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Frequently asked questions in direct pulp capping of permanent teeth

From Volume 41, Issue 4, May 2014 | Pages 298-304

Authors

Stéphanie Mouawad

Resident, Restorative and Aesthetic Dentistry Department, School of Dentistry, Lebanese University, Beirut, Lebanon

Articles by Stéphanie Mouawad

Simon Artine

Resident, Restorative and Aesthetic Dentistry Department, School of Dentistry, Lebanese University, Beirut, Lebanon

Articles by Simon Artine

Pétra Hajjar

Resident, Restorative and Aesthetic Dentistry Department, School of Dentistry, Lebanese University, Beirut, Lebanon

Articles by Pétra Hajjar

Robert McConnell

Professor, Centre for Dentistry, Queen's University Belfast, UK

Articles by Robert McConnell

Jean-Claude Fahd

Chairperson, Restorative and Aesthetic Dentistry Department, School of Dentistry, Lebanese University, Beirut, Lebanon

Articles by Jean-Claude Fahd

Joseph Sabbagh

DDS, MSc, PhD, FICD

Assistant Professor, Department of Conservative and Aesthetic Dentistry, Lebanese University, Beirut-Lebanon

Articles by Joseph Sabbagh

Abstract

Direct pulp capping is a proven method of preserving tooth vitality of a mature permanent tooth in cases of pulp exposures. The indications for this treatment, treatment modalities and materials are discussed in this paper.

Clinical Relevance: This paper answers many of the frequently asked questions by general practitioners, dental students and specialists about direct pulp capping.

Article

Dentists in their daily practice use many restorative techniques. Among those, vital pulp therapies have always carried many question marks, resulting in some contradictions regarding the use and the success of this technique. Direct pulp capping of a pulp exposure can provide an opportunity for preserving pulpal tissue. This may result in the formation of tertiary dentine, thereby preserving the vitality of the tooth and avoiding the need for root canal therapy. When direct pulp capping is carried out, the patient must be fully informed and advised that, if symptoms occur, they must return for re-assessment of pulp vitality.1

An understanding of the properties of available materials will help in the decision-making to obtain long-lasting functional restorations on vital teeth.

This article answers some of the questions involving direct pulp capping as a treatment option for pulp exposures, the different materials and techniques used in this procedure and the success rate of direct pulp capping using a question and answer format. However, it is up to the reader to decide whether to perform direct pulp capping or not by carefully selecting the suitable cases for this treatment.

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