Indirect pulp capping and primary teeth: is the primary tooth pulpotomy out of date?

Abstract:

:Formocresol pulpotomy (FP) in the United States is most frequently used to treat asymptomatic caries near the pulp in primary teeth. Indirect pulp therapy (IPT) is also indicated and has a significantly higher long-term success. Pulpotomy is thought to be indicated for primary teeth with carious pulp exposures, but research shows the majority of such teeth are nonvital or questionable for treatment with vital pulp therapy. IPT has a significantly higher success in treating all primary first molars, but especially those with reversible pulpitis compared with FP. The purpose of this article was to review the dental literature and new research in vital pulp therapy to determine the following: (1) Is a pulpotomy indicated for a true carious pulp exposure? (2) Is there a diagnostic method to reliably identify teeth that are candidates for vital pulp therapy? (3) Is primary tooth pulpotomy out of date, and should indirect pulp therapy replace pulpotomy?

journal_name

J Endod

journal_title

Journal of endodontics

authors

Coll JA

doi

10.1016/j.joen.2008.02.033

subject

Has Abstract

pub_date

2008-07-01 00:00:00

pages

S34-9

issue

7 Suppl

eissn

0099-2399

issn

1878-3554

pii

S0099-2399(08)00196-9

journal_volume

34

pub_type

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