Review Article
Volume 20 Issue 7 - 2021
Conservative Management of Endodontic Exposure
Mahmoud Nasser Alwesaidi1*, Badr Ali Albedair2, Suhail Mohammad Binmahmoud2, Ahmed Fahad Alamri2, Feras Majed Alwesaidi2, Omar Hamza Alamri2, Almuayad Mansour Alhejeili2, Abdulaziz Mohammed Almuzaini2 and Abdulmajeed Mohammed Alhumaidi2
1Specialty Dental Centre, King Fahad Hospital, Jeddah, Saudi Arabia
2Taibah University, College of Dentistry, Al Madinah Al Munawwarah, Medina, Saudi Arabia
*Corresponding Author: Mahmoud Nasser Alwesaidi, Specialty Dental Centre, King Fahad Hospital, Jeddah, Saudi Arabia.
Received: June 22, 2021; Published: June 29, 2021




Abstract

Introduction: Healthy pulp tissue is of utmost importance so as to prevent the inflammation throughout the pulp causing various periapical pathosis therefore, the maintenance of the same forms the basis of minimally invasive dentistry. Although, the dental pulp itself exhibits various protective mechanisms against irritation, yet the conservative management of the exposed pulp has been unpredictable. Vital pulp therapy (VPT) is a commonly done procedure in deciduous dentition for maintenance of pulp and preservation of tooth. The same has been advocated in mature permanent teeth as well as a conservative method for mechanical, iatrogenic, and carious pulpal exposure. The earlier studies showed the poor outcome of VPT but the advent of more advanced dental biomaterial and evolving understanding of molecular biology and regenerative medicine have led to the era of new treatment strategies for the exposed pulp. Knowledge of histopathology and bacteriology of the cariously exposed pulp is also a key factor for proceeding to this ultraconservative management of pulp exposure. The healing potential of the inflamed pulp, proper case selection, appropriate restorative and capping material selection, strict aseptic condition, good marginal seal are some crucial factors for the long-term success of these treatments.

Aim of the Study: The purpose of this review is to understand and have a different perspective of vital pulp therapy and its better role in the preservation of pulpal inflammation and disease in pulpal exposure along with the various advanced capping material used for the same.

Methodology: The review is a comprehensive research of PUBMED, MEDLINE, SCOPUS, SCHOLAR from year 1963 to 2020.

Conclusion: Maintenance of pulp vitality by the adoption of minimally invasive procedures is highly encouraged in adult teeth with carious pulp exposure. Parallel with the need for an update of the diagnostic terminology of the state of the pulp, there is an urgent need for a more representative pulpal diagnostic method.

Keywords: Vital Pulp Therapy; Calcium Hydroxide; Calcium-Silicate-Based Biomaterials; Pulp Exposure

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Citation: Mahmoud Nasser Alwesaidi., et al. “Conservative Management of Endodontic Exposure”. EC Dental Science 20.7 (2021): 89-97.

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