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2 Pulp Capping Materials for the Maintenance of Pulp Vitality

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Phillip L. Tomson1 and Henry F. Duncan2

1School of Dentistry, Institute of Clinical Sciences, University of Birmingham, Birmingham, UK

2Division of Restorative Dentistry and Periodontology, Dublin Dental University Hospital, Trinity College Dublin, Dublin, Ireland

TABLE OF CONTENTS

  2.1 Introduction

  2.2 Maintaining Pulp Vitality 2.2.1 Why Maintain the Pulp? 2.2.2 Pulpal Irritants 2.2.3 Pulpal Healing After Exposure 2.2.4 Classifications of Pulpitis and Assessing the Inflammatory State of the Pulp 2.2.5 Is Pulpal Exposure a Negative Prognostic Factor? 2.2.6 Soft Tissue Factors Unique to the Tooth

  2.3 Clinical Procedures for Maintaining Pulp Vitality 2.3.1 Managing the Unexposed Pulp 2.3.2 Tooth Preparation to Avoid Exposure 2.3.3 Managing the Exposed Pulp 2.3.3.1 Direct Pulp Capping 2.3.3.2 Partial Pulpotomy 2.3.3.3 Full Pulpotomy 2.3.3.4 Pulpectomy 2.3.4 Immature Roots

  2.4 Materials Used in Vital Pulp Treatment 2.4.1 The Role of the Material 2.4.2 Calcium Hydroxide 2.4.3 Resin‐Based Adhesives 2.4.4 Hydraulic Calcium Silicate Cements 2.4.5 Resin‐Based Hydraulic Calcium Silicate Cements 2.4.6 Glass Ionomer Cements 2.4.7 Experimental Agents Used in Vital Pulp Treatment 2.4.8 Tooth Restoration After VPT

  2.5 Clinical Outcome and Practicalities 2.5.1 Vital Pulp Treatment Outcome 2.5.2 Discolouration 2.5.3 Setting Time and Handling

  2.6 Conclusion

  References

Endodontic Materials in Clinical Practice

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