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