VITAL PULP THERAPY

Requirements for Success VITAL PULP THERAPY

• Treatment of a non-inflamed pulp
• Pulp Dressing
• Bacteria Tight Seal

TRUE OR FALSE for Treatment of a non-inflamed pulp

The optimal time for treatment is in the first 24 hours when pulp inflammation is superficial

TRUE

TRUE OR FALSE for Treatment of a non-inflamed pulp

Pulp removal must be extended apically to ensure that non-inflamed pulp has been reached.

TRUE

What are commonly used as PULP DRESSING?

Calcium hydroxide

ADVANTAGES of Pulp dressing?

Antibacterial and disinfect the superficial pulp.

Major disadvantage of Pulp dressing?

• not seal the fractured surface

• An extra material is used to protect the pulp from bacteria, especially while it is healing.

TRUE OR FALSE about Procedure in Pulp dressing

Pure calcium hydroxide will cause necrosis of about 1.5 mm of pulp tissue, which removes superficial layers of inflamed pulp if present

TRUE

TRUE OR FALSE about Procedure in Pulp dressing

The high pH (12.5) of calcium hydroxide causes a liquefaction necrosis in the most superficial layers

TRUE

TRUE OR FALSE about Procedure in Pulp dressing

The toxicity of calcium hydroxide appears to be neutralized as the deeper layers of pulp are affected, causing a coagulative necrosis at the junction of the necrotic and vital pulp, resulting in only mild imitation.

TRUE

TRUE OR FALSE about Procedure in Pulp dressing

mild irritation will initiate an inflammatory response, and in the absence of bacteria, the pulp will heal with a hard tissue barrier

TRUE

Other material can be used as PULP DRESSING?

MTA (MINERAL TRIOXIDE AGGREGATE)

Challenge by bacteria during the healing phase will cause failure

Bacteria-tight seal

In the Bacteria-tight seal, If the exposed pulp is effectively sealed from bacterial leakage RESULTS TO…

- successful healing of the pulp
- will occur independent of the dressing placed on the pulp