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Medical Forum / General / Dentistry / February 2008Direct Pulp Capping question
Can Direct Pulp Capping be done on a tooth that has a mild pulp infection (i.e., has not spread to the underlying bone yet)? Does the technique clean out the pulp in some form, or does it only cover it up? > Can Direct Pulp Capping be done on a tooth that has a mild pulp infection > (i.e., has not spread to the underlying bone yet)? Does the technique clean > out the pulp in some form, or does it only cover it up? The short answer is no. Direct pulp capping does not work on permanent teeth that have been pulpally involved by caries. There is some suggestion now that under some circumstances there can be pulp repair with a material called MTA, but I would be very careful about making claims for pulpal healing after carious exposure. It has been claimed, but IMO at this point it's too early to say it's a predictable procedure. http://www.endomail.com/articles/yb27direct.html Steve  SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 >> Can Direct Pulp Capping be done on a tooth that has a mild pulp infection >> (i.e., has not spread to the underlying bone yet)? Does the technique >> clean >> out the pulp in some form, or does it only cover it up? > The short answer is no. Direct pulp capping does not work on permanent > teeth that have been pulpally involved by caries. There is some [quoted text clipped - 4 lines] > > http://www.endomail.com/articles/yb27direct.html Sounds interesting though. How would I find an endodontist who was willing to give it a try? You can't. No endodontist is going to piddle around with procedures that are very likely to fail. You might find a sympathetic gp, but that isn't even very likely. Steve > Sounds interesting though. How would I find an endodontist who was willing > to give it a try? Right. Carious exposures need RCT or Ext 100% of the time. Mechanical exposures that are pulp capped will fail in five years 95% of the time. MTA may be viable but there are no long term studies that I am aware of. Get the damn RCT or Ext already. >You can't. > [quoted text clipped - 7 lines] >> Sounds interesting though. How would I find an endodontist who was willing >> to give it a try? > You can't. > [quoted text clipped - 4 lines] > > Steve The one lecture I received on it was by an endodontist working with MTA. Robert, are you in the NY area? I'm not sure, it was at a local AGD meeting in Queens. I think it was Chad Gehani--good endodontist (not local to me, I don't refer to him, but he is well-respected). Also personable and (not that it matters) laugh-your-ass-off funny. Steve >> Sounds interesting though. How would I find an endodontist who was >> willing to give it a try? |
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