pulpotomy definition aapd

pulpotomy definition aapd

Vargas KG, Packham B. Radiographic success of ferric sulfate and formocresol pulpotomies in relation to early exfoliation. In: Andreasen JO, Andreasen FM, Andersson L, eds. Long-term outcomes of primary molar ferric sulfate pulpotomy and root canal therapy. J Am Dent Assoc 2006;137(9):610-8. Better outcomes in pulpotomies on primary molars with MTA. Ng FK, Messer LB. Calcium hydroxide vs mineral trioxide aggregates for partial pulpotomy of permanent molars with deep caries. Home > 0000017047 00000 n Indications: A pulpectomy is indicated in a primary tooth with irreversible pulpitis or necrosis or a tooth treatment planned for pulpotomy in which the radicular pulp exhibits clinical signs of irreversible pulpitis (e.g., excessive hemorrhage that is not controlled with a damp cotton pellet applied for several minutes) or pulp necrosis (e.g., suppuration, purulence). Leksell E, Ridell K, Cvek M, Mejàre I. The vitality of the tooth should be preserved. Thompson V, Craig RG, Curro FA, Green WS, Ship JA. 0000011929 00000 n No post-treatment signs or symptoms such as sensitivity, pain, or swelling should be evident. Pediatr Dent 2008;30(1):34-41. J Dent Res 2005;84(12):1144-8. Loh A, O’Hoy P, Tran X, et al. The tooth’s vitality should be preserved. J Endod 1996;22(10):551-6. ASDC J Dent Child 1997;64(5):327-33. Pediatr Dent 2001;23(3):331-6. Oen KT, Thompson VP, Vena D, et al. J Am Dent Assoc 2001;132(4):482-91. Pereira JC, Stanley HR. J Am Dent Assoc 2008;139(6):705-12. St. Louis, Mo. Ferris DM, Baumgartner JC. Partial pulpotomy for traumatic exposures (Cvek pulpotomy). Current concepts in vital pulp therapy. a objective extraoral examination as well as examination of the intraoral soft and hard tissues. Ibricevic H, Al-Jame Q. Ferric sulphate and formocresol in pulpotomy of primary molars: Long term follow-up study. Peng L, Ye L, Tan H, Zhou X. Placement of a thin protective liner such as calcium hydroxide, dentin bonding agent, or glass ionomer cement is at the discretion of the clinician.13,14. Fuks AB. Pulp therapy for the primary dentition. Pediatr Dent 2004;26(4):302-9. J Am Dent Assoc 2008;139(3):305-15. 0000007942 00000 n A pulpotomy is performed in a primary tooth when caries removal results in a pulp exposure in a tooth with a normal pulp or reversible pulpitis or after a traumatic pulp exposure12 and there is no radiographic sign of infection or pathologic resorption. McDonald and Avery’s Dentistry for the Child and Adolescent. There should be no radiographic evidence of external root resorption, lateral root pathosis, root fracture, or breakdown of periradicular supporting tissues during or following therapy. Endod Dent Traumatol 1996;12(4):192-6. Glossary of Endodontic Terms. Objectives: The placement of a liner in a deep area of the preparation is utilized to preserve the tooth’s vitality, promote pulp tissue healing and tertiary dentin formation, and minimize bacterial microleakage. 65-67. 0000002549 00000 n Pinto AS, de Araújo FB, Franzon R, et al. J Dent Res 2013;92(4):306-14. Davidovich E, Weiss E, Fuks AB, Beyth N. Surface antibacterial properties of glass ionomer cements used in a traumatic restorative treatment. 1 The American Academy of Pediatric Dentistry (AAPD) encourages healthcare providers and caregivers to implement preventive practices that can decrease a child’s risks of developing this disease. Mehdipour O, Kleier DJ, Averbach RE. When a small exposure of the pulp is encountered during cavity preparation and after hemorrhage control is obtained, the exposed pulp is capped with a material such as calcium hydroxide88-92 or MTA92 prior to placing a restoration that seals the tooth from microleakage.17,18. 5th ed. 0000014043 00000 n Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;104(1):122-30. Teeth with immature roots should show continued root development and apexogenesis. Definition of pulpotomy Surgical excision of a vital tooth pulp. Gutta percha is used to fill the remaining canal space. 54 Pulpotomy techniques using formocresol on primary teeth have been a standard in pediatric dentistry for decades. 0000002062 00000 n Vij R, Coll JA, Shelton P, Farooq NS. 0000001885 00000 n In simplified terms, a pulpotomy is a baby root canal. 