Vital Pulp Therapy Flow Charts

Question 1

Permanent Vital Teeth (open/closed apices) –> NO pulp exposure (reversible or irreversible pulpitis) –>

Answer 1

CSC base & bonded restoration

Question 2

Permanent Vital Teeth (open/closed apices) –> pulp exposure (reversible or irreversible pulpitis) –> Hemorrhage Evaluation –> controlled bleeding –>

Answer 2

direct pulp cap, CSC cap & bonded restoration

Question 3

Permanent Vital Teeth (open/closed apices) –> pulp exposure (reversible or irreversible pulpitis) –> Hemorrhage Evaluation –> NOT controlled bleeding –>

Answer 3

pulpotomy & repeat hemorrhage evaluation step

Question 4

Permanent Vital Teeth (open/closed apices) –> pulp exposure (reversible or irreversible pulpitis) –> Hemorrhage Evaluation –> NOT controlled bleeding –> pulpotomy & repeat hemorrhage evaluation step –> controlled bleeding

Answer 4

CSC base & bonded restoration

Question 5

Permanent Vital Teeth (open/closed apices) –> pulp exposure (reversible or irreversible pulpitis) –> Hemorrhage Evaluation –> NOT controlled bleeding –> pulpotomy & repeat hemorrhage evaluation step –> NOT controlled bleeding

Answer 5

pulpectomy

Question 6

Mature teeth with closed apices –> deep caries –> reversible pulpitis –> NO pulp exposure (sound dentin at bottom of cavity)

Answer 6

cavity restoration w/ or w/o bases

Question 7

Mature teeth with closed apices –> deep caries –> reversible pulpitis –> pulp exposure –> sound dentin and controlled bleeding

Answer 7

direct pulp cap

Question 8

Mature teeth with closed apices –> deep caries –> reversible pulpitis –> pulp exposure –> no sound dentin and uncontrolled bleeding

Answer 8

pulpotomy

Question 9

Mature teeth with closed apices –> deep caries –> irreversible pulpitis –> pulp exposure –> continuous pulp tissue and controlled bleeding

Answer 9

pulpotomy

Question 10

Mature teeth with closed apices –> deep caries –> irreversible pulpitis –> pulp exposure –> no continuous pulp tissue and uncontrolled bleeding

Answer 10

pulpectomy