Dental Pulp Therapies: Indirect and Direct Capping and Pulp Regeneration
Journal Title: Journal of Clinical Medical Research - Year 2022, Vol 3, Issue 1
Abstract
Specific dental therapies refer to pulp healing and regeneration. These therapies are related to Indirect and direct pulp capping Vital amputation (conventional endodontics) Treatment of infected non-vital teeth and pulp regeneration In the two first cases, cells differentiate into functional odontoblasts producing reactionary dentin. The third option leads to the formation of tertiary (reparative) dentin. The healthy pulp includes a series of cells: fibroblasts, stem cells, dendritic cells, histiocytes /macrophages, B and T-lymphocytes, vascular cells involving capillaries, arterioles and veins, lymph vascularization and pulp innervation. Direct or indirect pulp capping, promote a tubular reactionary dentin, beneath a calciotraumatic line. If the pulp is partially or totally infected, after disinfection and/or cleaning solutions, residual apical cells, recolonize the lumen, leading to the activation of pericytes and apposition of parietal dentin. Apexogenesis (root lenghtening) and apexification (apical closure) contribute to dental therapies (re-formation and/or pulp regeneration). The purpose of this review is to summarize the beneficial effects of indirect and direct capping and their usefulness for pulp regeneration.
Authors and Affiliations
Michel Goldberg
Keywords
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- EP ID EP700385
- DOI http://dx.doi.org/10.46889/JCMR.2022.3103
- Views 65
- Downloads 0
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