Treatment of vital pulp

From the diagnosis of pulpitis to clinical management after deep caries, trauma or invasive procedures, the book covers step by step the most relevant treatments: selective elimination of caries, pulpotomy, direct pulp coverage E Indirect, and regenerative therapies. Each therapeutic modality is explained with depth, including indications, clinical results and follow-up guidelines. With abundant clinical photographs, case analysis and discussion of controversial topics, this work is essential for general, endodontist dentists, restorative dentists and students seeking a conservative, effective and scientifically supported approach. An essential tool for those who want to make secure clinical decisions and successfully preserve pulp vitality.

1 The importance of maintaining the pulp vitality - Bruno Cavalcanti and Daniel Chiego, Jr.

Introduction
Development of dental pulp
Cell signage and dental pulp development
The role of apical papilla
Stem-Stem Steering Reserve and Cication Potential and Regeneration of Dental Pulp
Pulpar vascularization and its clinical implications
The pulp innervation and its contribution to the physiological changes
Pulp Response to Restorative Processes
Pulpar vitality and inflammation
Pulp repair mechanisms
Conclusions
REFERENCES

2 Biological Bases for the Treatment of Vital Pulp - FiveNuala T. Lundy, Lara T. Friedlander and Paul R. Cooper

Dental pulp: structure and function
Development and anatomy of dental pulp
Dental dentoblast pulp cells
Fibroblasts
Stem cells
Immune cells
MEC
Nerves
Vascularization
Aging
Dental pulp healing capacity
Molecular and cellular regulatory processes in tertiary dentinogenesis
Bioactive molecules
Cellular responses
Immunoinflammatory response in repair of the dentino-pulp complex: a double-edged gun
Immunological response in dental pulp
Diagnosis of pulp diseases
Future Vital Pulp Treatments
REFERENCES

3 Pulparia Diagnosis - Johnah C. Galicia and Asthma A. Khan

Introduction
Diagnostics of the Pulpar State and Associated Diagnostic Terminology
The diagnostic process
Pain history
Sensitivity tests / Pulp vitality
Diagnostic precision of pulp sensitivity tests
Other diagnostic tests
Radiographic examination
Preoperative diagnosis vs. direct observation
Diagnostic tests: from clinical to molecular, possibilities and challenges
Conclusion
REFERENCES

4 Treatment modalities for vital pulp: treatment of deep caries by selective and non-selective removal of carious fabric, staggered removal and indirect pulp coating - Helena Franson and Lars Bjørndal

Introduction
Vital pulp treatment modalities with the objective of not exposing the pulp
Indications: A pragmatic subdivision of extensive carious injuries
Deep caries 1
Deep caries 2
Deep Caries 3
Understanding the pathology of caries: a reason for "dare" to leave the dentin carious
The unchamed enamel-dentin lesion
The Carious Cavitated and Occlusal Caught Injury
Deep and extremely deep cavited carious injuries
Consequences of cariogenic ecosystem modification: knowledge for less invasive treatments
Formation of cartilaginous tissue in the pulp
Intrapulpar mineralized fabric: Pulp Pathology Sign or prevents Pulpara exhibitions?
Results
Results reported by clinical studies
Tracing
Recommendations based on evidence and consensus
Epidemiology of current practice
How often is the stepped removal performed?
Future
REFERENCES

5 Treatment modalities for vital pulp: direct pulp coating - Till Dammaschke

Is it a problem the pulp exposure?
Introduction
Treatment modalities for vital pulp: partial and total pulpotomy
Roberto Caraddu, Mark Lappin, Henry F. Duncan and Ikhlas A. El-Karim
Introduction
Definitions
Instruction
Definitive treatment of pulp exposure by asymptomatic caries
Definitive treatment of symptomatic irreversible pulpitis
Definitive treatment of traumatic pulp exposure
Other indications
Contraindications
The procedure
Aseptic operative field
Magnification and detection of caries
Control of bleeding and antibacterial irrigation
Materials for the pulp coating
Clinical protocol
Instrumental
Evaluation and anesthesia
Preparatory procedures prior to VPT
Caries removal
Disposal of pulpothean tissue (pulpotomy)
Achieve hemostasis
Placement of the pulp coating material placement of the final restoration
Pulpotomy results
What results to evaluate?
When and how are the results evaluated?
Factors that can influence the results of the pulpotomy
Conclusions
REFERENCES

6 Vital Pulp Terrapy: Material Selection - Renan Dal-Fabbro, Isaac J. De Souza Araújo and Marco C. Bottino

Introduction
Native pulp conditions
Pulp Response to Traumatic or Carious Injuries
Decision making for Pulpass Exhibitions
Historical background of materials for VPT and its influence on success
Standard of current gold and limitations of materials for VPT
Tissue response biology and repair mechanisms: matrix proteins, molecules and signaling pathways
Opportunities and materials for next generation VPT
Thanks
REFERENCES

7 Treatment of vital pulp in dental trauma injuries - Bill Kahler and Giampiero Rossi-Fedele

Introduction
Traumatic dental injuries
Diagnosis of pulp condition
Direct pulpot coating and pulpotomies for the treatment of traumatized teeth
What is the preferred evidence for the choice of treatment?
Factors that affect the results of the VPT in TDI
Restorations
Mobility
Delay in treatment
Pulp exposure size
Stages of root development
Choice of material for CCF
Time needed to achieve hemostasis
Options limited by time or patient
Initial Pulpusing followed by a partial pulpotomy
Complications of VPT in traumatized teeth
Calcification of the pulp duct
Discoloration
Reabsorption
Quality of life related to oral health
Differences between the treatment of traumatisms and the one of caries
Complicated coronary broken with dislocation and complex lesions
Clinical protocols for direct pulpot coating and pulpotomy
Pulpotomía
Direct pulp coating
Monitoring protocol
Future guidance
REFERENCES

8 Regenerative Endodontics - Matthias Widbiller and Kerstin M. Galler

Introduction
Biological and mechanical objectives of pulp feedback
Historical development of regenerative endodontics
Revitalization
Indications and contraindications
Clinical protocol
Tracing
Measurement of results
Clinical
Revitalization of mature teeth
Biological
Endodontic tissue engineering
Classification
Platelet products autologous
Conclusion
REFERENCES

9 Results of the treatment of vital pulp and regenerative endodontics - Siobhan Cushley, Emi Shimizu, Yoshifumi Kobayashi and Venkateshbabu Nagendrababu

Introduction
Results report on the VPT
Success
Pain
Moment of pain measurement
Sensitivity / Pulp vitality
Moment of performing pulp sensitivity tests
Absence of apical periodontitis, root reabsorption and, in the case of immature teeth, continued root development
Moment of radiographic evaluation
Other results Contunnables in VPT Studies
Quality of final restoration
Survival
Histopathological results
Formation of hard tissue barrier
Quality of life related to oral health
Compound results
Considerations of the parties interested in the results report
Pulpal revitalization as regenerative endodontic therapy
Results and Measurement of Results
Success / survival
Radiographic measurement of results
Pain
Dental function
Emergency treatment search
Adverse effects
Follow up and optimum moment to report the results
Improvement of the current RET through the evaluation of the OHRQOL
REFERENCES