Purpose The American Academy of Pediatric Dentistry (AAPD) presents this guideline to assist the practitioner in the restorative care of infants, children, adolescents, and persons with special health care needs. The objectives of restorative treatment are to repair or limit the damage from caries, protect and preserve the tooth structure, reestablish adequate function, restore esthetics (where...

Introduction Direct pulp capping (DPC) is a treatment for maintaining pulp vitality and its biological function. Ideally, pulp capping agents are expected to induce pulp cells to form hard tissue. This in vitro study assessed the cytotoxicity and genotoxicity of three vital pulp capping (VPC) agents naming Biodentine (Septodont, Saint-Maur-des-Fosses, France), mineral trioxide aggregate (ProRoo...

The diagnostic value of dark-gray discoloration of the crown of primary incisors following traumatic injury as a predictor of pulp vitality is controversial. This retrospective study attempted to examine the condition of the pulp of primary incisors with dark-gray discoloration following traumatic injuries. Forty-eight gray caries-free, traumatized primary incisors were examined clinically and ...

* Adapted with permission from: McIntyre J, Lee J, Trope M, Vann WJ, Permanent tooth replantation following avulsion: Using a decision tree to achieve the best outcome. Pediatr Dent 2009;31(2):137-44. Management of an Avulsed Permanent Incisor with an Open Apex (Apex ≥1 mm)* Assess medical history and rule out any neurologic and nondental injuries. Diagnostic tests: • Rule out alveolar fracture...

The most important factors determining periodontal healing after replantation of an avulsed tooth are the extra oral period and the media in which the tooth is preserved before replantation. This case report describes an adequate periodontal healing of an avulsed immature tooth replanted after 20 min of extra alveolar dry time. Vitality was not regained and after disinfection of the pulp space ...

introduction: the aim of this randomized clinical trial was to compare the histologic pulp tissue response to one-step direct pulp capping (dpc) and miniature pulpotomy (mp) with mineral trioxide aggregate (mta) after application of dexamethasone in healthy human premolars. methods and materials: forty intact premolars from 10 orthodontic patients, were randomly chosen for dpc ( n =20) or mp ( ...

Dental caries is one of the most widely prevalent infectious diseases in the world. It affects more than half of the world's population. The current treatment for necrotic dental pulp tissue arising from dental caries is root canal therapy. This treatment results in loss of tooth sensitivity and vitality making it prone for secondary infections. Over the past decade, several tissue-engineering ...

OBJECTIVE In this article, the authors report on an in vivo study in which they assessed the validity of two commonly used cold pulp tests (carbon dioxide [CO(2)]and 1,1,1,2-tetrafluoroethane) and an electrical pulp tester (EPT) in determining pulp vitality by using direct inspection of the pulp as the reference standard. METHODS One hundred fifty patients undergoing endodontic therapy at the...

External Cervical Resorption in maxillary canines with pulp vitality is frequently associated with dental trauma resulting from surgical procedures carried out to prepare the teeth for further orthodontic traction. Preparation procedures might surgically manipulate the cementoenamel junction or cause luxation of teeth due to applying excessive force or movement tests beyond the tolerance limits...

OBJECTIVES The purpose of the study was to evaluate human dental pulp response to pulpotomy with calcium hydroxide (CH), mineral trioxide aggregate (MTA), and calcium enriched mixture (CEM) cement. MATERIALS AND METHODS A total of nine erupted third molars were randomly assigned to each pulpotomy group. The same clinician performed full pulpotomies and coronal restorations. The patients were ...