| Description |
1 online resource (243 pages) |
| Contents |
Cover -- Title Page -- Copyright Page -- Contents -- List of Contributors -- Foreword -- Preface -- Chapter 1 The Importance of Maintaining Pulp Vitality -- Introduction -- Dental Pulp Development -- Cell Signalling and Dental Pulp Development -- The Role of the Apical Papilla -- Stem Cell Reserve and Healing/Regeneration Potential of the Dental Pulp -- Pulp Vascularization and its Clinical Implications -- Pulp Innervation and its Contribution to Physiologic Changes -- Pulp Response to Restorative Processes -- Pulp Vitality and Inflammation -- Mechanisms of Pulp Repair -- Conclusions -- References -- Chapter 2 Biological Basis for Vital Pulp Treatment -- Dental Pulp - Structure and Function -- Development and Anatomy of the Dental Pulp -- Cells of the Dental Pulp -- Odontoblasts -- Fibroblasts -- Stem Cells -- Immune Cells -- ECM -- Nerves -- Vasculature -- Ageing -- Healing Capability of the Dental Pulp -- Molecular and Cellular Regulatory Processes in Tertiary Dentinogenesis -- Bioactive Molecules -- Cellular Responses -- Immune-Inflammatory Response in Dentine-Pulp Complex Repair - A Double-Edged Sword -- Immunological Response in the Dental Pulp -- Diagnostics for Pulpal Disease -- Future Vital Pulp Treatments -- References -- Chapter 3 Pulpal Diagnosis -- Introduction -- Diagnoses of Pulpal Status and Their Associated Diagnostic Terminologies -- The Diagnostic Process -- Pain History -- Pulp Sensitivity/Sensibility Testing -- Diagnostic Accuracy of Sensibility Tests -- Other Diagnostic Tests -- Radiographic Examination -- Preoperative Diagnosis versus Direct Observation -- Clinical to Molecular Diagnostic Tests: Possibilities and Challenges -- Conclusion -- References |
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Chapter 4 Vital Pulp Treatment Modalities: The Management of Deep Caries Using Selective and Non-Selective Removal of Carious Tissue, Stepwise Excavation and Indirect Pulp Capping -- Introduction -- Vital Pulp Treatment Modalities Aiming Not to Expose the Pulp -- Indications - A Pragmatic Subdivision of Extensive Carious Lesions -- Caries Profunda 1 -- Caries Profunda 2 -- Caries Profunda 3 -- Understanding Caries Pathology - A Reason to 'Dare' Leaving Carious Dentine Behind -- The Non-cavitated Enamel-Dentine Lesion -- The Approximal and Occlusal Cavitated Carious Lesion -- Cavitated Deep and Extremely Deep Carious Lesions -- Consequences of Changing the Cariogenic Ecosystem - Knowhow for Less Invasive Treatments -- Formation of Intra-Pulpal Cartilage-Like and Hyperplastic Tissue in the Pulp -- Intra-Pulpal Mineralized Tissue - A Sign of Pulp Pathology and Avoidance of Non-exposing Treatments? -- Outcomes -- Reported Outcome from Clinical Studies -- Monitoring -- Evidence-based and Consensus Recommendations -- Epidemiology of Current Practice -- How Often Is Stepwise Excavation Performed? -- Future -- References -- Chapter 5 Vital Pulp Treatment Modalities: Direct Pulp Capping -- Is Exposing the Pulp a Problem? An Introduction -- Management of Traumatic and Iatrogenic Pulp Exposures -- Indications for Direct Pulp Capping -- Factors Affecting the Outcomes of Direct Pulp Capping -- Patient Age -- Exposure Size -- Location of the Pulp Exposure -- Microorganisms -- Caries Excavation -- Haemostasis and Cavity Disinfection -- Selection of the Pulp Capping Material -- Definitive Restoration -- Contraindications for Direct Pulp Capping -- Evidence-based Outcomes of Direct Pulp Capping -- Outcome of Direct Pulp Capping After Deep Caries Excavation -- Outcome of Direct Pulp Capping After Dental Trauma -- Future Developments in Direct Pulp Capping |
