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Presented by:-Vishal Singh -79 (07-08)BATCH Final Year
DIRECT PULP CAPPING
Application of a medicament to exposed pulp to preserve the vitality
1. Pinpoint – sound dentin – no hemorrhage - mild infl. – repaired
2. Pinpoint – sound dentin – drop of blood – mild infl.
3. Infected dentin – considerable – site far – doubtful
4. Profuse – greater infl. – very doubtful
5. Infl. Pus/fluid – destruction – not indicated
Indications: No H/O pain.
Exposure size < 4 mm
No observable hemorrhage
Clean uncontaminated field
Dentin at periphery is repairable
No pathologic changes
Contraindications: Severe toothache
Tooth mobility
Excess hemorrhage
Purulent discharge
Radiographic changes
Direct Pulp Capping
INDIRECT PULP CAPPING
Gross caries is removed and the cavity is sealed with a biocompatible material
Indication: Pulp inflammation is minimal – complete removal of caries would cause an exposure
Contraindication: Severe toothache
Tooth mobility
Purulent discharge
Radiographic changes
Indirect Pulp Capping
Objectives: Seal completely
Vitality.
No prolonged post-treatment
Pulp healing & tertiary dentin
No pathological changes.
Failures:
Degree of trauma
Sealing pressure
Low threshold of host resistance
Presence of microorganisms
Failure of an aseptic technique
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