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International Journal of Advanced Paediatric Dentistry

Volume 4, Issue 1, 2019
Mcmed International
International Journal of Advanced Paediatric Dentistry
Issn
XXX-XXXX (Print), XXXX-XXXX (Online)
Frequency
bi-annual
Email
editorijapd@mcmed.us
Journal Home page
http://mcmed.us/journal/ijapd
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Abstract
Title
AN UPDATE ON MATERIALS USED FOR VITAL PULP THERAPY IN PRIMARY TEETH: A REVIEW
Author
Srinivas Nallanchakrava, Monica Virginia, Pothumshetty Niharika, Hina Sajida Khan, Neha Rao, SK Srinath
Email
monicadoc32@gmail.com
keyword
Direct pulp capping, Indirect pulp capping, Pulpotomy, Vital therapy.
Abstract
Dental caries is the most common cause of pulpal disease. As the carious processadvances, the pulp undergoes various morphologic and histologic changes. Pulpal disease induced by dental caries can occur before bacteria actually invade the pulp. Caries disease progresses more quickly in primary teeth because of their anatomical characteristics. Bacterial infection resulting from caries lesion contaminates the dentin and reaches the pulp and periradicular tissues, causing inflammatory reactions, tooth resorption, and periradicular lesions with abscesses. The resorption caused by chemical mediators and by-products ofbacterial metabolism cause a devastating effect on primary teeth if not properly treated, leading to a rapid destruction of the tooth between cemento-enamel junction and furcation. Most of the protocols used to treat endodontically compromised primary teeth simply reflect the non-observance of infection on the part of the practitioners, for they only consider pulpotomy for teeth with signs of pulp inflammation or necrosis without preparing the root canals biomechanically. The treatment for carious lesion approaching the pulp or involving the pulp of primary teeth vary from indirect pulp capping to pulpectomy depending upon the infection rate and progress. The current article illustrates on the materials that are used in treating vital pulp therapy i.e, indirect pulp capping, direct pulp capping, pulpotomy in primary tooth.
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