Derin dentin çürüklü süt ve genç daimi dişlerde direkt ve indirek pulpa tedavisi

Derin dentin çürüğü olan süt ve sürekli dişlerin tedavisinde pulpanın vitalitesini ve fonksiyonunu devam ettirmek amacıyla indirekt ve direkt pulpa kuafajı teknikleri uygulanmaktadır. İndirekt pulpa tedavisi, derin çürüklü dişlerde pulpanın açılmadan canlılığının korunması ve devam ettirilmesi amacıyla uygulanan tek veya iki aşamalı işlemlerdir. Direkt pulpa kuafajı ise, travma sonucu veya derin dentin çürüğünün kaldırılması sırasında ekspoze olan pulpanın vitalitesini korumak için uygulanan tedavi işlemidir ve kalan eks

Direct Pulp Capping and İndirect Pulp Treatment in Primary and Young Permanent Teeth with Deep Caries Lesion

Direct and indirect pulp capping treatments are applied in both primary and young permanent teeth with deep dentin caries in order to preserve pulp vitality. Indirect pulp capping requires either one or two visits and is performed to prevent pulp exposure and maintain pulp viability in teeth with deep carious lesions. Direct pulp capping is also performed in order to maintain the vitality of pulp exposed due to trauma or following removal of deep dentin caries by covering the remaining pulp through the formation of hard tissue. In cases of deep dentin caries, pulp may be exposed during caries excavation and may thus become contaminated by infected dentin debris or other lesion residue, increasing the risk of infection and leading to unexpected treatment failure. In order to avoid pulp exposure, indirect pulp capping is recommended over conventional techniques in order to avoid pulp exposure when treating primary and young permanent teeth with carious involvement

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  • Björndal L, Indirect pulp therapy and stepwise excavation, JOE 2008;34(7S):29-33
  • Fuks AB, Pulp therapy foor the pri- mary and young permanent dentitions, Dent Clin North Am 2000;44(3):571-596
  • Schröeder A. Chapter 2, In:Endodontics- Science and Practice, 1st Ed., Chicago Quintessence Publishing Co Inc.1981
  • McDonald RE, Avery DR, Dean JA. Chapter19:Treatment of deep caries, vital pulp exposure and pulpless teeth, In: Dentistry for the Child and Adolescent, McDonald RE, Avery DR., 7th ed., Mosby, USA,1999
  • Camp JH. Diagnosis dilemmas in vital pulp therapy: Treatment fort he toothache is changing, especially in young, immature teeth, Pediatric Dentistry 2008;30(3):197-205
  • Croll TP, Pascon EA, Langeland K. Traumatically injured primary incisors: a clini- cal and histological study. J Dent Child 1987; 54(6):401-422
  • Björndal L, Mjör IA. Pulp dentin bio- logy in restorative dentistry. Part 4: Dental ca- ries-Characteristics of lesions and pulpal reac- tions, Quintessence Int 2001; 32:717-736
  • Shovelton DS. The maintenanse of pulp vitality, Br Dent J, 1972; 133:95-101
  • Çalışkan K. Dentin hastalıklarının pul- paya etkisi ve vital Endodontik tedaviler, Bö- lüm 2, In:Endodontik Tanı ve Tedaviler, 2006, p.31-82, Nobel Tıp Kitabevleri
  • Al-Zayer MA, Straffon LH, Feigal RJ, Welch KB. Indirect pulp treatment of primary teeth:a retrospective study, Pediatric Dentistry 2003;25(1):29-36
  • Stanley HR. Pulp capping: Conserving the dental pulp-Can it done? Is it worth it? Oral Surg Oral Med Oral Pathol 1989;68:628- 39
  • King JB JR, Crawford JJ, Lindahl RL. Indirect pulp capping:A bacteriologic study of deep carious dentine in human teeth, Oral Surg.Oral Med.Oral Pathol 1965;20(5):663- 671
  • Fusayama T, Okuse K, Hosoda H. Re- lationship between Hardness, Discoloration, and Microbial Invasion in Carious Dentin, J Dent Res, 1966; Jul-Aug:1033-1046
  • Fuks AB. Vital pulp therapy with new materials for primary teeth:New directions and treatment perspectives, JOE,2008;34(7S):18- 24
  • Dumsha T, Hovland E. Considerations and treatment of direct and indirect pulp- capping, Dent Clin North Am 1985;29:251- 259
