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REVIEW ARTICLE
Year : 2015  |  Volume : 12  |  Issue : 5  |  Page : 406-417

Outcomes of vital pulp therapy in permanent teeth with different medicaments based on review of the literature


1 Torabinejad Dental Research Center and Department of Pediatric Dentistry, Dental School, Isfahan University of Medical Sciences, Isfahan, Iran
2 Torabinejad Dental Research Center and Department of Endodontics, Dental School, Isfahan University of Medical Sciences, Isfahan, Iran

Correspondence Address:
Abbasali Khademi Khademi
Department of Endodontics, Dental School, Torabinejad Dental Research Center, Isfahan University of Medical Sciences, Isfahan
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1735-3327.166187

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Vital pulp therapy (VPT) is a biologic and conservative treatment modality to preserve the vitality and function of the coronal or remaining radicular pulp tissue in vital permanent teeth. A search was conducted via the Cochrane database, PubMed, MEDLINE, and Ovid for any articles with the criteria for "pulp-capping," or "pulp-capping materials" and "VPT outcomes" from 1978 to mid 2014. All articles were evaluated and the valid papers were selected. The outcomes of various VPT techniques, including indirect pulp treatment, direct pulp treatment, partial pulpotomy, and complete pulpotomy in vital permanent teeth were extracted. Although various studies have different research approach, most studies noted a favorable treatment outcome. Mineral trioxide aggregate (MTA) appears to be more effective than calcium hydroxide (Ca(OH) 2 ) for maintaining long-term pulp vitality after indirect and direct pulp-capping. However, it seems that the success rate for partial pulpotomy and pulpotomy with Ca(OH) 2 is similar to MTA.


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