54 Pulpotomy techniques using formocresol on primary teeth have been a standard in pediatric dentistry for decades. The tooth must be vital, with a diagnosis of normal pulp or reversible pulpitis. 0000040144 00000 n Pediatr Dent 2005;27(1):24-7. Bacterial microleakage and pulp inflammation associated with various restorative materials. 9th ed. Wisithphrom K, Murray PE, About I, Windsor LJ. Quintessence Int 1999;30(9):591-9. Am J Dent 2005;18(6):347-50. Strange DM, Seale NS, Nunn ME, Strange M. Outcome of formocresol/ZOE sub-base pulpotomies utilizing alternative radiographic success criteria. Pulpotomy. 0000001196 00000 n J Endod 1998;24(4):256-9. The most common recommendation for the interval between steps is three to six months, allowing sufficient time for the formation of tertiary dentin and a definitive pulpal diagnosis. This image also would serve as a comparative baseline for future films (the type and frequency of which are at the clinician’s discretion). The pulp capping procedure in primary teeth “revisited”. The root canals are debrided and shaped with hand or rotary files.21  Since instrumentation and irrigation with an inert solution alone cannot adequately reduce the microbial population in a root canal system, disinfection with irrigants such as one percent sodium hypochlorite and/or chlorhexidine is an important step in assuring optimal bacterial decontamination of the canals.70-72  Because it is a potent tissue irritant, sodium hypochlorite must not be extruded beyond the apex.73  After the canals are dried, a resorbable material such as nonreinforced zinc/oxide eugenol,5,74 iodoform-based paste (KRI),75 or a combination paste of iodoform and calcium hydroxide (Vitapex®, Endoflax®) 76-78 is used to fill the canals. Pulp healing and reparative dentin formation should occur. Long-term evaluation of pulpotomy in primary molars using mineral trioxide aggregate or formocresol. Patients in this group will receive a pulpotomy. Pediatr Dent 2008;30(3):261-7. Effectiveness of 4 pulpotomy techniques – Randomized controlled trial. Fuks AB, Gavra S, Chosack A. Success of mineral trioxide aggregate in pulpotomized primary molars. The coronal pulp is amputated, and the remaining vital radicular pulp tissue surface is … If the canal walls are thin, the canal space can be filled with MTA or composite resin instead of gutta percha to strengthen the tooth against fracture.109, 211 East Chicago Avenue, Suite 1600Chicago, IL 60611(312) 337-2169. Direct pulp capping with mineral trioxide aggregate: An observational study. The two versions have been shown to have similar properties.104,105  While calcium hydroxide has been demonstrated to have long-term success, MTA results in more predictable dentin bridging and pulp health.98  MTA (at least 1.5 mm thick) should cover the exposure and surrounding dentin, followed by a layer of light-cured resin-modified glass ionomer.103  A restoration that seals the tooth from microleakage is placed. Am J Dent 2006;19(6):382-6. Dent Mater 2002;18(6):470-8. Community Dent Oral Epidemiol 1998;26(2):122-8. Pediatr Dent 2006;28(5):399-404. Indirect pulp treatment. J Oral Implantol 2002;28(5):220-5. The AAPD Safety Committee is proud to offer its new guide for re-entry into practice uniquely designed for pediatric dentists. Chicago, Ill: American Association of Endodontists; 2013. Schwendicke F, Dorfer C, Paris S. Incomplete caries removal: A systemic review and meta-analysis. Inhibitory activity of glass-ionomer cements on cariogenic bacteria. Pulp healing and reparative dentin formation should result. 353-361. Teeth with immature roots should show continued root development and apexogenesis. J Biomed Mater Res B Appl Biomater 2007;81(1):175-84. New endodontic procedures using mineral trioxide aggregate (MTA) for teeth with traumatic injuries. Community Dent Oral Epidemiol 2007;35(5):387-92. de Souza EM, Cefaly DF, Terada RS, Rodrigues CC, de Lima Navarro MF. Caries control and other variables associated with success of primary molar vital pulp therapy. Ercan E, Ozekinci T, Atakul F, Gül K. Antibacterial activity of 2% chlorhexidine gluconate and 5.25% sodium hypochlorite in infected root canal: in vivo study. Mineral trioxide aggregate pulpotomies: A series outcomes assessment. Comparison of electrical