  • Alaçam T. Dentin ve Pulpa Tedavileri, In: Endodonti, p.107-153, Ed. Alaçam T., Uze- ri İ., Alaçam A., Aydın M., Barış yayınları fa- külteler kitabevi, Ankara, 2000
  • Camp JH, Pulver F, Barrett E. Chapter 23: Pediatric Endodontics-Endodontic treat- ment for the primary and young permanent dentition, In:Patways of the Pulp 2002, Ed: Cohen S., Hargreaves KM, 2002
  • Oliveira EF, Carminatti G, Fontanella V, Maltz M. The monitoring of deep caries le- sions after incomplete dentine caries remo- val:results after 14-18 months, Clin Oral Invest 2006;10:134-139
  • Farooq NS, Coll JA, Kuwabara A, Shelton P. Success rates of formocresol pulpo- tomy and indirect pulp therapy in the treatment of deep dentinal caries in primary teeth, Pediatr Dent 2000;22(4):278-286
  • Fagundes TC, Barata TJ, Prakki A, Bresciani E, Pereira JC. Indirect pulp treatment in a permanent molar: case reort of 4-year fol- low-up, J Appl Oral Sci. 2009;17(1):70-4
  • Björndal L, Larsen T, Thylstrup A. A clinical and microbiological study of deep ca- rious lesions during stepwise excavation using long treatent ıntervals, Caries Research 1997;31;411-417
  • Ricketts D. Management of the deep carious lesion and the vital pulp dentine comp- lex, Br Dent J 2001; 191(11):606-610
  • Björndal L, Kidd EA. The treatment of Dental Update 2005;32:402-413 caries lesions,
  • Björndal L, Larsen T. Changes in the cultivable flora in deep carious lesions fol- lowing a stepwise excavation procedure, Ca- ries Research 2000;34:502-508
  • Orhan AI, Oz FT, Orhan K. Pulp Exposure Occurrence and Outcomes after 1- or 2-visit Indirect Pulp Therapy Vs Complete Ca- ries Removal in Primary and Permanent Mo- lars, Pediatr Dent 2010;32:347-55
  • Leksell E, Ridell K, Cvek M, Mejàre I. Pulp exposure after stepwise versus direct complete excavation of deep carious lesions in young permanent teeth, Endod Dent Traumatol 1996;12:192-196
  • Straffon LH, Corpron RL, Bruner FW. Twenty-four-month clinical trial of visible- light-activated cavity liner in young permanent teeth, ASDC J Dent Child 1991, Mar- Apr;58(2):124-8
  • Hilton TJ, Summitt JB. Pulpal Consi- derations, Chapter 5, In:Fundamentals of Ope- rative Dentistry, A Contemporary Approach, Second Edition, Ed:Summitt JB, Robbins JW, Schwartz RS, Santos Jd Jr, Quintessence Pub- lishing Co, Inc, 2002
  • Bayırlı G. Pulpa hastalıklarının teda- visi, Bölüm 4, p:131-157, In: Endodontik Te- davi, İstanbul, 1985
  • Fairbourn DR, Charbeneau GT, Lo- esche WJ. Effect of improved Dycal and IRM on bacteria in deep carious lesions, JADA 1980;100:547-552
  • Marchi JJ, DE Araujo FB, Fröner AM, Straffon LH, Nör JE. Indirect pulp capping in the primary dentition:a 4 year follow-up study, J Clin Pediatr Dent 2006;31(2):68-71
  • Thompson V, Craig RG, Curro FA, Green WS, Ship JA. Treatment of deep carious lesions by complete excavation or partial re- moval, JADA 2008;139(6):705-712
  • Pinkham JR, Casamassimo PS, McTi- gue DJ, Fields HW, Nowak AJ. Ch.20: Dental Materials,(Donly KJ.,Segura A.), p.325-337, In:Pediatric Dentistry, Fourth Ed., Elsevier Saunders, 1994
  • Eidelman E, Ulmansky M, Michaeli Y. Histopathology of the pulp in primary inci- sors with deep dentinal caries, Pediart Dent 1992;14(6):1372-75
  • Tagger E., Tagger M. Endodontic tre- atment of primary teetth, Chapter 13, In: Es- sential Endodontology, Prevention and Treat- ment of Apical Periodontitis, Ed: Qrstavik D., Pitt Ford TR., Blacklwell Science, 2005
  • Falster CA, Araujo FB, Straffon LH, Nör JE. Indirect pulp treatment: in vivo out- comes of an adhesive resin systems vs calcium hydroxide for protection of the dentin-pulp complex, Pediatr Dent 2002;24(3):241-248
  • Maltz M, DE Oliveira EF, Fontanella V, Bianchi R. A clinical, microbiologic and ra- diographic study of deep caries lesions after incomplete caries removal, Quintessence Int 2002;33:151-159
  • Nordstrom DO, Wei SH, Johnson R. Use of stannous fluoride for indirect pulp cap- ping, JADA 1974;88:997-1003
