Vital pulp therapy of mature permanent teeth with irreversible pulpitis from the perspective of pulp biology.

Autor: Lin LM; Department of Endodontics, New York University College of Dentistry, New York, New York, USA., Ricucci D; Private Practice, Cetraro, Italy., Saoud TM; Department of Restorative Dentistry and Endodontics, Faculty of Dentistry, University of Benghazi, Benghazi, Libya., Sigurdsson A; Department of Endodontics, New York University College of Dentistry, New York, New York, USA., Kahler B; The University of Queensland School of Dentistry, Brisbane, Queensland, Australia.
Jazyk: angličtina
Zdroj: Australian endodontic journal : the journal of the Australian Society of Endodontology Inc [Aust Endod J] 2020 Apr; Vol. 46 (1), pp. 154-166. Date of Electronic Publication: 2019 Dec 21.
DOI: 10.1111/aej.12392
Abstrakt: The American Association of Endodontists (AAE) Consensus Conference Recommended Diagnostic Terminology states that mature permanent teeth clinically diagnosed with irreversible pulpitis are treated with pulpectomy and root canal filling because inflamed vital pulp is not capable of healing. Histological studies have demonstrated that clinically diagnosed irreversible pulpitis does not involve the entire pulp. A recent International Endodontic Journal Editorial suggested clinical diagnosis of pulp disease should be reassessed because of the poor correlation between clinical symptoms and pulp sensibility testing and the actual histological status of the pulp. This review identified studies in a PubMed search that provide evidence for vital pulp therapy (VPT) of mature permanent teeth with irreversible pulpitis is predictable if correctly diagnosed and properly treated. A narrative review was undertaken to outline the correlation between the clinical symptoms/signs and pulp sensibility testing and the histological findings of the pulp. Treatment procedures for permanent teeth are outlined.
(© 2019 Australian Society of Endodontology Inc.)
Databáze: MEDLINE
Externí odkaz: