scholarly journals Disclosing the physiology of pulp tissue for vital pulp therapy

2018 ◽  
Vol 51 (8) ◽  
pp. 829-846 ◽  
Author(s):  
W. L. O. da Rosa ◽  
E. Piva ◽  
A. F. da Silva
Keyword(s):  
Pulp Tissue ◽  
Pulp Therapy ◽  
Vital Pulp Therapy

scholarly journals Coronectomy of a lower third molar in combination with vital pulp therapy

2014 ◽  
Vol 08 (03) ◽  
pp. 416-418 ◽  
Author(s):  
Young-Bin Kim ◽  
Woo-Hee Joo ◽  
Kyung-San Min
Keyword(s):  
Case Report ◽  
Dental Materials ◽  
Inferior Alveolar Nerve ◽  
Third Molar ◽  
Mineral Trioxide Aggregate ◽  
Pulp Tissue ◽  
Pulp Therapy ◽  
Tertiary Dentin ◽  
Vital Pulp Therapy

ABSTRACTCoronectomy is a procedure that intentionally spares the vital root after removal of the crown of the lower third molar to avoid damage to the inferior alveolar nerve. Vital pulp therapy is one option for managing exposed pulp tissue to reduce the risk of pulpal inflammation or necrosis. Among various dental materials, mineral trioxide aggregate (MTA) has been successfully used for vital pulp therapy. Thus, this case report discusses a coronectomy procedure in combination with vital pulp therapy using MTA. This case also attempts to highlight the formation of tertiary dentin, evidence of successful vital pulp therapy.

scholarly journals Acemannan Used as an Implantable Biomaterial for Vital Pulp Therapy of Immature Permanent Teeth Induced Continued Root Formation

Pharmaceutics ◽  
2020 ◽  
Vol 12 (7) ◽  
pp. 644
Author(s):  
Tien Thuy Vu ◽  
Minh Truong Nguyen ◽  
Polkit Sangvanich ◽  
Quang Ngoc Nguyen ◽  
Pasutha Thunyakitpisal
Keyword(s):  
Root Formation ◽  
Treatment Success ◽  
Permanent Teeth ◽  
Pulp Tissue ◽  
Pulp Therapy ◽  
Exposure Site ◽  
Vital Pulp Therapy ◽  
Significant Difference ◽  
Pulp Exposure

Direct pulp-capping, a vital pulp therapy, is used to protect and preserve pulp vitality by applying a biomaterial on the pulp exposure site. Acemannan, a polysaccharide extracted from Aloe vera, induces osteodentin-bridge formation to cover the exposure site in vivo. We evaluated the effect of acemannan sponges on partial pulpotomized permanent teeth with caries or accident-induced pulp exposure (n = 50). After removing infected dentin and inflamed pulp tissue, the teeth were randomly divided into acemannan or control (mineral trioxide aggregate (MTA) groups (n = 25). The teeth were examined immediately after treatment (baseline) and at 6- and 12-month follow-ups for clinical and cone beam computed tomography (CBCT) examination. The three-dimensional tooth length and root apex area were simulated to determine treatment success. We found that the overall success rate in the acemannan and MTA groups from baseline to 12-month follow-up was 90.91% and 95.65%, respectively, with no significant difference between the two groups (p > 0.05). In the success teeth in both groups, the root length increased, and the apex area significantly decreased (p < 0.05), indicating continued root formation. Our results suggest that acemannan is a promising low-cost biomaterial for partial pulpotomy treatment for immature permanent teeth requiring vital pulp therapy.

scholarly journals Biodentine Total Pulpotomy as an Effective Alternative to Conventional Endodontic Therapy for Young Permanent Teeth – A Study from Calicut, India

