Zusammenfassung der Ressource
Adjunctive endodontic treatment
- Materials
- Calcium Hydroxide (CaOH2)
- Stimulates secondary
odontoblasts to
repair with dentinal
bridge formation
Anmerkungen:
- High pH =
12,5
- Cauterizes
tissue and kills
bacteria
- Resorbable
- Mineral Trioxide Aggregate (MTA)
- Stimulates cementoblasts to
produce hard tisssue
- 3 minerals: calcium, silicon, aluminum
- Bismuth oxide
= opacifier
- Pros: radiopaque in RX
- Cons: can leak and stain the tooth
(not good for anterior teeth)
- Long setting
time (3h)
- Antimicrobial
- great sealing agent
- Sets in the presence
of moisture
- Nonresorbable
- Indirect Pulp Cap (IPC)
- CaOH or RMGI is placed on
thin partition of remaining
dentin that if removed, might
expose the healthy pulp
Anmerkungen:
- RMGI = resin-modified glass ionomer
- Protect CaOH with RMGI
- Deep caries approximating pulp
- Direct Pulp Cap (DPC)
- CaOH /MTAis placed directly on otherwise
healthy pulp exposure
- Traumatic
exposure <24h
- Caries of
mecahanical
exposure <2mm
- Hard tissue barrier
will hopefully
form within 6
weeks
- Cvek Pulpotomy (partial
or shallow pulpotomy)
- Remobval of small portion of coronal diseased pulp
- Traumatic exposure >/= 24h
- Caries of mecahanical
exposure >2mm
- NOT INDICATED IN MATURE
PERMANENT TEETH
- Pulpotomy
- Removal of
coronal
diseased
pulp
- Traumatic
exposure >/=
72h
- Primary teeth must
be restorable, vital,
with pulp
exposure and
asymptomatic
- Formocresol to
attain
hemostasis
- ZOE in crown
build-up
- NOT INDICATED IN MATURE
PERMANENT TEETH
- May induce undesired
pulp calcification
- Apexification
- PULPECTOMY on an immature PERMANENT tooth
- Disinfection of root canal followed by
induction of an acceptable APICAL BARRIER
- CaOH or MTA is placed at
base of canal after dead or
dying pulp is removed
- Pulpectomy
- Removal of coronal and
radicular dead or dying
pulp
- Temporary pain relief
with irreversible
pulpitis before RCT can
be done
- Primary teeth must
be NON vital,
restorable, with pulp
exposure and
asymptomatic
- ZOE in crown
- CaOH in
roots
Anmerkungen:
- reabsorbable for undelying permanent tooth
- Extraction
- Primary first molars that
aren't restorable, is
symptomatic and has
root resorption
Anmerkungen:
- Challenging because of various accesory canals
- Apexogenesis
- ANY endodontic treatment (except pulpectomy)
in an immature PERMANENT tooth
- Mantain pulp vitaly in order to
sitmulate root development
- CaOH/MTA is placed on
healthy or diseased pulp
- Contraindicated
on avulsed
nonrestorable
severe
horizontal
fracture and
necrotic teeth