INDICATIONS: permanent teeth diagnosed with normal pulp with no signs or symptoms of pulpitis. Pulp capping is a technique used in dental restorations to prevent the dental pulp from dying, after being exposed, or nearly exposed during a cavity preparation. A direct pulp cap is done on permanent teeth when the removal of deep decay results in exposing the pulp. Dent Mater J. Looks like you’ve clipped this slide to already. Figure 5), as is the ability of pulp-capping ma-terials to prevent bacterial microleakage from penetrating through the dentinal tubules and into the pulp.1,2,4,5 Performing successful pulp-capping proce-dures is predicated on many factors, including establishing thorough hemostasis and selecting appropriate pulp-capping materials. Dent Mater. Roll no:26 Dr. Deepika Kapoor Identify characteristics required of materials used in pulp-capping procedures. You can change your ad preferences anytime. Alex G. Direct and indirect pulp capping: a brief history, material innovations, and clinical case report. PULP CAPPING AGENT ADVANTAGES DISADVANTAGES 1) Calcium hydroxide. Camilleri, J. Hydration characteristics of Biodentine and Theracal used as pulp capping materials. 1) Excellent antibacterial properties. An electronic search was performed on 20 February 2018. The aim of this review was to assess the effectiveness of different direct pulp-capping (DPC) materials for human pulp-exposed teeth. There are two considerations for direct pulp capping - accidental mechanical pulp exposure and exposure caused by caries. See our Privacy Policy and User Agreement for details. recent advances in pulp capping materials. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. 7 Cantekin K. Bond strength of different restorative materials to light-curable mineral trioxide aggregate. Conflict of interest Paste-type calcium hydroxide formulations are more consistent in promoting healing of pulp exposures than cement forms where bacterial microleakage is eliminated. Approximately 75% of the cavity was filled with Biodentine™ (Fig. combined toxic effects of pulp capping and restorative materials on pulp cells may be more clinically relevant than the effects of the pulp capping material alone. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. 2018; 39(3):182-189. Bharatpur, Nepal. Pulp capping with calcium hydroxide One of the essentials in capping the exposed healthy, or superficially infected (8), pulp is control of bleeding during the capping procedure. If you continue browsing the site, you agree to the use of cookies on this website. This study evaluated the shear bond strength (SBS) and internal marginal adaptation of pulp-capping materials to dentin. John Nicholson, Beata Czarnecka, in Materials for the Direct Restoration of Teeth, 2016. Pulp Capping - Free download as Powerpoint Presentation (.ppt / .pptx), PDF File (.pdf), Text File (.txt) or view presentation slides online. Now customize the name of a clipboard to store your clips. View full-text. 10. Two types of pulp-capping materials, calcium hydroxide and mineral trioxide aggregate, have been most commonly used in clinics, and an adhesive resin has been considered a promising capping material. Conclusions: Both pulp-capping materials were found to be clinically acceptable at 24 months posttreatment. Summary. Among the goals of pulp capping are to manage bacteria, arrest caries progression, stimulate pulp cells to form new dentin, and produce a durable seal that protects the pulp complex. There are two broad types of pulp capping - the direct and the indirect pulp caps. See our User Agreement and Privacy Policy. 7) using the "MAP System" dental materials micro-ap-plicator. The capping process protects the nerve endings in the damaged tooth from further irritation, allowing a person to chew food without discomfort. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. If the pulp appears infected or symptomatic, the dentist may decide a root canal is the best treatment option. 11. capping material. See our User Agreement and Privacy Policy. Even if you get small pulpal exposure, can try to do a pulp ... – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 56bfc6-N2I5M Bond strength and adaptation of pulp capping materials to dentin. If you continue browsing the site, you agree to the use of cookies on this website. Describe the role of different bioactive pulp-capping material properties in dentin bridge formation. as a direct pulp-capping material (Fig. See our Privacy Policy and User Agreement for details. Zhu C, Ju B, Ni R. Clinical outcome of direct pulp capping with MTA or calcium hydroxide: a systematic review and meta-analysis. Karadas M(1), Atıcı MG(1). PRESENTED BY: ANJU MARIA THOMAS 9. They are only successful if the pulpal infection is very mild 1. There were suggested as direct pulp capping and pulpotomy agents with the introduction of adhesive dentistry in both primary and permanent dentition. Such ma- This article will provide a general discussion of direct and indirect pulp capping procedures, offering practitioners a pragmatic and science-based clinical protocol for treatment of vital pulp exposures. Pulp capping is a dental procedure used to prevent the death of dental pulp after an exposure or near exposure, by placing a protective dressing over the pulp. 77. Endodontics is the specialty of dentistry that focuses on the management of prevention, diagnosis and treatment of diseases of the dental pulp and periradicular tissues (region around the root of the tooth).. 4. Post Graduate Student, Department of Conservative Dentistry And Endodontics, Yenepoya Dental College,Yenepoya Deemed to be University,Mangalore, Karnataka. Scribd is the world's largest social reading and publishing site. Dental materials have an important role within endodontics. Mineral trioxide aggregate (MTA) was used as pulp-capping material to preserve the vitality of the pulpal tissues. pulp capping material has to adhere strongly to dental hard tissues, prevent microleakage, be insoluble in oral fluids, have a bactericidal effect and, finally yet importantly, be biocompatible (Zmener et al., 2004). DIRECT AND INDIRECT PULP If you continue browsing the site, you agree to the use of cookies on this website. Preventive Dentistry CONTRAINDICATIONS: Large pulp exposure, non-restorable tooth or tooth with low prognosis. Chapter 9 Endodontic materials. Article While many dentists are hesitant to perform direct pulp capping procedures due to previously unpredictable results with conventional materials, MTA is a more predictable and reliable material for direct pulp capping teeth, with reversible pulpitis, as borne out by numerous clinical and histological studies. Article. This exposure may be due to a mechanical trauma after an accident or tooth fracture; or the pulp may be exposed during a cavity cutting procedure in the dental office. Looks like you’ve clipped this slide to already. 