TREATMENT OF DEEP CARIES ,

VITAL PULP EXPOSURE AND

PULPLESS TEETH

BY G R A P H I C N O D E
By :
Dr. Mustafa Ammar
Dr. Mahdi Amer
 Contraindications ?
1 2

MAINTAIN THE PRESERVATION OF

INTEGRITY AND DENTAL ARCH SPACE
HEALTH OF THE AND PREVENT
TEETH AND THEIR
WHY PULP
MALOCCLUSION .
SUPPORTING
TISSUES .

THERAPY ?
3 4

MAINTAIN
AID IN
ESTHETICS,
SPEECH.
MASTICATION.
TREATMENT OF THE DEEP
CARIES LESION
INDIRECT PULP
T R E AT M E N T
Removal of caries from the
lesion and then sealed the
cavity for a time with a
biocompatible material.
HOW ?
 WHEN ?

Teeth have NO ;

HISTORY OF
TENDERNESS ABNORMAL RADIOGRAPHIC
SPONTANEOU
. MOBILITY. EVIDENCE OF RADICULAR
S,
DISEASE , INTERNAL AND
UNPROVOKED
EXTERNAL RESORPTION .
TOOTHACHE.
VITAL PULP
EXPOSURE
DIRECT PULP When &
CAPPING
When
Placement of a medicament or non-medicated material NOT ?
on an exposed pulp .

AIM ?
 HOW CAN WE DO
IT?

BUT :
Direct pulp capping is less preferred in primary teeth . WHY ?
PULPOTOM
Y
Removal of inflamed and
infected coronal pulp at
the site of exposure thus
preserving the vitality of
the radicular pulp and
allowing it to heal.

INDICATIONS? CONTRAINDICATIONS?
 HOW TO DO IT?

Techniques
AND Materials
NONVITAL PULP
TREATMENT WITH
IRREVERSIBLE
PULPITIS OR
NECROTIC PULP

PULPECTOMY
WHEN &
WHY ?
Removal of the entire pulp
and subsequent filling of the
canals of the primary teeth
WHEN NOT ?
with a suitable resorbable
material.
CLINICAL
PROCEDURE

MATERIALS
?
Thanks