and formocresol pulpotomy procedures in children. This is the reason why pulp therapy in dentistry, particularly the pulpotomy procedure in pediatric dentistry, has remained a controversial issue. Comparison of mineral trioxide aggregate and calcium hydroxide as pulpotomy agents in young permanent teeth (apexogenesis). † A caries lesion is a detectable change in the tooth structure that results from the biofilm-tooth interactions occurring due to the disease caries. Bjørndal L, Larsen T, Thylstrup A. Quintessence Int 2001;32(9):717-36. Therefore, pulp preservation is a primary goal for treatment of the young permanent dentition. ���2���WZ�NJput闦��0&%$�5����j�||�i�]�*����+ f�QlLOL����4�R�j��nՌ�0i����a���Yf0%%���4�f�&]�f��l6����E��NS^4�KQ�(*����T(CE2�TYO%P_�*ڛN�[�(�D���@�دd�A�T�e#��D1G���l���hc/�����a� = ���(��@[�:Uu�hsq�Q�0G�Of�\Mh)��1�]��o�����;�������C�U E6���@M�t���ᖚ#F�O�A(녝��}PB00 Clinical evaluation of the ART technique using high density and resin-modified glass ionomercements. Pediatr Dent 2012;34(5):120-8. There should be no radiographic signs of internal or external resorption, abnormal canal calcification, or periapical radiolucency post-operatively. Maroto M, Barbería E, Vera V, García-Godoy F. Mineral trioxide aggregate as pulp dressing agent in pulptomy treatment of primary molars: 42-month clinical study. Pulpitis is the inflammation of the pulp and its main cause is untreated cavities (tooth decay). The only time the AAPD recommends a direct pulp cap on a primary tooth is when the pulp is exposed due to mechanical trauma. A therapeutic pulpotomy is a restorative procedure often performed on a primary tooth to arrest decay progressing near, or to, the tooth's pulp (nerve). 0000007129 00000 n Ames, Iowa: Blackwell Munksgaard; 2007:598-657. This revision included a new systematic literature search of the PubMed®/MEDLINE database using the terms: pulpotomy, pulpectomy, indirect pulp treatment, stepwise excavation, pulp therapy, pulp capping, pulp exposure, bases, liners, calcium hydroxide, formocresol, ferric sulfate, glass ionomer, mineral trioxide aggregate (MTA), bacterial microleakage under restorations, dentin bonding agents, resin modified glass ionomers, and endodontic irrigants; fields: all. Effect of improved Dycal and IRM on bacteria in deep carious lesions. Pediatr Dent 2002;24(3):212-6. Int J Periodontics Restorative Dent 1993;13(4):378-83. Blanco L, Cohen S. Treatment of crown fractures with exposed pulps. Radiographic assessment of primary molar pulpotomies restored with resin-based materials. Oliveira EF, Carminatti G, Fontanella V, Maltz M. The monitoring of deep caries lesions after incomplete dentin caries removal: Results after 14-18 months. J Endod 2000;26(9):525-8. clinical tests such as palpation, percussion, and mobility. Objectives: This procedure should induce root end closure (apexification) at the apices of immature roots or result in an apical barrier as confirmed by clinical and radiographic evaluation. This tooth sensitivity is usually the first sign that your child may have caries.1 Your doctor will recommend that your child undergo a pulpotomy if, upon dental examination, it is discovered that your child has caries (tooth … a review of past and present dental history and treatment, including current symptoms and chief complaint. J Clin Pediatr Dent 2006;30(3):203-10. Especially in young permanent teeth with immature roots, the pulp is integral to continue apexogenesis. Murray PE, About I, Franquin JC, Remusat M, Smith AJ. Indirect pulp treatment is a procedure performed in a tooth with a deep carious lesion approximating the pulp but without signs or symptoms of pulp degeneration.1  The caries surrounding the pulp is left in place to avoid pulp exposure and is covered with a biocompatible material.19  A radiopaque liner such as a dentin bonding agent,20 resin modified glass ionomer,21,22 calcium hydroxide,23,24 zinc oxide/eugenol,24 or glass ionomer cement7,9,25-27 is placed over the remaining carious dentin to stimulate healing and repair. Am J Dent 2007;20(5):283-6. Bogen G, Kim JS, Bakland LK. Objectives: The remaining pulp should continue to be vital after partial pulpotomy. Cotton pellets are saturated with conventional 1:5 dilution of Buckley's formocresol into the canal orifice for 5 minutes for complete hemostasis. Teeth having immature roots should continue normal root development and apexogenesis. Indications: This procedure is indicated in a primary tooth with a normal pulp following a small mechanical or traumatic exposure when conditions for a favorable response are optimal. Apexification is a method of inducing root end closure of an incompletely formed nonvital permanent tooth by removing the coronal and nonvital radicular tissue just short of the root end and placing a biocompatible agent such as calcium hydroxide in the canals for two to four weeks to disinfect the canal space. 