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Restorative management of the posterior tooth that has undergone a pulpotomy Nicholas N Longridge James S Hyde Fadi Jarad Sondos Albadri Dental Update 2024 50:11, 707-709.
Pulpotomy is increasingly being recognized as a treatment option for the management of permanent teeth with extremely deep caries. These teeth can present with or without symptoms of pulpitis. Traditionally, irreversible pulpitis has been managed with pulp extirpation and root canal treatment. Contemporary research has shown that pulpotomy may be suitable to manage permanent teeth diagnosed with irreversible pulpitis. This article discusses the options and decision-making process of how to restore posterior permanent teeth that have undergone a pulpotomy. In addition, the article highlights diagnostic and material considerations relating to the role of pulpotomy in managing deep caries.
CPD/Clinical Relevance: Clinicians should be aware of the use of pulpotomy in management of extremely deep caries or partial irreversible pulpitis in permanent teeth.
Article
Pulpotomy is a minimally invasive endodontic procedure that simultaneously manages pulpitis, while maintaining the radicular pulp. It is one of several management strategies for carious lesions and exposed pulps that, collectively, are categorized as vital pulp therapies (VPT)(Table 1). The numerous benefits of maintaining pulpal vitality have been highlighted in the literature (Table 2) and management of carious lesions with partial and full pulpotomy is well documented in children and becoming increasingly more prevalent in adults. Short-term success rates in adults have been reported as high.1 While the literature pertaining to the clinical management and subsequent healing of the exposed pulp is increasing, the restorative management of teeth that have undergone pulpotomy has had minimal attention. Therefore, this article discusses contemporary pulpal diagnoses, and the restorative management of posterior permanent teeth that have undergone a pulpotomy as part of the management of a carious lesion.
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