Isolation, Liners, Bases, and Pulp protection

Exposed vital pulp and treated with a therapeutic matieral to promote healing

Direct Pulp cap

Nearly exposed pulp, cover with a protective dressing

indirect pulp cap

When a indirect pulp cap an be attempted:

• ______ pulp

• No lingering respose to a _______ testing

• No signs of a ______ associated with the tooth

• _________ free by the time of permanent restoration

vital

temp

PARL

Bacteria

When a direct pulp cap can be attempted:

• Tooth has been ____________

• Pulp expsoure is _________

• ________ is easily controlled

• Exposure is in a ______ and ______ field

• Exposure was relatively _________ with minimal _______ of the tooth

asymptomatic

small (<0.5mm)

Hemorrhage

clean and uncomtaminated

atraumatic with minimal desication

What pulp cap is more preferable?

Indirect pulp cap

How should a large carious lesion with healthy pulp and periapical tissue be managed?

Partial caries excavation and indirect pulp capping

Do you need to let supervising faculty know about pulp exposure?

Yes, before managing the site

What are the 4 potential restorative threats to the pulp?

1. Thermal

2. Electrical

3. Chemical

4. Mechanical

Materials placed as a thin coating (0.5mm) to provide a barrier to chemical reaction irritation.

Liner

Liners provide minimal or no ________ insulation and do not do what?

thermal and build up the tooth

Barrier against chemical irritation, thermal insulation, and resist mechancial forces?

Base

Is a base a dentin substitue?

Yes

Can thermal and mechanical barrier be achieved through regular resin restorations?

Yes

What are the 4 pulp protection agenets at the school?

1. Prisma VLC Dycal

2. Vitrebond Plus

3. TPH Spectra Flowable

4. Gluma

Main mateiral for direct pulp caps, it accelerates formation of restorative dentin, antibacterial, and soluble in oral fluids.

Prisma VLC Dycal

How to place Prisma VLC Dycal?

Dry, do not desicate, place a 0.8-1mm thick layer, light cure, and seal with vitrebond if indicated

Long working time, but sharp set due to polymerixation reaction, less sensitive to moisture than GIs dn can be placed voer all direct pulp caps.

Vitrebond liners

How to use vitrebond?

Rinse and dry, dispense 1 click, mix 10-15 seconds, apply 0.5mm layer, cure for 20 seconds

Working time is 2 mintues and 30 seconds

Flowable composite that must be paired with the proper adhesive steps

TPH Spectra flow

For a standard restoration that sensivitity. may be an issue and will not be used for a direct pulp cap?

Gumma Desensistizing Agent