Читать книгу Endodontic Materials in Clinical Practice - Группа авторов - Страница 47

Preserving the health of the dental pulp is an important aspect of modern endodontics. If successful, pulp preservation is a minimally invasive, biologically based, and technically undemanding alternative to pulpectomy. Therefore, selective caries removal, stepwise excavation, pulp capping, and pulpotomy are an essential part of the treatment armamentarium of every dentist. The advent of HCSCs has provided renewed impetus in VPT, and they are the current material of choice in this area. Although the exact mechanisms remain to be elucidated, pulp‐capping materials like calcium hydroxide and MTA appear to stimulate the release of biologically active molecules from pulp cells and the dECM, stimulating dentinogenesis. Although the future of this area may involve molecular diagnostic biomarker assays and targeted third‐generation biomaterials, prospective randomized trials using modern materials are required to support promising preliminary clinical data in the meantime.