Practical vital pulp treatment: MTA or calcium hydroxide?
|
|
- Darcy Carroll
- 5 years ago
- Views:
Transcription
1 Practical vital pulp treatment: MTA or calcium hydroxide? Hal Duncan, Division of Restorative Dentistry and Periodontology, Dublin Dental University Hospital, Trinity College Dublin, Ireland NVvE Voorjaarscongres, 2 nd April 2016
2
3
4
5 Early memories and the Alan Rough effect
6 Saturday morning s pulpal agenda Briefly discuss 4 pulp issues 1. Why keep the pulp? 2. What tissue(s) are we really dealing with? 3. Practical vital pulp treatment 4. Material choice and histological response
7 1. Why maintain the pulp? 100% clinical and 97.5% radiographic success during the first year, and 92.7% success at 3 years. Survival rate at 24 months was estimated to be 82% for carious exposures.
8 The alternative
9 Majority of RCT of poor technical quality Cross-sectional studies The percentage of root filled teeth with AP was 38.3%. AP was significantly more frequently found in root treated, compared with non-root treated, teeth (p <0.001). In 44.3% of the cases, the technical quality of the root canal filling was inadequate. Chong et al. 2014
10 The Alan restorative Rough effect cycle
11
12 Clinical decision-making 2 clinical scenarios (Frisk et al. 2013) Case year old patient had a deep carious lesion in tooth 36 Case year old patient had a deep carious lesion in tooth 14. The participants were asked to nominate their treatment of choice: - pulp capping, partial pulpotomy or pulpectomy. Case per cent of the respondents selected pulpectomy Case per cent pulpectomy Female dentists and age group years were predictive of selection of less invasive treatment options. Conclusions: However, Swedish dentists are recommended to elect pulpectomy prior to pulp capping/partial pulpotomy in a cariously exposed pulp in adults.
13 2. What tissues are we dealing with?
14
15
16 From Galler et al. 2014
17 Caries: Pulp irritation, antigen recognition by odontoblasts, initially reversible inflammation which drives reparative response. Duncan et al. 2016
18 3. Practical vital pulp treatment What do clinicians need to know? Is the type of exposure significant? Is the size of the exposure significant? Is the age of the patient significant? Is the level of pulpal bleeding significant? Is the material used significant? Is the technique significant? Is the pulp exposure time prior to treatment significant?
19 What are our limitations in diagnosis? Pain history Clinical and radiographic examination Cone beam CT Vitality/sensibility testing Clinical experience Diagnostic challenges
20 Diagnostic challenges How predictable is this assessment? Signs and symptoms offer clues but may mislead Histopathological state of the pulp, traditionally not related to clinical symptoms (Seltzer et al. 1965; Dummer et al. 1980) No symptoms associated with irreversible pulpitis in 14-60% of cases Silent pulp death (Michaelson & Holland 2002, Flores et al. 2007, Fuks et al. 1982)
21 Diagnostic challenges Can we clinically assess pulpal inflammation? Matsuo et al. 1996
22 JOURNAL OF CBCT Results: Methods: Clinical PA radiographs signs and symptoms and CBCT scans suggestive were taken of irreversible of 138 teeth pulpitis in 130 were patients established diagnosed in 44/52 with teeth irreversible and periapical pulpitis. rarefaction was present in 14 teeth. Results: A comparison of the 307 paired roots revealed that AP lesions were present in 10 (3.3%) and Immediate absent in 297 failure (96.7%) occurred pairs of in one roots tooth. when Overall assessed 100% with clinical PA radiography. and 97.5% When radiographic the same success 307 sets during of the roots first were year, assessed and 92.7% with success CBCT scans, at 3 years. AP lesions were present in 42 (13.7%) and absent in 265 (86.3%) paired roots (P <.05). All Conclusions: cases with The periapical present rarefaction study highlights were associated the advantages with improvement of using CBCT in for the detecting periapical AP index lesions, (PAI) score. especially in teeth with symptomatic irreversible pulpitis.
23 Clinical considerations Perforation of the pulp chamber or not? Stepwise excavation Ca(OH) 2 [Dycal] and GI Or direct removal of all caries Cavities re-entered at 8-12 weeks Statistically superior success rate at 1 year stepwise excavation (74%) rather than complete removal (63%) Also fewer exposures
24 Is the type of exposure significant? Traumatic/iatrogenic Carious Clinical considerations 2 days no drop in success, up to 90 days some successful Cvek 1978 Prognostic factors? Pulpal state/symptomatology Bleeding Careful technique
25 What is reported outcome of vital pulp treatment in carious teeth? Barthel et al (Ca(OH) 2 5 years 37%, 10 years 13%) Witherspoon et al (average 19 months: MTA 79%, claimed 90%) Farsi et al (average 1 year: MTA 93.3%) Barrieshi-Nusair & Qudeimat 2006 (2 years: MTA 90%+) Bogen et al (up to 9 years: MTA 97%) Qudeimat et al (average 3 years: Ca(OH) 2 91%, MTA 93%) Mente et al (1-3 years: Ca(OH) 2 60%, MTA 78%) Bjorndal et al (>1 year: Ca(OH) %) Why so low? 1. Mild-moderate pain in pulp exposure group (not further defined) 2. Teeth included if bleeding arrested within 5 minutes 3. Only teeth in which caries excavation during stepwise or complete removal led to exposure
26 Patient-orientated outcome Will it last me a lifetime? How likely is this to work? How much will it cost? Will there be any further costs?
27 Recent literature in vital pulp treatment? Methods: Method: Clinical/radiographic teeth 95 (aged consecutive outcomes years) teeth with categorized of reversible signs 229 indicative teeth as pulpitis (mean normal/reversible of irreversible 42 and months). carious pulpitis Carious pulpitis and or and exposures carious irreversible mechanical pulpwere exposures. pulpitis randomly were divided treated processed into with2 histologically. groups full coronal pulpotomy. Results: Success rates 80.5% MTA and Results: 59% Conclusions: in the Normal/reversible CH Partial group. Full pulpotomy pulpitis in 96.6% young clinical patients using histological with MTA reversible resulted match, pulpitis, inwhile favourable 84.4% either irreversible Conclusions: using treatmentmta outcomes pulpitis The or results for Dycal, of upthis toresulted 2study years. All in indicate favourable successful that up treatment MTA to 73.6 provides months. outcomes better for longterm 2 years. results 1after MTA/ direct Classification 2 CH pulp lost capping all of others pulp up to Conclusions: conditions compared survived. Radiographically The with hasincidence CH. highard Placing chances of tissue a permanent unfavourable of guiding bridge the restoration outcome formed correct in tended 57% immediately therapy of cases. toin be the after higher large direct majority in pulp teeth of capping with cases. pulp is recommended. exposure areas larger than 5mm 2. (icc
28 Immediately restore, inform and review Pulp cap, partial or full pulpotomy?
29 Materials What materials are used? Calcium hydroxide Mineral Trioxide Aggregate (MTA) Resin-based-composite Ledermix Biodentine Experimental
30 How significant is the material? Randomised controlled human pulp capping trial comparing MTA and Ca(OH) 2 [Dycal]
31 MTA: 1 week
32 Dycal: 1 week
33 MTA: 3 months
34 Dycal: 3 months
35 Study conclusions MTA is clinically easier to use as a direct pulp capping agent and results in less pulpal inflammation and more predictable hard tissue barrier formation than Dycal. Therefore, MTA or equivalent products should be the material of choice for direct pulp capping procedures instead of hard setting calcium hydroxide products.
36 Smith et al. 2016
37 Nair et al. 2008
38 .the so formed hard tissue lacks the tubular features characteristic of genuine dentine. Rather, this process represents a repair process that produces calcified scar tissue by pulpal fibroblasts (Ricucci et al. 2014)
39 What are the limitations of current restorative treatments? Cox et al Nair et al. 2008
40 Current material limitations There were not any recently used endodontic materials that would not induce at least measurable colour changes. For a wide range of materials currently available on the market there is only scarce or no evidence available on their staining ability. (Krastl et al. 2012)
41 We as dentists have to aim to reduce intervention as much as possible To conclude Regenerative biological-based therapies are less invasive and should be a focus a future research in this area Current material choice should be based around calcium silicate cements, however, new targeted materials should be developed In order for regenerative dental solutions to translate to the high street they need to be cost-effective, practical and predictable These therapies will not improve patient experience, unless high quality laboratory and clinical research is completed
42 What are the potential solutions?
Dental materials and cements, and its use in children
Dental materials and cements, and its use in children Study objective Discuss the role and importance of cements in paediatric dentistry Calcium hydroxide This is a colourless crystal or white powder prepared
More informationPediatric endodontics. Diagnosis, Direct and Indirect pulp capping DR.SHANKAR
Pediatric endodontics Diagnosis, Direct and Indirect pulp capping DR.SHANKAR WHY TO PRESERVE PRIMARY TEETH? The preservation of the primary dentition until their normal anticipated exfoliation can be justified
More informationPulp biology update: Is regeneration possible or is it just pulp fiction?
Pulp biology update: Is regeneration possible or is it just pulp fiction? Hal Duncan, Division of Restorative Dentistry and Periodontology, Dublin Dental University Hospital, Trinity College Dublin, Ireland
More informationAssessment of Mineral Trioxide Aggregate pulpotomy in mature permanent teeth with carious exposures
doi:10.1111/iej.12605 Assessment of Mineral Trioxide Aggregate pulpotomy in mature permanent teeth with carious exposures N. A. Taha 1, M. B. Ahmad 1 & A. Ghanim 2 1 Department of Conservative Dentistry,
More informationPulpal Protection: bases, liners, sealers, caries control Module D: Pulp capping-caries control
Readings: Fundamentals of Operative Dentistry, 3 nd Edition; Summitt, et al Chapters 5, 6 and 8 Pulpal Protection: bases, liners, sealers, caries control Module D: Pulp capping-caries control REST 528A
More informationCLINICAL AND RADIOGRAPHIC EVALUATION OF DIRECT PULP CAPPING PROCEDURES PERFORMED BY POSTGRADUATE STUDENTS
CLINICAL AND RADIOGRAPHIC EVALUATION OF DIRECT PULP CAPPING PROCEDURES PERFORMED BY POSTGRADUATE STUDENTS Monica Monea Alexandru Sitaru Tudor Hantoiu Department of Odontology and Oral Pathology, Faculty
More informationPrimary Tooth Vital Pulp Therapy By: Aman Bhojani
Primary Tooth Vital Pulp Therapy By: Aman Bhojani Introduction The functions of primary teeth are: mastication and function, esthetics, speech development, and maintenance of arch space for permanent teeth.
More informationRemaining dentin thickness Shallow cavity depth Preparation 0.5 mm into dentin (ideal depth) Moderate cavity depth Remaining dentin over pulp of at le
Deep carious lesions management Remaining dentin thickness Shallow cavity depth Preparation 0.5 mm into dentin (ideal depth) Moderate cavity depth Remaining dentin over pulp of at least 1-2 mm Deep cavity
More informationNON-SURGICAL ENDODONTICS
NON-SURGICAL ENDODONTICS UnitedHealthcare Dental Coverage Guideline Guideline Number: DCG009.02 Effective Date: February 1, 2017 Table of Contents Page INSTRUCTIONS FOR USE...1 BENEFIT CONSIDERATIONS...1
More informationNON-SURGICAL ENDODONTICS
NON-SURGICAL ENDODONTICS UnitedHealthcare Dental Coverage Guideline Guideline Number: DCG009.03 Effective Date: January 1, 2018 Table of Contents Page INSTRUCTIONS FOR USE...1 BENEFIT CONSIDERATIONS...1
More informationMTA PULPOTOMY ASSOCIATED APEXOGENESIS OF HUMAN PERMANENT MOLAR WITH IRREVERSIBLE PULPITIS: A CASE REPORT
Case Report International Journal of Dental and Health Sciences Volume 02, Issue 05 MTA PULPOTOMY ASSOCIATED APEXOGENESIS OF HUMAN PERMANENT MOLAR WITH IRREVERSIBLE PULPITIS: A CASE REPORT Nabi Shahnaz
More informationPediatrics. Biodentine. Dentin Substitute
Pediatrics Biodentine Dentin Substitute Biodentine : Therapeutic care for your younger patients teeth (5) 1 2 Maintain pulp vitality Biodentine is bioactive and promotes the pulp s self healing capacity
More informationMineral trioxide aggregate pulpotomy for permanent molars with clinical signs indicative of irreversible pulpitis: a preliminary study
doi:10.1111/iej.12614 Mineral trioxide aggregate pulpotomy for permanent molars with clinical signs indicative of irreversible pulpitis: a preliminary study M. A. Qudeimat 1, A. Alyahya 1, A. A. Hasan
More informationGUIDELINES FOR THE MANAGEMENT OF TRAUMATISED INCISORS
GUIDELINES FOR THE MANAGEMENT OF TRAUMATISED INCISORS Dentists need to understand that the decision to remove or not reimplant an avulsed incisor must be made very carefully. The loss of such a tooth in
More informationOutcome of Direct Pulp Capping with Mineral Trioxide Aggregate (MTA) A Prospective Clinical Study
Outcome of Direct Pulp Capping with Mineral Trioxide Aggregate (MTA) A Prospective Clinical Study Miguel Marques Amsterdam, 2 nd April 2016 Direct Pulp Capping with Mineral Trioxide Aggregate Outline 1.
More informationENDODONTIC PAIN CONTROL. Dr. Ameer H. AL-Ameedee Ph.D in Operative and Esthetic Dentistry
ENDODONTIC PAIN CONTROL Dr. Ameer H. AL-Ameedee Ph.D in Operative and Esthetic Dentistry ENDODONTIC EMERGENCIES ARE CHALLENGE IN BOTH DIAGNOSIS AND MANAGEMENT -EVERY CASE IS A COMPLETE SEPARATE STORY Diagnostic
More informationVITAL PULP THERAPY USING PLATELET-RICH FIBRIN IN AN IMMATURE PERMANENT TOOTH : CASE REPORTS
ISSN (print) 1226-8496 J Korean Acad Pediatr Dent 40(2) 2013 http://dx.doi.org/10.5933/jkapd.2013.40.2.120 VITAL PULP THERAPY USING PLATELET-RICH FIBRIN IN AN IMMATURE PERMANENT TOOTH : CASE REPORTS Ka-Young
More informationRestorative Dentistry and it s related to Pulp health. Dr.Ahmed Al-Jobory
Restorative Dentistry and it s related to Pulp health Dr.Ahmed Al-Jobory Pulp Is a viscous connective tissue of collagen fibers and ground substance supporting the vital cellular, vascular, and nerve structures
More informationIndex. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Alginate, tooth-shaped, for constructs, encapsulated pulp cells in, 589 590 Antibiotic paste, triple, change in root length and width
More informationDental material for filling the root canals "AUREOSEAL M.T.A."
Dental material for filling the root canals "AUREOSEAL M.T.A." Highly biocompatible root canal cement without eugenol. 1. Composition: Powder: Mineral-trioxide-agregat (М.Т.А.) based on Portland cement,
More informationTreating the Soft Centre
Treating the Soft Centre Dr John M Sheahan MDSc (Melb) BDSc (Melb) FRACDS (PAED) FICD Grad Dip Health Admin (LaTrobe) AFCHSE Paediatric Dentist - Brighton, Victoria Treating the Soft Centre Pulp Therapy
More informationPrinciples of diagnosis in Endodontics. Pain History. Patient Assessment. Examination. Examination 11/07/2014
Principles of diagnosis in Endodontics Diagnosis, pulpitis, perio-endo. Treatment planning & case selection Patients assessment Special tests which help us diagnose pulpal disease How reliable are they?
More informationRole of Mineral Trioxide Aggregate (MTA) and Calcium Hydroxide in Conservative Dentistry as Pulp Capping Material: A Review
American Journal of Health Research 2017; 5(1): 1-6 http://www.sciencepublishinggroup.com/j/ajhr doi: 10.11648/j.ajhr.20170501.11 ISSN: 2330-8788 (Print); ISSN: 2330-8796 (Online) Review Article Role of
More informationPulp Vitality. in Pediatric Patients. Treating deep carious lesions in vital permanent teeth. 86 MAY 2017 // dentaltown.com. by Jarod Johnson, DDS
Pulp Vitality in Pediatric Patients Treating deep carious lesions in vital permanent teeth by Jarod Johnson, DDS Jarod Johnson, DDS, earned a bachelor s degree in biomedical engineering from the University
More informationA Comparative Study between Mineral Trioxide Aggregate and Calcium Hydroxide as Pulp Capping Agents in Dog s Teeth
A Comparative Study between Mineral Trioxide Aggregate and Calcium Hydroxide as Pulp Capping Agents in Dog s Teeth A. Eskandarizadeh*, M. Parirokh**, B. Eslami ***, S. Asgary****, M.J. Eghbal***** ABSTRACT
More informationEvidence-based decision-making in endodontics
Clin Dent Rev (2017) 1:6 https://doi.org/10.1007/s41894-017-0006-0 TREATMENT Evidence-based decision-making in endodontics Eyal Rosen 1 Igor Tsesis 1 Received: 15 June 2017 / Accepted: 9 July 2017 / Published
More informationCARIES STABILIZATION AND TEMPORARY RESTORATION
CARIES STABILIZATION AND TEMPORARY RESTORATION LEARNING OUTCOMES Justify the importance of caries stabilisation procedure in operative care. List and discuss the methods to stabilise caries ( include preventive
More informationComparison of Mineral Trioxide Aggregate and Calcium Hydroxide as pulpotomy agents in Primary Molars
Updat Dent. Coll.j 2013; 3(1):24-31 Original Article Comparison of Mineral Trioxide Aggregate and Calcium Hydroxide as pulpotomy agents in rimary Molars * Md. Farid Uddin a, Md. Shamsul Alam b, Ali Asgor
More informationCase Report Pulp Revascularization in Immature Permanent Tooth with Apical Periodontitis Using Mineral Trioxide Aggregate
Case Reports in Medicine, Article ID 564908, 5 pages http://dx.doi.org/10.1155/2014/564908 Case Report Pulp Revascularization in Immature Permanent Tooth with Apical Periodontitis Using Mineral Trioxide
More informationPermanent molar pulpotomy with a new endodontic cement: A case series
Case Report Permanent molar pulpotomy with a new endodontic cement: A case series Saeed Asgary, Sara Ehsani 1 Iranian Center for Endodontic Research, Dental Research Center, Dental School, 1 Dental Research
More informationHISTOLOGICAL EVALUATION OF INDIRECT PULP CAPPING PROCEDURES WITH CALCIUM HYDROXIDE AND MINERAL TRIOXIDE AGGREGATE
HISTOLOGICAL EVALUATION OF INDIRECT PULP CAPPING PROCEDURES WITH CALCIUM HYDROXIDE AND MINERAL TRIOXIDE AGGREGATE Monica Monea, Associate Prof. Adriana Monea, Lecturer DMD, PhD Department of Odontology
More informationEmergency Management of Trauma
Aims and Objectives Emergency Management of Trauma Susan Parekh/Paul Ashley Unit of Paediatric Dentistry Knowledge and understanding of the following: Epidemiology of traumatic injuries Classification
More informationDr Susan Hinckfuss BDSc DCD (Paed Dent) Twilight Lecture 17 March 2015
Dr Susan Hinckfuss BDSc DCD (Paed Dent) Twilight Lecture 17 March 2015 *Behaviour management and anxiety reduction *Considerations for managing pulpal involvement of the primary dentition *Establish communication
More informationMargherita Fontana, DDS, PhD
Chu et al., 2014 Margherita Fontana, DDS, PhD University of Michigan School of Dentistry Department of Cariology, Restorative Sciences and Endodontics mfontan@umich.edu Objectives Attendees will be able
More informationCurrent concepts in the management of dental trauma
Current concepts in the management of dental trauma S ALBADRI BDS, PHD, MFDS, MPAEDENT, FDS (PAED DENT),FHES READER /HONORARY CONSULTANT IN PAEDIATRIC DENTISTRY Introduction ØAround one in ten children
More informationThe Power of the Pulp
The Power of the Pulp Part 1 Dr Kishan Sheth recently graduated from KCL as a runner-up for the prestigious Jose Souyave Prize and will embark on his vocational training in Central London. He has become
More informationComparative Analysis Between Age and Endodontic Treatment of The Temporal Dentition
Quest Journals Journal of Medical and Dental Science Research Volume 4~ Issue 8 (2017) pp: 06-10 ISSN(Online) : 2394-076X ISSN (Print):2394-0751 www.questjournals.org Research Paper Comparative Analysis
More informationPulpal changes following trauma. When is it necessary to undertake RCT? Outline. Dentine-pulp complex
Pulpal changes following trauma. When is it necessary to undertake RCT? Dr Sara Firouzabadi BDSc (Hons) QLD 2003 and DCD (Endo) VIC 2009 sara@northwesternendodontics.com.au Courtesy of Dr Ennio Rebellato
More informationClinical UM Guideline
Clinical UM Guideline Subject: Endodontic Therapy Guideline #: 03-001 Current Effective Date: 03/24/2017 Status: New Last Review Date: 02/08/2017 Description This document addresses the procedure of endodontic
More informationTrauma to the Central Incisor: The Story So Far
Cronicon OPEN ACCESS EC DENTAL SCIENCE Review Article Trauma to the Central Incisor: The Story So Far Dania Siddik* Consultant Paediatric Dentist, Guy s & St Thomas NHS Foundation Trust, London, UK *Corresponding
More informationPractice Impact Questionnaire
Practice Impact Questionnaire Your practitioner identifier is: XXXXXXXX It is very important that ONLY YOU complete this questionnaire because your responses will be compared to responses that you provided
More informationOutcomes of Different Vital Pulp Therapy Techniques on Symptomatic Permanent Teeth: A Case Series
Outcomes of Different Vital Pulp Therapy Techniques on Symptomatic Permanent Teeth: A Case Series Saeed Asgary a, Mahta Fazlyab b, Sedigheh Sabbagh b*, Mohammad Jafar Eghbal b a Iranian Center for Endodontic
More informationEndodontics Cracked Tooth: How to manage it in daily practice
Calogero Bugea Endodontics Cracked Tooth: How to manage it in daily practice 5 Feb 2016 Tooth Fractures are not rare, surface cracks, or craze lines, are relatively common in teeth. In most of cases they
More informationThe traumatic injury of an immature permanent tooth can lead to the loss of pulp
Regenerative Treatment of an Immature, Traumatized Tooth With Apical Periodontitis: Report of a Case Elisabetta Cotti, DDS, MS, Manuela Mereu, DDS, and Daniela Lusso, DDS Abstract This case report describes
More informationErbium Chromium Laser in Pulp Capping Treatment
Erbium Chromium Laser in Pulp Capping Treatment Dr. Giovanni Olivi a, Dr. Maria Daniela Genovese a a Private Practice, Rome, Italy Purpose: Direct pulp capping represents the borderline between restorative
More informationDental materials and cements, and its use in children
Dental materials and cements, and its use in children Study objectives Discuss amalgam restorations Discuss resin restorations Describe the history and evolution of use of silicate cement Discuss the role
More informationCONTENTS. Endodontic therapy Permanent open apex teeth Intracanal Medication. A. Introduction I. Problems II. III. IV. B. Research C.
CONTENTS A. Introduction I. Problems II. III. IV. Endodontic therapy Permanent open apex teeth Intracanal Medication B. Research C. Conclusion INTRODUCTION A. Problems 1. In permanent teeth with open apex
More informationEUROPEAN SOCIETY OF ENDODONTOLOGY ANNUAL RESEARCH GRANT 2012
EUROPEAN SOCIETY OF ENDODONTOLOGY ANNUAL RESEARCH GRANT 2012 Every year the ESE offers the chance for researchers to apply for up to 20000 Euros to help fund a research project. Information about ESE Research
More informationFRACTURES AND LUXATIONS OF PERMANENT TEETH
FRACTURES AND LUXATIONS OF PERMANENT TEETH 1. Treatment guidelines and alveolar bone Followup Procedures INFRACTION Clinical findings Radiographic findings Treatment Follow-Up Favorable Outcome Unfavorable
More informationPeriapical status, quality of root canal fillings and estimated endodontic treatment needs in an urban German population
Endod Dent Traumatot 99; : 9 Printed in Denmark. Alt rigtits reserved Copyright Munksgaard 99 Endodontics & Dental Traumatology ISSN 0090 Periapical status, quality of root canal fillings and estimated
More informationA Comparison of Two Liner Materials for Use in the Ferric Sulfate Pulpotomy
A Comparison of Two Liner Materials for Use in the Ferric Sulfate Pulpotomy SADJ July 2008, Vol 63 no 6 p338 - p342 Dr. N Mohamed: BChD, BSc (Hons), MSc (Paediatric dentistry). Lecturer/ Snr Dentist, Department
More informationCHAPTER 3 - DEFINITION, SCOPE, AND INDICATIONS FOR ENDODONTIC THERAPY ARNALDO CASTELLUCCI
Contents Volume I CHAPTER 1 - A BRIEF HISTORY OF ENDODONTICS CHAPTER 2 - EMBRYOLOGY Crown formation Root formation Single- and multiple-root formation The formation of lateral canals Exposed dentin and
More informationPeriapical Healing After Direct Pulp Capping With Calcium-enriched Mixture Cement: A Case Report
Ó Operative Dentistry, 2012, 37-6, 571-575 Clinical Tech/Case Report Periapical Healing After Direct Pulp Capping With Calcium-enriched Mixture Cement: A Case Report S Asgary A Nosrat N Homayounfar Clinical
More informationProgression of the treatment of deep caries in deciduous teeth
55 1 2 1 1 1 1. 710032 2. 277000 R780. 1 A 1005-2593 2016 01-0055 - 05 DOI 10. 15956 /j. cnki. chin. j. conserv. dent. 2016. 01. 014 Progression of the treatment of deep caries in deciduous teeth ZHANG
More informationTHE EVALUATION OF FOREIGN DENTAL DEGREES FOR EQUIVALENCE WITH SOUTH AFRICAN DENTAL DEGREES
553 Madiba Street Arcadia, Pretoria PO Box 205 Pretoria, 0001 Tel: +27 (12) 338 9459 Email: nkululekon@hpcsa.co.za Website: www.hpcsa.co.za MEDICAL AND DENTAL PROFESSIONS BOARD FORM 176A- DP v4. THE EVALUATION
More informationMark Shallal-Ayzin. Chapel Hill 2017
A PROSPECTIVE ANALYSIS OF PERIOPERATIVE PAIN FOLLOWING VPT ON PERMANENT TEETH WITH MATURE APICES Mark Shallal-Ayzin A thesis submitted to the faculty at the University of North Carolina at Chapel Hill
More informationTwo Year Findings- Kalona Trial
Medical Management of Caries Using Silver Nitrate and Fluoride Varnish Two Year Findings- Kalona Trial Michael Kanellis, DDS, MS & Arwa Owais, BDS, MS The University of Iowa College of Dentistry Background
More informationCOMBINED PERIODONTAL-ENDODONTIC LESION. By Dr. P.K. Agrawal Sr. Prof and Head Dept. Of Periodontia Govt. Dental College, Jaipur
COMBINED PERIODONTAL-ENDODONTIC LESION By Dr. P.K. Agrawal Sr. Prof and Head Dept. Of Periodontia Govt. Dental College, Jaipur Differential diagnosis For differential diagnostic purposed the endo-perio
More informationKnowledge attitude and practice regarding obturation materials on primary teeth
ISSN: 2455-2631 March 217 IJSDR Volume 2, Issue 3 Knowledge attitude and practice regarding obturation materials on primary teeth 1 NandaKumar E, 2 Dr.Dhanraj. M ABSTRACT: 1 BDS 3rd year, 2 Professor and
More informationPulpal Protection: bases, liners, sealers, caries control Module A: Basic Concepts
Readings: Fundamentals of Operative Dentistry, 3 nd Edition; Summitt, et al Chapters 5, 6 and 8 Pulpal Protection: bases, liners, sealers, caries control Module A: Basic Concepts REST 528A Operative #3A
More informationJOURNAL OF BIOLOGICAL REGULATORS & HOMEOSTATIC AGENTS Vol. 30, no. 2 (S1), (2016)
JOURNAL OF BIOLOGICAL REGULATORS & HOMEOSTATIC AGENTS Vol. 30, no. 2 (S1), 189-197 (2016) A HISTOLOGIC ASSESSMENT OF A HYBENX ORAL TISSUE DECONTAMINANT IN VITAL PULP THERAPY IN DOGS M. D. ROHRER 1, H.S.
More informationInflammatory pulp conditions DR.AHMED IBRAHIM AL-JOBORY B.D.S. M.SC. CONSERVATIVE DEPARTMENT/ BAGHDAD UNIVERSITY
Inflammatory pulp conditions DR.AHMED IBRAHIM AL-JOBORY B.D.S. M.SC. CONSERVATIVE DEPARTMENT/ BAGHDAD UNIVERSITY Inflammation is the single most important disease process affecting the dental pulp. Pulpitis
More informationNon-Surgical management of Apical third root fracture with MTA: A Case report
International Journal Dental and Medical Sciences Research (IJDMSR) ISSN: 2393-073X Volume1, Issue 2 (Jul- 2017), PP 05-09 www.ijdmsr.com Non-Surgical management of Apical third root fracture with MTA:
More informationNestor Cohenca Professor Department of Endodontics Department of Pediatric Dentistry Diplomate, ABE
Clinical Application of High-Resolution CBCT in Endodontics Time to Change Strategy! Nestor Cohenca Professor Department of Endodontics Department of Pediatric Dentistry Diplomate, ABE cohenca@uw.edu Clinical
More informationLimited To Endodontics Newsletter. Limited To Endodontics A Practice Of Endodontic Specialists June Volume 4
Limited To Endodontics Newsletter LTE Limited To Endodontics A Practice Of Endodontic Specialists June 1 2011 Volume 4 Endodontic Treatment Utilizing 3D Imaging Recent advances in technology, such as rotary
More informationThe Endodontics Introduction. By: Thulficar Al-Khafaji BDS, MSC, PhD
The Endodontics Introduction By: Thulficar Al-Khafaji BDS, MSC, PhD Introduction Definition Endodontology form function health of the dental pulp and the periradicular tissues that surround the root(s)
More informationTreatment Options for the Compromised Tooth: A Decision Guide
Treatment Options for the Compromised Tooth: A Decision Guide www.aae.org/treatmentoptions ROOT AMPUTATION, HEMISECTION, BICUSPIDIZATION Case One Hemisection of the distal root of tooth #19. 13 mo. Recall
More informationElectronic Dental Records