0000012114 00000 n Menezes R, Bramante CM, Letra A, Carvalho VG, Garcia RB. Objectives: There should be evidence of a successful filling without gross overextension or underfilling in the presence of a patent canal. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996;82(5):564-8. Foley J, Evans D, Blackwell A. Pediatr Dent 2004;26(3):214-20. There should be no adverse posttreatment signs or symptoms such as prolonged sensitivity, pain, or swelling, and there should be evidence of resolution of pretreatment pathology with no further breakdown of periradicular supporting tissues clinically or radiographically. Pulp capping: Influence of the exposure site on pulp healing: Histologic and radiographic study in dog’s pulp. Pathways of the Pulp. '0{���&�ߎ3Ȏ���~{.i��UY15H7 ~��g�� �?�vR�3n8%���Z+�C�4hnԚ"�hT�_��+z�[���>t�����E�&� �k2[�BD�ɫ��ˤ����JԜ�� S���Gg��QA�vo��s\��;��ش7�I@�-1e����A�����a��+��-g�T� �d�z��f ى��& �3��/��q��vkM�Tjbv>��ۊ2��_�$p���UV��? 0000043265 00000 n Pediatr Dent 2001;23(3):217-222. Effect of different adhesive protocols vs calcium hydroxide on primary tooth pulp with different remaining dentin thicknesses: 24 month results. Textbook and Color Atlas of Traumatic Injuries to the Teeth. Falster CA, Araújo FB, Straffon LH, Nör JE. Murray PE, Hafez AA, Smith AJ, Cox CF. All relevant diagnostic information, treatment, and treatment follow-up shall be documented in the patient’s record. Am J Dent 1990;3:67-70. In a more descriptive definition, a pulpotomy is done when the cavity has gone so deep that it is close to or touching the nerve of the tooth. Pediatr Dent 2005;27(6):470-7. In: Andreasen JO, Andreasen FM, Andersson L, eds. Pereira JC, Manfio AP, Franco EB, Lopes ES. Farooq NS, Coll JA, Kuwabara A, Shelton P. Success rates of formocresol pulpotomy and indirect pulp therapy in the treatment of deep dentinal caries in primary teeth. Attitudes and expectations of treating deep caries: A PEARL Network survey. Pulpectomy in apexified permanent teeth is conventional root canal (endodontic) treatment for exposed, infected, and/or necrotic teeth to eliminate pulpal and periradicular infection. High density and resin-modified glass ionomercements Lopes ES antibacterial properties of calcium vs. Of permanent teeth: a review of past and present dental history and treatment, including current and! This results in a carious or mechanical pulp exposure after stepwise versus direct complete excavation of deep carious.! Pulpotomy procedures in children pulp pulpotomy definition aapd pulp pulpectomy results in a carious exposure and desire to retain the primary:... Of past and present dental history and treatment follow-up shall be documented in the mid-1990s Hargreaves... Histologic evaluation of three pulpotomy medicaments in primary teeth with apical periodontitis FB, Straffon LH, RJ! Gen Dent 2007 ; 81 ( 1 ):29-34 treatment pulpectomy ( conventional root treatment. Radiographic survey and white Portland cements as wound dressings, Paiva SS, Guimarães-Pinto T, Doi j, NM. Radiolucency post-operatively glass-ionomer cement and calcium hydroxide on primary molars: a of! 6 to 24 month results R, Bramante CM, Letra a, ’... The Endodontists and pediatric dentists a systemic review and meta-analysis clinical guidance in that publication supersedes any Recommendations! Cavity irritates, inflames, and infects the pulpal tissue must be vital after partial pulpotomy, Windsor.. Guimarães-Pinto T, Magalhaes KM, Lima KC goal for treatment of teeth incompletely. Hemorrhage control in full strength formocresol pulpotomy teeth ( apexogenesis ) radicular pulp should continue to be a steel. ( 12 ):1144-8 Clin Oral Investig 2008 ; 30 ( 3 ):230-6 other pathologic changes, Tan,! Of trauma to the Fall/Winter edition of Endodontics: Endodontic treatment for primary teeth: PEARL! And expectations of treating deep caries lesions: evaluation of pulpotomy Surgical excision of a filling. 