  • Settembrini L, Boylan R, Strassler H, Scherer W. A comparision of antimicrobial ac- tivity of etchants used for a total etch tecnique, Oper Dent 1997;22:84-88
  • Vij R, Coll JA, Shelton P, Farooq NS. Caries Control and Other Variables Associated With Success of Primary Molar Vital Pulp Therapy, Pediatric Dentistry 2004;26(3):214- 220
  • Mjör IA. Endododontic materi- als:Reactor response, Adv Dent Res 1988,2(l):25-28
  • Kopel HM. Consideration for the di- rect pulp capping procedure in primary teeth:A review of the literature, J Dent Child 1992; Mar-April: 141-149
  • Bodem O, Blumenshine S, Zeh D, Koch MJ. Direct pulp capping with mineral trioxide aggregate in a primary molar: a case report, International Journal of Paediatric Den- tistry 2004;14:376-379
  • Turner C, Courts FJ, Stanley HR. A histological comparision of direct pulp capping agents in primary canines, ASDC Journal of Dentistry for Children 1987, 54(6):423-428
  • Sela J, Ulmansky M. Reaction of normal and inflamed dental pulp to Calxyl and zinc oxide eugenol in rats, Oral Surg 1970.;30(3):425-430
  • Heys DR, Cox CF, Heys RJ, Avery JK. Histological Considerations of Direct Pulp Capping Agents, J Dent Res,1981;60(7): 1371- 1379
  • Fernandes AM, Silva GA, Lopes N JR, Napimoga MH, Benatti BB, Alves JB. Di- rect capping of human pulps with a dentin bonding system and calcium hydroxide: an immunohistolchemical analysis, Oral Surg Oral Med Oral Radiol 2008;105(3):385-90
  • Stanley HR. Dental Pulp, Chapter 13:Calcium hydroxide and vital pulp therapy, In: Seltzer and Bender’s Dental Pulp, Ed.: K.M. Hargreaves, H.E. Goodis. 4th Ed. Chica- go:Quintessence Publishing Co. Inc., 2002; p.:232-235
  • Cox CF, Sübay RK, Ostro E, Suzuki S, Suzuki SH. Tunnel Defects in Dentin Brid- ges: Their formation following direct pulp capping, Operative Dentistry 1996;21:4-11
  • Murray PE, Hafez AA, Smith AJ, Cox CF. Identification of hierarchical factors to gu- ide clinical decision making for successful long-term pulp capping, Quintessence Int 2003;34:61-70
  • Schuurs AS. Pulp capping with adhe- sive resin-based composite vs. calsium hyd- roxide: a review, Endod Dent Traumatol 2000;16:240-250
  • Accorinte Mde L, Holland R, Reis A, Bortoluzzi MC, Murata SS, Dezan E JR, Souza V, Alessandro LD. Evaluation of Mineral Trioxide Aggregate and Calcium Hydroxide Cement as Pulp-capping Agents in Human Te- eth, J Endod 2008;34:1– 6
  • Bogen G, Kim JS, Bakland LK. Direct pulp capping with mineral trioxide aggregate: an observational study, JADA 2008;139(3):305-315
  • Briso AL, Rahal V, Mestrener SR, Dezan Junior E. Biological response of pulps submitted to different capping materials, Braz Oral Res 2006;20(3):219-25
  • Faraco IM JR, Holland R. Response of the pulp of doogs to capping with mineral trioxide aggregate or a calcium hydroxide ce- ment, Dent Traumatol 2001;17:163-166
  • Tuna D, Ölmez A. Clinical long-term evaluation of MTA as a direct pulp capping material in primary teeth, International Endo- dontic Journal 2008; 41: 273–278
  • Pitt-Ford TR, Torabinejad M, Abedi HR, Bakland LK, Kariyawasam SP. Using mi- neral trioxide aggregate as a pulp-capping ma- terial, JADA 1996;27:1491-1494
  • Queirez AM, Assed S, Leonardo MR, Nelson-Filho P, Silva LAB. MTA and calcium hydroxide for pulp capping, J Appl Oral Sci 2005; 13(2): 126-30
  • Markowitz K, Moynihan M, Liu M, Kim S. Biologic properties of eugenol and zinc oxide-eugenol. A clinically oriented review, Oral Surg.Oral Med.Oral Pathol 1992;73: 729- 737
  • Camp JH, Fuks AB. Chapter 22: Pedi- atric Endodontics-Endodontic treatment for the primary and young permanent dentition, In: Patways of the Pulp, Ninth Ed.,Ed: Cohen S., Hargreaves KM., 2006;p:822-882,Mosby El- sevier
  • Dederich DN, Bushick RD. Lasers in dentistry: Separating science from hype, J Am Dent Assoc 2004;135:204-212
  • Kimura Y, Wilder-Smith P, Matsumo- to K. Lasers in endodontics:a review, Int En- dod J 2000;33:173-185
  • Stabholz A, Sahar-Helft S, Moshonov J. Lasers in endodontics, Dent Clin N Am 2004;48:809-832