflammation

Question 16

— was the main reported clinical procedure with an overall success rate between 82.9-100%. — were associated with lower success rates of 79.4-85.7%

Answer 16

partial pulpotomy
complete pulpomoty and direct pulp capping

Question 17

higher success rates were observed in — in comparison to — but the difference was non significant statistically

Answer 17

CP
PP