Vital pulp therapy with bipolar electrocoagulation after intentional pulp exposure of fixed prosthodontic abutments: a clinical report.
A clinical protocol is described for the treatment of intentional and unavoidable exposed pulps during crown preparation. The protocol includes a definitive cavity preparation to create space in the exposed dentin for an adhesive pulp barrier; procedures to develop the highly desirable hybrid zone to prevent microleakage; the use of a specific resinous material that serves as a long-term pulp barrier with a relatively neutral and biocompatible impact on the pulp; and the use of precise bipolar electrocoagulation to provide durable hemostasis for restoration of the pulp wall and a relatively clot-free surgical wound to facilitate healing. The protocol involves the application of gentle surgical and restorative procedures to support the inherent healing process to restore the health of the pulp. The patient presented was part of a larger investigation and was selected in an attempt to identify a fixed prosthodontic application of the proposed pulp therapy protocol.
Livaditis
G J
GJ
Dental School, Baltimore College of Dental Surgery, University of Maryland, Baltimore, MD, USA. lividitisdds@aol.com
D000180:Acrylic Resins; D000328:Adult; D001672:Biocompatible Materials; D001896:Boron Compounds; D002985:Clinical Protocols; D003442:Crowns; D000044:Dental Abutments; D003763:Dental Leakage / Q000517:prevention & control; D003782:Dental Pulp / Q000503:physiopathology; D003785:Dental Pulp Capping; D003789:Dental Pulp Exposure / Q000601:surgery*; D003804:Dentin / Q000601:surgery; D017220:Dentin-Bonding Agents; D003833:Denture, Partial, Temporary; D004564:Electrocoagulation / Q000295:instrumentation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006488:Hemostasis, Surgical / Q000295:instrumentation / Q000379:methods; D006801:Humans; D008689:Methacrylates; D008768:Methylmethacrylates; D010347:Patient Care Planning; D019279:Resin Cements; D019231:Tooth Preparation, Prosthodontic; D014945:Wound Healing
D000180:Acrylic Resins; D001672:Biocompatible Materials; D001896:Boron Compounds; D017220:Dentin-Bonding Agents; D008689:Methacrylates; D008768:Methylmethacrylates; D019279:Resin Cements; C031172:4-META resin; C049495:Super-bond