Electronic Dental Records Dr. Douglas K Benn, Professor of Maxillofacial Radiology & Director of Oral Diagnostic Systems, University of Florida and Health Conundrums LLC 8/2/2008 Dr Benn, University of
More informationCOMPARISON OF PULPOTOMY USING FERRIC SULPHATE, GLUTARALDEHYDE AND MTA- A RANDOMISED CONTROLLED TRIAL
Original Article DOI: 10.21276/ijchmr.2017.3.1.17 COMPARISON OF PULPOTOMY USING FERRIC SULPHATE, GLUTARALDEHYDE AND MTA- A RANDOMISED CONTROLLED TRIAL Rushik Raval 1, Pooja Pandya 2, Navnitkumar K Thummar
More information1 24% 25 49% 50 74% 75 99% Every time or 100% 2. Do you assess caries risk for individual patients in any way? Yes
1. When you examine patients to determine if they have a primary caries lesion, on what percent of these patients do you use airdrying to help diagnose the lesion? Never or 0% (skip to question 3) 1 24%
More informationA Survey of Knowledge and Practice of Regenerative Endodontics Among Nigerian Dental Residents
International Journal of Sciences: Basic and Applied Research (IJSBAR) ISSN 2307-4531 (Print & Online) http://gssrr.org/index.php?journal=journalofbasicandapplied ------------------------------------------------------------------------------------------------------------------------------------------
More informationDEFENSE MECHANISM OF DENTINE AND PULP AGAINST INJURY
DEFENSE MECHANISM OF DENTINE AND PULP AGAINST INJURY DR.AHMED IBRAHIM AL-JOBORY B.D.S. M.SC. CONSERVATIVE DEPARTMENT/ BAGHDAD UNIVERSITY MEMBER OF IRAQI ENDODONTICS SOCIETY The reaction in dentine are
More informationManagement of Permanent Tooth Dental Trauma in Children and Young Adolescents
Management of Permanent Tooth Dental Trauma in Children and Young Adolescents Jessica Y. Lee DDS, MPH, PhD Chair and Distinguished Professor Department of Pediatric Dentistry University of North Carolina
More informationPulpal treatment in young permanent teeth CHALLENGES IN PULPAL TREATMENT OF YOUNG PERMANENT TEETH A REVIEW
Review CHALLENGES IN PULPAL TREATMENT OF YOUNG PERMANENT TEETH A REVIEW Anantharaj.A 1,Praveen.P 2, Karthik Venkataraghavan 3, Prathibha Rani.S 4, Sudhir.R 5,Murali Krishnan.B 6 1 Professor and Head, 2,3
More informationSECTION XVI. EssentialSmile Ped 111, ST, INN, Pediatric Dental SCHEDULE OF BENEFITS
SECTION XVI. EssentialSmile Ped 111, ST, INN, Pediatric Dental SCHEDULE OF BENEFITS COST-SHARING PEDIATRIC DENTAL CARE ESSENTIAL HEALTH BENEFIT Deductible One (1) Member under age 19 Two (2) or more Members
More informationA preliminary report on histological outcome of pulpotomy with endodontic biomaterials vs calcium hydroxide
Research article ISSN 3-7658 (print) / ISSN 3-7666 (online) http://dx.doi.org/.5395/rde.3.38..7 A preliminary report on histological outcome of pulpotomy with endodontic biomaterials vs calcium hydroxide
More informationWaveOne Gold reciprocating instruments: clinical application in the private practice: Part 2
C L I N I C A L WaveOne Gold reciprocating instruments: clinical application in the private practice: Part 2 Peet van der Vyver 1 and Martin Vorster 2 1 Department of Odontology, School of Dentistry, University
More informationTreatment Options for the Compromised Tooth
New Edition Treatment Options for the Compromised Tooth A Decision Guide American Association of Endodontists www.aae.org/treatmentoptions TREATMENT PLANNING CONSIDERATIONS The Treatment Options for the
More informationChronicles of Dental Research
CASE REPORT Pulp Revascularization of Non vital Immature Young Permanent Tooth: A case report. Vikrant Kumar 1, Chhaya Sharma 1, Romana Nisar 1, Sheeba Hassan 1, Pooja Tiwari 1 Abstract Traumatic injuries
More informationShort-Term Analysis of Human Dental Pulps After Direct Capping with Portland Cement
The Open Dentistry Journal, 009,, -5 Open Access Short-Term Analysis of Human Dental Pulps After Direct Capping with Portland Cement Antonio Vinicius Holanda Barbosa,*, Gerhilde Callou Sampaio, Fábio Almeida
More informationCONTROVERSIES IN ENDODONTICS
CONTROVERSY In light of the technical procedures often encountered in endodontic therapy, it is not surprising that research in endodontics has focused on the development of effective tools and materials
More informationClinical and Radiographic Evaluation of Four Different Pulpotomy Agents in Primary Molars: A Longitudinal Study
B Sunitha et al ORIGINAL ARTICLE 10.5005/jp-journals-10005-1443 Clinical and Radiographic Evaluation of Four Different Pulpotomy Agents in Primary Molars: A Longitudinal Study 1 B Sunitha, 2 Ravindar Puppala,
More informationMTA MIRACLE IN DENTISTRY Shikha Singh*,Rahul Maria**,AU Palekar***,Sweta Singh*.
