Guidelines for vital molar therapy are presented based on best available evidence. Often the cause for vital intervention is due to caries, but the depth of the carious lesion is seldom mentioned in the literature, which may hamper the evaluation of prognosis following treatment. In this paper, the deep and extremely deep carious lesion is defined and linked to specific treatment protocols which include both direct pulp capping, pulpotomy and less invasive carious removal procedures. Direct pulp capping is divided into Class I: the pulp capping is made by accident; or Class II: the capping procedure is expected and the set-up for the vital pulp therapy includes the use of magnification and illumination. Indications are presented for each modality.
Clinical Dentistry Reviewed – Springer Journals
Published: Aug 31, 2017
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