2015;8(10):17055-17060. 78. Effect Of Restoratiive Procedures And Materiials On The ... PPT. Compend Contin Educ Dent. Discuss the bioactive properties of hydraulic calcium-silicate cements. No public clipboards found for this slide. Camilleri J, Laurent P, About I. Hydration of Biodentine, Theracal LC, and a prototype tricalcium silicate–based dentin replacement material after pulp capping … View full-text. Author information: (1)Department of Restorative Dentistry, Faculty of Dentistry, Recep Tayyip Erdogan University, Rize, Turkey. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. CAPPING. Evaluation of temperature changes in the pulp chamber during polymerization of light-cured pulp-capping materials by using a VALO LED light curing unit at different curing distances. For these reasons, premixed bioceramic materials are now the material of choice for pulp capping, pulpotomy, perforation repair, root-end filling, and obturation of immature teeth with open apices, as well as for sealing root canal fillings of mature teeth with closed apices. Department of Pedodontics and The aim of this article is to summarize and discuss about the various and newer pulp capping materials used for protection of the dentin-pulp complex. whether pulp capping with ACSs is justified. A blood clot prevents the close contact between the capping material and the pulp and may serve as a potential substrate for Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. 8); Cavit-G was then placed over this to serve as a provisional restorative material, and seven days after the procedure the patient was evaluated to In spite of a highly alkaline pH of this material, a dentin bridge can form within 3 months providing a protec-tion to the underlying pulp with mild or moderate inflamma-tion. If you continue browsing the site, you agree to the use of cookies on this website. Presentation Summary : CYTOTOXICITY AND BIOCOMPATIBILITY OF DIRECTAND INDIRECT PULP CAPPING MATERIALS. 2014;33(6):764-9. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. Shekhar kumar mandal 1. The Dental Pulp Necrosis can spread completely out through apical foramen, end up with periapical abscess. Clipping is a handy way to collect important slides you want to go back to later. College of Medical Sciences, MATERIALS USED AS PULP CAPPING AGENT…. Indeed, a major unstudied vari-able in clinical studies comparing the success rates of direct pulp capping methods is the selection of the restorative material. materials toxic components, Calcium hydroxide-based materials have been widely used in direct pulp capping procedures. Submitted by: When dental caries are removed from a tooth, the affected and softened enamel and dentin are removed.This can lead to the pulp of the tooth either being exposed or nearly exposed which causes pulpitis. Pulp capping is an operative technique designed to preserve the vitality of a potentially infected pulp. When dental caries is removed from a tooth, all or most of the infected and softened enamel and dentin are removed. Direct pulp-capping is a method for treating exposed vital pulp with dental material to facilitate the formation of reparative dentin and to maintain vital pulp. BDS IV Pulp Capping; Endodontics Pulp Capping. Jeslee Ann Jose , Prathap M.S and K. Harish S. Shetty. The prognosis for pulp capping with calcium hydroxide is good if the pulp has no pre-existing symptoms of pain, and the environment provided for it is suitable. Clipping is a handy way to collect important slides you want to go back to later. Adhesive material forms: - A complete marginal seal - Prevents bacterial intrusion - Allowed pulp repair, characterized by a new odontoblast cell layer underlying the dentin bridge formation. Monomers present in resin composites and adhesive systems ( BISGMA, UDMA, Full-text available. If the pulp appears infected or symptomatic, you may determine that a root canal is the best treatment option. GUIDED BY : DR.SURYA NARAYAN RAI. You can change your ad preferences anytime. Direct pulp capping involves placing a pulp capping material directly over the exposed pulp with the aim of promoting pulp healing and the generation of reparative dentine [1].When this procedure is applied successfully, it eliminates the need for alternative, more invasive treatments. Pulp capping is a technique used in dental restorations to prevent the dental pulp from necrosis, after being exposed, or nearly exposed during a cavity preparation. SUBMITTED TO: Pulp capping a tooth at Integrative Dental Specialist of Long Island involves using a proprietary integrative biomimetic technique to disinfect the tooth and place biocompatible materials to replace or aid the missing or compromised dentin of the tooth, and regrow that dentin. No public clipboards found for this slide, Student at Himachal Dental College, Sundernagar, Distt. Explain the mechanisms involved in the dentin mineralization process. Int J Clin Exp Med. But when the pulp is healthy, capping exposed pulp tissue with appropriate material and providing a good seal with the filling material may solve the problem and prevent the need for further endodontic treatment. 2014;30(7):709-715. Mandi. Pulp capping is a process used by dentists and orthodontists while attempting to restore a seriously decayed tooth, when the decay has almost reached the tooth’s soft pulp. The most used material for pulp capping procedures is calcium hydroxide, which has a strong antibacterial effect and stimulates Direct Pulp Caps. Long-term clinical and radiographic evaluations of the effectiveness of different DPC materials for use on human pulp-exposed teeth were included. 9.2 Direct pulp capping. Now customize the name of a clipboard to store your clips. This can lead to the pulp of the tooth either being exposed or nearly exposed which causes pulpitis (inflammation). A …