Paediatric Endodontics (Part 2)

The pulp of primary teeth possesses the ability to form a dentin-like matrix (tertiary dentin) as part of the repair mechanism of the dentin-pulp complex. Vital pulp therapy procedures (or indirect capping) aim to treat reversible pulpal injury due to caries, restorative procedures, or trauma. It is considered nowadays an acceptable procedure based on good history and proper clinical and radiographic examination. It should be followed by a good restoration. We must keep in mind that the direct pulp treatment procedures are less predictable as failure is likely to occur in case of even a minute pulp exposure.So the procedures have to be carried out under rubber dam isolation. free from oral contaminants. Such teeth should preferably be treated by procedures like pulpotomy or pulpectomy