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Conclusions -- References -- Chapter 6 Vital Pulp Treatment Modalities: Pulpotomy -- Partial and Complete -- Introduction -- Definitions -- Indications -- Definitive Treatment for Asymptomatic Cariously Exposed Pulp -- Definitive Treatment for Symptomatic Irreversible Pulpitis -- Definitive Treatment for Traumatically Exposed Pulp -- Other Indications -- Contraindications -- The Procedure -- Aseptic Operatory Field -- Magnification and Caries Detection -- Bleeding Control and Antibacterial Lavage -- Capping Materials -- Clinical Protocol -- Armamentarium -- Assessment and Anaesthesia -- Pre-VPT Preparatory Procedures -- Caries Removal -- Pulp Tissue Removal (Pulpotomy) -- Achieving Haemostasis -- Placement of the Pulp Capping Material -- Placement of Final Restoration -- Outcomes of Pulpotomy -- Which Outcome to Assess? -- When and How Outcomes Are Assessed? -- Factors That May Influence the Outcomes of Pulpotomy -- Conclusions -- References -- Chapter 7 Vital Pulp Treatment -- Material Selection -- Introduction -- Native Pulp Conditions -- Pulp Response to Traumatic or Carious Injuries -- Decision-making for Pulp Exposures -- Historical Background on VPT Materials and Their Influence on Success -- Current Gold Standard and Limitations of VPT Materials -- Biology of the Tissue Response and Mechanisms of Repair - Matrix Proteins, Signalling Molecules and Pathways -- Opportunities and Next-generation VPT Materials -- Acknowledgements -- References -- Chapter 8 Vital Pulp Treatment for Traumatic Dental Injuries -- Introduction -- Traumatic Dental Injuries -- Diagnosing the Pulp Condition -- Direct Pulp Capping and Pulpotomies for Managing Traumatised Teeth -- What is the Evidence for the Preferred Treatment Choice? -- Factors that Affect Outcomes of VPT in TDI -- Restorations -- Mobility -- Delay in Treatment -- Size of Pulp Exposure |
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Stage of Root Development -- Material Choice for CCFs -- Time Taken to Achieve Haemostasis -- Time or Patient Limited Options -- Initial Pulp Cap Followed by a Later Partial Pulpotomy -- Complications from VPT in Traumatised Teeth -- Pulp Canal Calcification -- Discolouration -- Resorption -- Oral Health-Related Quality of Life -- Differences Between Trauma and Caries Management -- Complicated Crown Fracture with Luxation and Complex Injuries -- Clinical Protocols for Direct Pulp Capping and Pulpotomy -- Pulpotomy -- Direct Pulp Capping -- Follow-up Protocol -- Future Directions -- References -- Chapter 9 Regenerative Endodontics -- Introduction -- Biological and Mechanical Goals of Pulp Regeneration -- Historical Development of Regenerative Endodontics -- Revitalization -- Indications and Contraindications -- Clinical Protocol -- Follow-Up -- Outcome Measures -- Clinical Outcome -- Revitalization of Mature Teeth -- Biological Result -- Endodontic Tissue Engineering -- Classification -- Autologous Platelet Products -- Conclusion -- References -- Chapter 10 Outcome of Vital Pulp Treatment and Regenerative Endodontics -- Introduction -- Outcomes Reporting in VPT -- Success -- Pain -- Timing of Measurement of Pain -- Sensibility/Vitality of Pulp -- Timing of Sensibility Testing -- Absence of Apical Periodontitis, Root Resorption and, in the Case of Immature Teeth, Continued Root Development -- Timing of Radiographic Assessment -- Other Outcomes Reported in VPT Studies -- Quality of the Definitive Restoration -- Survival -- Histopathological Outcomes -- Formation of Hard Tissue Barrier -- Oral Health-Related Quality of Life -- Composite Outcomes -- Stakeholder Considerations in Outcome Reporting -- Pulp Revitalization as a Regenerative Endodontic Therapy -- Outcomes and Outcome Measures -- Success/Survival -- Radiographic Measurement of Outcomes -- Pain |
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Tooth Function -- Seek Emergency Treatment -- Adverse Effects -- Follow-Up and Optimal Timing for Reporting Outcomes -- Improvement of Current RET by Assessing OHRQoL -- References -- Index -- EULA |
| Bibliography |
References -- Chapter 2 Biological Basis for Vital Pulp Treatment -- Dental Pulp - Structure and Function -- Development and Anatomy of the Dental Pulp -- Cells of the Dental Pulp -- Odontoblasts -- Fibroblasts -- Stem Cells -- Immune Cells -- ECM -- Nerves -- Vasculature -- Ageing -- Healing Capability of the Dental Pulp -- Molecular and Cellular Regulatory Processes in Tertiary Dentinogenesis -- Bioactive Molecules -- Cellular Responses -- Immune-Inflammatory Response in Dentine-Pulp Complex Repair - A Double-Edged Sword -- Immunological Response in the Dental Pulp |
| Notes |
Description based on publisher supplied metadata and other sources |
| Form |
Electronic book
|
| Author |
El-Karim, Ikhlas A
|
| ISBN |
1119930413 |
|
9781119930419 |
|
1119930391 |
|
9781119930396 |
|