2021 ◽  
Vol 10 (21) ◽  
pp. 1593-1597
Author(s):  
Amith Adyanthaya ◽  
Prathyusha P ◽  
Risana K ◽  
Aparna Sivaraman ◽  
Nazreen Ayub K ◽  
...  
Keyword(s):  
Treatment Options ◽  
Clinical Signs ◽  
Effective Alternative ◽  
Permanent Teeth ◽  
Pulp Tissue ◽  
Term Survival ◽  
Pulp Therapy ◽  
Vital Pulp Therapy ◽  
Permanent Molars

BACKGROUND The vitality of dental pulp is essential for long-term survival of the tooth. Vital pulp therapy (VPT) intends to maintain healthy pulp tissue by eliminating bacteria from the dentin-pulp complex. There are many treatment options for vital pulp therapy in extensively decayed teeth. Pulp capping or pulpotomy procedures rely upon an accurate assessment of the pulp status, and careful management of the remaining pulp tissue. We wanted to evaluate as to whether biodentine total pulpotomy is an effective alternative to conventional endodontic therapy for young permanent teeth. METHODS Full coronal pulpotomy was performed in young permanent molars diagnosed with acute irreversible pulpitis with Biodentine as the pulpotomy medicament. Follow up evaluation was done clinically and radiographically at 3, 6 and 12 months. RESULTS During follow-up periods clinical signs/symptoms were absent including pulpal pain, swelling or presence of sinus and percussion pain. Continuous root development and healing of periapical radiolucency were noticed in the study which were indicative of maintenance of vitality of the pulp. CONCLUSIONS Within the limitations of this clinical study, it is concluded that total pulpotomy with Biodentine has a promising scope in regenerative approaches in the treatment of carious young permanent teeth. KEY WORDS Biodentine, Coronal Pulpotomy, Permanent Teeth, Total Pulpotomy

scholarly journals LECZENIE BIOLOGICZNE MIAZGI ZĘBÓW STAŁYCH

2016 ◽  
Vol 60 (2) ◽  
Author(s):  
Piotr Makowiecki ◽  
Matylda Trusewicz ◽  
Łukasz Tyszler ◽  
Jadwiga Buczkowska-Radlińska
Keyword(s):  
Treatment Option ◽  
Dental Pulp ◽  
Permanent Teeth ◽  
Accurate Assessment ◽  
Tissue Destruction ◽  
Pulp Tissue ◽  
Pulp Therapy ◽  
Vital Pulp Therapy ◽  
Tooth Survival ◽  
Tooth Tissue

The vitality of dental pulp is essential for long­‍‑term tooth survival. The aim of vital pulp therapy is to preserve vital, healthy pulp tissue. This therapy’s foundation is the elimination of bacteria from the dentin­‍‑pulp complex. The treatment option depends on the cause and extent of mineralised tooth tissue destruction. The outcome of such treatment is determined by accurate assessment of the pulp’s status and the dentist’s ability to predict the success of the therapy. The aim of this review is to facilitate the dentist in making a proper decision referring to vital pulp therapy in permanent teeth, and to provide an overview of new approaches in such treatment.

scholarly journals Vital Pulp Therapy in Aesthetic Zone-Identifying the Biomaterial That Reduces the Risk of Tooth Discolouration

Materials ◽  
2021 ◽  
Vol 14 (20) ◽  
pp. 6026
Author(s):  
Joanna Metlerska ◽  
Irini Fagogeni ◽  
Marcin Metlerski ◽  
Alicja Nowicka
Keyword(s):  
Calcium Silicate ◽  
Colour Change ◽  
Clinical Results ◽  
Negative Control ◽  
Pulp Tissue ◽  
Pulp Therapy ◽  
Anterior Teeth ◽  
Vital Pulp Therapy ◽  
Significance Levels ◽  
The Aesthetic

