introduction : to evaluate the clinical and radiographic outcomes of pulpotomy treatment with mineral trioxide aggregate (mta) in symptomatic mature permanent teeth with carious exposure. materials and methods: ten patients aged 27-54 years presented with 11 symptomatic permanent teeth ( n =11). each offending carious tooth was clinically and radiographically determined. we removed caries as co...

Seventy-six vital permanent incisors with complicated crown t’ractures in 72 children were assessed clinically and radiographically for the healing of pulp exposures treated by direct pulp capping or by pulpotomy. Thirty-eight of these teeth had pinpoint exposures, complete roots, and were treated by pulp capping. Pulpotomy was the treatment for the other 38 teeth that had incomplete root devel...

Although some investigators imply that, pulp-capping procedures have no place in geriatric dentistry, a case is described in which a 61.year-old patient responded successfully to pulp-capping therapy with bridging of the exposure. Nine years later the patient presented a calcium-hydroxide-stimulated bridge that was still functioning to protect a vital pulp which, for the most part, was uninflam...

Maintaining deciduous teeth in function until their natural exfoliation is absolutely necessary. Vital pulp therapy (VPT) is a way of saving deciduous teeth. The most important factors in success of VPT are the early diagnosis of pulp and periradicular status, preservation of the pulp vitality and proper vascularization of the pulp. Development of new biomaterials with suitable biocompatibility...

Lipopolysaccharide exerts many effects on many cell lines, including cytokine secretion, and cell apoptosis and necrosis. We investigated the in vitro effects of lipopolysaccharide on apoptosis of cultured human dental pulp cells and the expression of Bcl-2 and Bax. Dental pulp cells showed morphologies typical of apoptosis after exposure to lipopolysaccharide. Flow cytometry showed that the ra...

Crown fracture with pulp exposure in primary incisors is a rare condition. Despite the fact that the vitality of the pulp can be preserved, such teeth are usually extracted due to lack of patient cooperation. This article reports a successful conservative treatment of a fractured primary incisors with pulp exposure and undeveloped root. The child was sedated with midazolam and nitrous oxide, an...

Vital pulp therapy aims to treat reversible pulpal injury and includes 2 therapeutic approaches: (1) indirect pulp treatment for deep dentinal cavities and (2) direct pulp capping or pulpotomy in cases of pulp exposure. Indirect pulp treatment is recommended as the most appropriate procedure for treating primary teeth with deep caries and reversible pulp inflammation, provided that this diagnos...

Captive and wild African elephants frequently suffer tusk fractures. Several institutions shorten the tusks of captive elephants to reduce fractures and injury as a result of behaviour within enclosures. Fracturing or coronal amputations that expose pulp lead to pain for the elephant. Estimating coronal pulp lengths may thus help to minimise the risk of pulp exposure during amputations. We aime...

Formocresol pulpotomy (FP) in the United States is most frequently used to treat asymptomatic caries near the pulp in primary teeth. Indirect pulp therapy (IPT) is also indicated and has a significantly higher long-term success. Pulpotomy is thought to be indicated for primary teeth with carious pulp exposures, but research shows the majority of such teeth are nonvital or questionable for treat...

BACKGROUND Root canal treatment has been a routine treatment option for carious exposure of the dental pulp. In the context of minimally invasive dentistry, direct pulp capping (DPC) procedure with a reliable biomaterial may be considered as an alternative provided the pulp status is favorable. Mineral trioxide aggregate (MTA), a bioactive cement with excellent sealing ability and biocompatibil...