Читать книгу Endodontic Materials in Clinical Practice - Группа авторов - Страница 22

Maintaining healthy pulp tissue is preferable to root canal treatment (RCT), which can be complex, destructive, time‐consuming, and expensive for both patients and clinicians. Preserving all or at least part of the dental pulp is important after pulp exposure, especially when the tooth is immature and root formation is not yet complete [1]. The need for a more conservative approach to management of the inflamed pulp is a more biologically based and minimally invasive treatment strategy compared with pulpectomy and has recently been encouraged in editorials and position statements [1, 2]. Besides reducing intervention, this biological concept also maintains pulp developmental, defensive, and proprioceptive functions [3, 4]; VPT is generally considered technically easier to execute than RCT [5]. From a longitudinal perspective, advocating less aggressive dentistry reduces overtreatment and limits the ‘restorative cycle’ concept [6], whilst also improving the cost‐effectiveness of treatment [7]. Finally, with the surge in research and interest in regenerative endodontics [8], biomaterial developments [9], and the need to therapeutically utilize dental pulp stem cell (DPSC) populations [10], VPT has reemerged as an area of significant interest to both patients and dentists [11].