Pulp management for caries in adults: maintaining pulp vitality | Health & Environmental Research Online (HERO)

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Citation
Tags

HERO ID

7036450

Reference Type

Journal Article

Title

Pulp management for caries in adults: maintaining pulp vitality

Author(s)

Miyashita, H; Worthington, HV; Qualtrough, A; Plasschaert, A; ,

Year

2007

Is Peer Reviewed?

Yes

Journal

Cochrane Database of Systematic Reviews
ISSN: 1469-493X

Publisher

WILEY

Location

HOBOKEN

Language

English

PMID

17443547

DOI

10.1002/14651858.CD004484.pub2

Web of Science Id

WOS:000245760200023

Relationship(s)

has retraction 4125249 WITHDRAWN:

Abstract

There is a range of treatment options for the management of the pulp in extensively decayed teeth. These include direct and indirect pulp capping, pulpotomy or pulpectomy. If the tooth is symptomatic or if there are periapical bone changes, then endodontic treatment is required. However, if the tooth is asymptomatic but the caries is extensive, there is no consensus as to the best method of management. In addition, there has been a recent move towards using alternative materials and methods such as the direct or indirect placement of bonding agents and mineral trioxide aggregate. Most studies have investigated the management of asymptomatic carious teeth with or without an exposed dental pulp using various capping materials (e.g. calcium hydroxide, Ledermix, Triodent, Biorex, etc.). However, there is no long term data regarding the outcome of management of asymptomatic, carious teeth according to different regimens.