Professional Documents
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Pedo Ec 2
Pedo Ec 2
5) Figure 8.1
8) Vital pulp therapy for young permanent teeth without pulp exposure: mature and
immature - protective liner
Protective liner definition:
I
t’s a thinly-applied liquid
P
laced on the pulpal surface of deep cavity preparation
C
overing exposed dentin tubules
A
cts as a protective barrier between the restorative material or cement and the pulp
Liners:
1. C
alcium hydroxide
2. D
entin bonding agent
3. G
lass ionomer cement
*Liner must be followed by a well-sealed restoration to minimize bacterial leakage
from the restoration dentin interface
10) Vital pulp therapy for young permanent teeth without pulp exposure - methods
of caries excavation:
Complete excavation:
T
raditional operative dentistry approach to deep caries treatment
C
omplete excavation of all the infected and affected dentin
S
low-speed rotary burs and hard instrument are used
Permanent teeth:
I
n a 10-year prospective study, frank carious lesions in permanent teeth that
extended Radiographically into less than half the dentin were sealed
N
o caries excavation was done and the caries was sealed in place with a self-setting
occlusal sealent
I
t showed arrest of the lesions over 10 years if the occlusal sealant stayed intact
14) ?
15) Carisoly:
A
chemo-mechanical approach of caries removal
I
t depend on dissolution rather than drilling
T
his method involves a use of a gel and a specially designed hand instruments
T
he gel comprimises three amino acids (glutamic acid, leucine, and lysine) and low
concentration of sodium hypochlorite
W
ith carisoly sound and carious dentine are clinically separated and only carious
dentin is removed resulting in a more conservative preparation
N
o pulpal or tissue irritation
W
e usually use adhesive restorations
C
arisoly contributes to patient comfort as it has been said to be painless, requiring
less drilling and local anesthesia
T
he main drawback in this technique is the time needed to complete the procedure
END OF LECTURE
REEM SALIH