Vol. 8, Issue 3, Part D (2022)
Pulp vital therapy as an alternative to endodontic treatment: A review of the literature
Author(s):
Heriberto Cardenas Dominguez, Fanny Lopez Martinez, Idalia Rodriguez Delgado, Luis Martin Vargas Zuñiga, Juan Manuel Luna Gomez, David Rafael Cortes Carrillo, Celia Elena del Perpetuo Socorro Mendiburu Zavala and Juan Manuel Solis Soto
Abstract:
Introduction: Preservation of pulp tissue can extend the long-term survival of teeth through relatively simple restorative procedures.
Objective: To analyze the literature on the success of indirect pulp capping in primary and permanent teeth, as well as direct pulp capping and partial and complete pulpotomy in mature and immature teeth.
Methodology: An electronic search was performed during January 2022 in the PubMed, SCOPUS and Google Scholar databases, using Boolean logical operators AND, OR and NOT. Human or in vitro comparative studies were included and evaluated, the keywords used were: "vital pulp therapy", "direct pulp capping", "indirect pulp capping", "primary teeth", "partial pulpotomy", "permanent", "mature" and "immature".
Results: An indirect pulp capping (IPC) will depend mainly on the size of the lesion and its time of evolution, TheraCal and Biodentine can be considered as the material of choice. A direct pulp capping (DPC) has a success rate between 80% to 90% and the materials used do not differ much from each other. Partial pulpotomy has a success rate between 85% and 95% and the most used material is MTA. Complete pulpotomy has a success ranging from 85% to 93%, with MTA and Biodentine being the most used materials.
Conclusions: IPC, as well as partial and complete pulpotomy, have high success rates both above 85%. The material of choice will be TheraCal for IPC, and MTA and Biodentine for partial and complete pulpotomy.
Pages: 325-330 | 1187 Views 650 Downloads
How to cite this article:
Heriberto Cardenas Dominguez, Fanny Lopez Martinez, Idalia Rodriguez Delgado, Luis Martin Vargas Zuñiga, Juan Manuel Luna Gomez, David Rafael Cortes Carrillo, Celia Elena del Perpetuo Socorro Mendiburu Zavala and Juan Manuel Solis Soto. Pulp vital therapy as an alternative to endodontic treatment: A review of the literature. Int. J. Appl. Dent. Sci. 2022;8(3):325-330. DOI: 10.22271/oral.2022.v8.i3d.1607