Calcium silicate-based cements are biocompatible materials for vital pulp therapy. However, they discolour the tooth tissue, which is important for the aesthetics of the anterior teeth. The aim of this study was to investigate the effect of calcium silicate-based cements on tooth discolouration. The study included 70 extracted bovine incisors. The crown of the tooth was cut off from the root, 2 mm below the cement–enamel junction. The pulp tissue was removed via a cervical cut with a barbed broach. The teeth were randomly divided into five experimental, one positive, and one negative control groups. The evaluated materials included Biodentine, Ortho MTA, Retro MTA, MTA Plus, MTA Repair HP, and in the positive group, ProRoot MTA. A VITA Easyshade Compact 5.0 spectrophotometer was used before the application, after 1 week, 1 month, 3 months, and 6 months. The significance levels were set at p < 0.05. All materials significantly changed the teeth colour (p < 0.05). However, Ortho MTA, ProRoot MTA, MTA Plus, and Biodentine (ΔE > 6) caused maximum colour change after 6 months. While the ProRoot MTA, Ortho MTA, and MTA Plus caused grey discolouration, Biodentine darkened the shade of the base colour. Thus, Retro MTA and MTA Repair HP can be safely used in the aesthetic dentition zone. According to these clinical results, the possibility of using Biodentine, due to its lack of gray discoloration, can be considered.

scholarly journals Vital Pulp Therapy—Current Progress of Dental Pulp Regeneration and Revascularization

2010 ◽  
Vol 2010 ◽  
pp. 1-9 ◽  
Author(s):  
Weibo Zhang ◽  
Pamela C. Yelick
Keyword(s):  
Stem Cells ◽  
Dental Pulp ◽  
The Body ◽  
Void Space ◽  
Synthetic Material ◽  
Pulp Tissue ◽  
Pulp Regeneration ◽  
Pulp Therapy ◽  
Vital Pulp Therapy ◽  
Review Current

Pulp vitality is extremely important for the tooth viability, since it provides nutrition and acts as biosensor to detect pathogenic stimuli. In the dental clinic, most dental pulp infections are irreversible due to its anatomical position and organization. It is difficult for the body to eliminate the infection, which subsequently persists and worsens. The widely used strategy currently in the clinic is to partly or fully remove the contaminated pulp tissue, and fill and seal the void space with synthetic material. Over time, the pulpless tooth, now lacking proper blood supply and nervous system, becomes more vulnerable to injury. Recently, potential for successful pulp regeneration and revascularization therapies is increasing due to accumulated knowledge of stem cells, especially dental pulp stem cells. This paper will review current progress and feasible strategies for dental pulp regeneration and revascularization.

scholarly journals Pulp repair response after the use of a dentin-pulp biostimulation membrane (BBio) in primary teeth: study protocol for a randomized clinical trial

Trials ◽  
2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Maria Aparecida Andrade Moreira Machado ◽  
Tássia Carina Stafuzza ◽  
Luciana Lourenço Ribeiro Vitor ◽  
Silgia Aparecida da Costa ◽  
Sirlene Maria da Costa ◽  
...  
Keyword(s):  
Study Protocol ◽  
Primary Teeth ◽  
Current Trend ◽  
Control Group ◽  
Pulp Tissue ◽  
Pulp Therapy ◽  
Radiographic Outcomes ◽  
Radiographic Measurements ◽  
Vital Pulp Therapy ◽  
Pulp Repair

Abstract Background Vital pulp therapy aims at maintaining the pulp tissue injured but vital. Thus, the use of capping materials that induce tissue regeneration is a great current trend. This study aims to evaluate clinically and radiographically the pulp repair after the use of dentin-pulp biostimulation membrane in primary teeth. Methods Four hundred and sixty-eight teeth from children aged between 5 and 9 years old, both genders, with deep caries lesion with pulp involvement, but no furcal impairment and any sign of necrosis will be selected. The vital pulp therapy will be performed with mineral trioxide aggregate (control group) and dentin-pulp biostimulation chitosan membrane (BBio group). The clinical and radiographic outcomes will be assessed at 12 and 24 months after treatment. The thickness of the dentin barrier will be verified through Image J2 software. The Wilcoxon signed rank test and Mann-Whitney test will respectively compare the intra- and intergroup clinical and radiographic outcomes. Paired t test and independent t test will respectively compare the intra- and intergroup radiographic measurements. The logistic regression will be applied, and the degrees of this association will be measured using odds ratio (OR) and 95% confidence interval (95% CI). Discussion Therefore, this study protocol aims at new perspectives of vital pulp therapy of primary teeth by employing new easy-handling, low-cost material to keep viable the pulp tissue capable of regenerating and maintain the physiological process of deciduous tooth exfoliation. Trial registration Brazilian Registry of Clinical Trials RBR-6vr58b. Registered on 17 February 2019.

scholarly journals Vital Pulp Therapy in Permanent Mature Posterior Teeth with Symptomatic Irreversible Pulpitis: A Systematic Review of Treatment Outcomes

Medicina ◽  
2021 ◽  
Vol 57 (6) ◽  
pp. 573
Author(s):  
João Miguel Santos ◽  
Joana F. Pereira ◽  
Andréa Marques ◽  
Diana B. Sequeira ◽  
Shimon Friedman
Keyword(s):  
Systematic Review ◽  
Root Canal ◽  
Small Sample ◽  
Risk Of Bias ◽  
Root Canal Treatment ◽  
Cochrane Library ◽  
Posterior Teeth ◽  
Pulp Therapy ◽  
Vital Pulp Therapy ◽  
Irreversible Pulpitis

Background and Objectives: Symptomatic irreversible pulpitis in permanent mature teeth is a common indication for nonsurgical root canal treatment (NSRCT), but contemporary studies have reported on vital pulp therapy (VPT) applied in such teeth as a less invasive treatment. This systematic review assessed the outcomes of VPT, including partial and full pulpotomy performed with hydraulic calcium silicate cements (HCSCs) in permanent mature posterior teeth diagnosed with symptomatic irreversible pulpitis. Materials and Methods: The PRISMA guidelines were followed. The search strategy included PubMed®, EMBASE, Cochrane library and grey literature electronic databases. The quality assessment of the identified studies followed the Cochrane Collaboration Risk of Bias, ROBINS-I and Newcastle–Ottawa Scale tools. Results: The search of primary databases identified 142 articles, of which 9 randomized controlled trials and 3 prospective cohort studies were selected for review. The risk-of-bias was assessed as ‘high’ or ‘serious’, ‘fair’, and ‘low’ for three, seven and two articles, respectively. One to five years after VPT using HCSCs, the success rates mostly ranged from 78 to 90%. Based on two articles, the outcomes of the VPT and NSRCT were comparable at one and five years. Despite the necessity for the intra-operative pulp assessment in VPT procedures, the majority of the studies did not fully report on this step or on the time needed to achieve hemostasis. Small sample sizes, of under 23 teeth, were reported in three studies. Conclusions: The reviewed 12 articles reported favorable outcomes of the VPT performed with HCSCs in permanent mature posterior teeth with symptomatic irreversible pulpitis, with radiographic success in the range of 81 to 90%. Two articles suggested comparable outcomes of the VPT and root canal treatment. Universal case selection and outcome criteria needs to be established for VPT when considered as an alternative to NSRCT. This evidence supports the need for further research comparing longer-term outcomes of both of the treatment modalities.

Vital Pulp Therapy Current Trends and Future Perspectives

2021 ◽  
Author(s):  
Iris Slutzky-Goldberg
Keyword(s):  
Root Development ◽  
Future Perspectives ◽  
Direct Pulp Capping ◽  
Pulp Capping ◽  
Pulp Therapy ◽  
Immature Teeth ◽  
Current Trends ◽  
Vital Pulp Therapy ◽  
Irreversible Pulpitis

Vital pulp therapy (VPT), including direct pulp capping, partial and cervical Pulpotomy, was suggested for the treatment of young teeth, with reversible or irreversible pulpitis [1]. Maintaining the vitality of immature teeth enables continued root development, maturogenesis, and a better prognosis

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