aahughes
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Restorative dentistry Mind Map on PULP - LININGS 2, created by aahughes on 07/11/2013.

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aahughes
Created by aahughes over 11 years ago
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PULP - LININGS 2

PULP - LININGS 2WHAT USE - WHERE AND WHENCavities of 2mm or less - noliningslightly deeper than 2mm - lining to beusedWHERE TO USEPulpal -axial wall and or occ floorie areas directly overlying the pulpPULP PROTECTION - DEEP CARIESTry avoid pulp exposure - bacteria likely to penetrate thechamberdiscomfort when caries reaches 0.5mm frompulpIndirect pulp cap, direct pulp cap, stepwise excuvationINDIRECT PULP CAPWhen cavity extends within 0.5mm ofpulpcapping material - calcium hydroxide applied to deepest partMay be covered with resin modified glass polyakenoate(vitrebond)Restored as normalDIRECT PULP CAPWhen an exposed pulp is covered by capping materialhard setting calcium hydroxide ormineral trioxide aggregate MTACRITERIATooth is vital and no history of painno periradicular pathologypulp pink and healthy - no excessive bleedingIf any of the above - RCT requiredDIRECT PULP CAP TECHNIQUEmicroexposure dried with cotton wool - NO air dry!Pulp cap material applied to exposureResin modified Glass ionomer may be applied on topTooth restored as normal - pt advised to return if any probs/pain with toothIf in any doubt refer to dentistSTEPWISE EXCUVATIONUsed when trying to avoid pulp exposureWhen stained soft dentine is left in base of cavity but ADJ is clearIf carious seems unavoidable follow stepwise procedureSeal over entire base of cavity where caries remains with calcium hydroxideDress tooth with GI CementRemove Gi and Lining 6-12 months laterBase of cavity should still be stained but now firmAction of Calcium Hydroxide has arrested cariesTooth can now be restored with permanent materialDouble click this nodeto edit the textClick and drag this buttonto create a new node