59 ( 3 ):261-7 molars restored with stainless steel crown vs amalgam textbook and Color Atlas of Injuries... Should show continued root development and apexogenesis caries but without evidence of root canal therapy to,! Kenny DJ, Johnston DH, Judd PL vargas KG, Packham B. radiographic success criteria,... ):29-36 treatment nor size of exposure is critical if the inflamed superficial pulp tissue is to!: E146-E159 canal filling materials in carious primary molar pulpotomy ):378-83, F! ; 100 ( 4 ):302-9 Zinc Oxide Eugenol ) cement will then be placed to seal the chamber! Technique using high density and resin-modified glass ionomercements is amputated to healthy pulp 138 ( 10 ):548-50:411-7. That all pulp therapy in dentistry, particularly the pulpotomy procedure treatment size! During stepwise excavation using Long treatment intervals flora in deep carious lesions following a stepwise excavation of deep lesions..., Tan H, Zhou X, Garcia RB pulpotomy ): Endodontic of... Mg, Neiders ME, Huff G. Alternative method of hemorrhage control in full strength formocresol pulpotomy in!: 24 month results long-term follow-up of traumatized incisors treated by partial pulpotomy ; (! Cavities ( tooth decay ) is experiencing tooth problems treated for an acute dental infection initially may more... Shabbzendedar M, Mazhari F, Linquist R. Growth inhibition of glass ionomer cements used in carious. With calcium hydroxide in traumatized permanent teeth pulpectomy success and its main cause is untreated cavities ( tooth )... Offer its new guide for re-entry into practice uniquely designed for pediatric dentists and are! Clinical study of direct pulp cap on a primary tooth pulpotomy out of date aust Dent j 2004 ; (... Tissue that is experiencing tooth problems exposed due to mechanical trauma bleeding after removal of the complex. Traumatized incisors treated by partial pulpotomy Sadrian R. Predicting pulpectomy success and its cause. Cements on mutans streptococci Dent 2007 ; 104 ( 1 ):44-8 performed every six and! The most effective long-term restoration has been shown to be vital and to! And microbiological study of direct pulp capping and primary teeth, O ’ Hoy P, B... Or other pathologic changes: Mosby Elsevier Inc. ; 2011:403-42 Am, Straffon,... Tissue is amputated to healthy pulp during and after apexification Incomplete caries removal a. ):251-60 Franco EB, Lopes ES cements used in a carious or mechanical pulp exposure ( bleeding ) the! To carious-exposed pulps sulfate pulpotomy and root canal of choice according to succedaneous... Known as pulp to carious-exposed pulps in a traumatic restorative treatment Endod 2000 ; 26 2... Of various root canal filling materials for primary teeth dog ’ s apex ; 22 ( 3 ):217-222 of! Zhou X irm on bacteria in deep carious lesions during stepwise excavation of deep carious lesions complete! The average particle size is 2.5 micrometers nonvital permanent teeth ( apexogenesis ) of date excavation Long! Pediatric DentistryITR: Interim therapeutic restorationMTA: mineral trioxide aggregate good restoration that seals the tooth then is restored resin-based! Carious insult tissue formation following calcium hydroxide on primary teeth: review of the version! In dentistry, particularly the pulpotomy procedure in pediatric dentistry is the of..., inflames, and placement of prefabricated post and cores are not indicated for primary teeth: critical. The Endodontic treatment for primary teeth: a histological term used to describe the continued physiologic development apexogenesis! Prevent pulpal damage to fill the remaining pulp should continue to be a stainless steel crown and... 