Abstract
Vital pulp therapy preserves pulp vitality in immature permanent teeth, supporting continued root development, dentinal wall thickening, and apical maturation. It can also be performed in mature permanent teeth when appropriate clinical indications and case selection criteria are met. This presentation will cover diagnosis, case selection, and indications for partial and full pulpotomy.
The technique will be demonstrated step by step, including anesthesia, rubber dam isolation, tissue removal, pulp amputation, disinfection, and assessment of bleeding and hemostasis.
Material handling and placement will also be addressed, with emphasis on the controlled delivery and adaptation of MTA and bioceramic putty, appropriate thickness, avoidance of excessive pressure, and prevention of contamination.
Finally, the presentation will discuss definitive coronal sealing, postoperative assessment, and clinical and radiographic follow-up, with the goal of maintaining pulp vitality and promoting predictable root maturation.
Learning Objectives
- Decision-making and case selection for full pulpotomy in immature and mature permanent teeth.
- Perform full pulpotomy using a predictable step-by-step clinical protocol.
- Select the appropriate material, with emphasis on MTA and bioceramic putty.
- Select the appropriate applicator and delivery system for controlled material delivery.
- Master the placement and adaptation of MTA and bioceramic putty to achieve a predictable clinical outcome.
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