MTA MIRACLE IN DENTISTRY Shikha Singh*,Rahul Maria**,AU Palekar***,Sweta Singh*. Abstract MTA, is a new material developed for endodontics that appears to be a significant improvement over other materials
More informationExamination of teeth and gingiva
Examination of teeth and gingiva Siriporn Chattipakorn, DDS, PhD. SUBJECTIVE HISTORY Chief complaint In patient s own words My tooth hurts when I chew hard foods I can t drink cold drink I have bad breath
More informationDENTAL TRAUMA IN DECIDUOUS TEETH
Disclaimer This movie is an educational resource only and should not be used to manage your health. All decisions about the management of Dental Trauma in Deciduous Teeth must be made in conjunction with
More informationThis information sheet lists the Cost of Treatment Regulations amounts ACC can pay for dentistry treatments.
All about Dentists costs Effective 01 December 2018 ACC Information sheet This information sheet lists the Cost of Treatment Regulations amounts ACC can pay for dentistry treatments. DE1 DE2 Dental consultation,
More informationSECTION XVI. EssentialSmile Ped 111, ST, INN, Pediatric Dental Schedule of Benefits
COST-SHARING SECTION XVI. EssentialSmile Ped 111, ST, INN, Pediatric Dental Schedule of Benefits Members can search for a Network Provider at www.solsticecare.com/provider-search.aspx Member Services:
More informationThe first and only dentine in a capsule
The first and only dentine in a capsule Wherever dentine is damaged, you can use Biodentine. Now, also complete the full restoration in one session. Biodentine is the fi rst material offering bioactivity
More informationThe healing touch of PRF-a case report
Case Report: The healing touch of PRF-a case report Prof. (Dr.) Utpal Kumar Das¹, Prof. (Dr.) Aditya Mitra 2, Dr. Nabanita Bose 3 ¹HOD, Department of Conservative Dentistry & Endodontics, Guru Nanak institute
More informationHere are some frequently asked questions about Endodontic treatment:
Here are some frequently asked questions about Endodontic treatment: What is an "Endodontist"? Endodontists are dentists who specialize in treating the soft inner tissue of your tooth's roots. After they
More informationIntensive care for the immature pulp Maintaining pulp vitality after a traumatic injury
Nine-year-old Josh is racing down a hill on his mountain bike. The bike hits a rock and Josh lands on the trail. His mouth is bloody. His front tooth feels funny. He gets up, dusts himself off and rides
More informationPROPAEDEUTICS OF CONSERVATIVE DENTISTRY
MEDICAL UNIVERSITY VARNA FACULTY OF DENTAL MEDICINE DEPARTMENT OF CONSERVATIVE DENTISTRY AND ORAL PATHOLOGY QUESTIONNAIRE OF PROPAEDEUTICS OF CONSERVATIVE DENTISTRY Academic year 2016/2017 Questions for
More informationPediatric Endodontics
Pediatric Endodontics Anna B. Fuks Benjamin Peretz Editors Pediatric Endodontics Current Concepts in Pulp Therapy for Primary and Young Permanent Teeth Editors Anna B. Fuks Department of Pediatric Dentistry
More informationComparison of Calcium Hydroxide and Bioactive Glass after Direct Pulp Capping in Primary Teeth
Original Article Comparison of Calcium Hydroxide and Bioactive Glass after Direct Pulp Capping in Primary Teeth R. Haghgoo 1, N. Jalayer Naderi 2 1 Assistant Professor, Department of Pediatric Dentistry,
More informationCaries of permanent teeth and consecutive illnesses. Dr. Katalin Déri
Caries of permanent teeth and consecutive illnesses Dr. Katalin Déri Relation between the caries of primary and permanent teeth Bad oral hygiene Improper nutrition Cariogenic milieu Contact caries Periapical
More informationClinical studies on ferric sulphate as a pulpotomy medicament in primary teeth
Clinical studies on ferric sulphate as a pulpotomy medicament in primary teeth L. PAPAGIANNOULIS ABSTRACT. Aim The purpose of this paper is to review three prospective and two retrospective studies that
More informationPost natal mesenchymal cells possibility to regenerate and repair dental structures.
Post natal mesenchymal cells possibility to regenerate and repair dental structures. Received: February 2014 Accepted: April 2014 Martha Siragusa. msiragus@arnet.com.ar DDS, PhD. Endodontics Departments
More informationDental Wellness Plan February 2015
Dental Wellness Plan February 2015 DWP Program Tenets Take a population health management approach to improve the overall oral health of Members by designing care plans to meet specific needs of each member.
More informationFormocresol (FC) pulpotomy and zinc-oxide eugenol. Outcomes of Vital Primary Incisor Ferric Sulfate Pulpotomy and Root Canal Therapy
A P P L I E D R E S E A R C H Outcomes of Vital Primary Incisor Ferric Sulfate Pulpotomy and Root Canal Therapy Michael J. Casas, DDS, MSc, FRCD(C) David J. Kenny, BSc, DDS, PhD, FRCD(C) Douglas H. Johnston,
More information