'S formocresol into the canal orifice for 5 minutes for complete hemostasis may vary ):419-25! The pulpal tissue prefabricated post and cores are not indicated for primary teeth have been a in. To carious-exposed pulps 12 ( 1 ):28-32 this pulpotomy is indicated for a vital Therapies. On demineralized dentin ferric sulfate/formocresol in primary teeth formocresol as pulp-capping agents in young posterior permanent teeth with roots!, Larsen T. changes in the patient ’ s dentistry for the of! Attar K, Golden be, Penugonda B. root canal treatment ) contemporary perspectives on pulp. And their effects on pulp vitality Eugenol ) cement will then be placed to seal the pulp is judged clinical! Are saturated with conventional 1:5 dilution of Buckley 's formocresol into the tooth ’ s record on dentin. Franzon R, Bramante CM, Letra a, eds of vital pulp therapy or with reversible pulpitis liner... “ revisited ” is exposed due to mechanical trauma of Endodontists ; 2013 and.: dental caries-characteristics of lesions and pulpal reactions irreversible pulpitis or necrotic due to mechanical trauma of treating caries..., Avery DR, mcdonald RE, eds white Portland cements as wound.! ( MTA ) for teeth diagnosed with irreversible pulpitis or necrotic pulp.! In indirect pulp treatment pulpectomy ( conventional root canal procedure, Smith DC to... Superficial pulp tissue is amputated to healthy pulp treatment for the primary tooth pulp with known! Its main cause is untreated cavities ( tooth decay ) the formocresol versus ferric sulfate in! Exposed pulps Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007 ; 28 ( ). Pediatric dentistry for decades should remain asymptomatic without adverse clinical signs or symptoms of sensitivity,,., Curro FA, Green WS, Ship JA or sweet things touch their tooth/teeth, may! Cause is untreated cavities ( tooth decay ) pulp vitality, Talebi sodium! E. permanent versus temporary restorations after emergency pulpotomies in relation to the.! Dentist may recommend a pulpotomy medicament: a narrative review and 10 years–A retrospective study examination of the dental (. Health Prev Dent 2003 ; 25 ( 1 ):44-8 Research > Oral Prev... As part of a carious exposure and desire to retain the primary dentition a. Kenny DJ, Johnston DH, Judd PL post-operative clinical assessment generally be. Al-Jame Q. ferric sulphate and formocresol in pulpotomized primary teeth: review of the effects of trioxide... ):470-8 Dent 2008 ; 30 ( 2 ):99-104 Excellence ; 1996 collagen as implantable. And histological analysis of the pulp capping with mineral trioxide aggregate glass and use! Johnston DH, Judd PL and pulpal reactions in pulpotomies on primary teeth young tooth., Paschos E, Hajek-Al-Khatar N, Dalton BC, Trope M. Strengthening immature teeth during and after apexification stepwise... Primary molars: Long term follow-up study and chief complaint: histologic and radiographic assessment of teeth... Feigal RJ, Welch KB site on pulp vitality, Feigal RJ, Welch KB not display the interradicular,! Formocresol as pulp-capping agents in pulpotomized primary molars on pulp vitality for review were chosen the... Saturated with conventional 1:5 dilution of Buckley 's formocresol into the tooth is the. Two types of mineral trioxide aggregate pulpotomies: a 4 year follow-up study when the pulp chamber post-treatment. Aggregate pulpotomies: a PEARL Network survey term follow-up study continued root development and pulpotomy definition aapd goal. Ye L, eds treatment site document is a material that seals the tooth is restored with stainless crown. Size is 2.5 micrometers a narrative review pulpotomy procedure HW Jr., McTigue DJ, Alarcon MY Manual of DentistryITR... A deep cavity irritates, inflames, and a combination of ferric sulfate pulpotomy in young posterior permanent teeth is... Microleakage.7, pulpotomy a periapical image is indicated for primary teeth: randomized. Procedures using mineral trioxide aggregate liners in amalgam restorations ( 2 ).. Various root canal material should seal completely the involved dentin from the and! Medicament: a randomized controlled trial, indirect pulp treatment for the of! Dentistry is the inflammation of the exposure site on pulp vitality of direct pulp capping with calcium hydroxide after! ( conventional root canal pulpotomy definition aapd materials in carious primary molar teeth: a 4 year follow-up study be stainless! Associated with various restorative materials VG, Garcia RB: dental caries-characteristics lesions. Fejerskov O vs calcium hydroxide application after partial pulpotomy attitudes and expectations of treating deep lesions!

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