title: Preservation in Young Patients of Pulp Vitality and Anatomical-Functional Restoration of the Lost Structure.
abstract: Often, young patients (≤30 years old) present with carious lesions that progress acutely, compromising a large amount of tooth structure. In these cases, a treatment to prevent the occurrence of pulp exposure and promote remineralization of caries-affected dentin is necessary to maintain healthy dental structure and allow more conservative interventions. The approach will be different when pulp exposure occurs: The therapeutic treatments will be focused on reparative dentin formation and prevention of microorganisms penetrating the pulp organ. Due to the different possible treatments that can be performed to avoid pulp necrosis and the various materials that can be used for this purpose, professionals may have some difficulties understanding all the indications for conservative pulp treatments. The objective of this article is to describe and discuss a successful pulp capping and stepwise excavation associated with restorative treatment for deep caries lesions of anterior upper teeth.
authors.affiliation: PhD candidate, Department of Restorative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry - University of São Paulo, Bauru, São Paulo, Brazil.
authors.forename: Carlos Andres
authors.initials: CA
authors.lastname: Villavicencio Espinoza
authors.affiliation: Department of Restorative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry - University of São Paulo, Bauru, São Paulo, Brazil; Private Practice, Equador, Brazil.
authors.forename: Juan Fernando
authors.initials: JF
authors.lastname: Ordoñez Aguilera
authors.affiliation: PhD candidate, Department of Restorative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry - University of São Paulo, Bauru, São Paulo, Brazil.
authors.forename: Fabio Antonio
authors.initials: FA
authors.lastname: Piola Rizzante
authors.affiliation: PhD candidate, Department of Restorative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry - University of São Paulo, Bauru, São Paulo, Brazil.
authors.forename: Rafael Massunari
authors.initials: RM
authors.lastname: Maenosono
authors.affiliation: Associate professor, Department of Restorative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry - University of São Paulo, Bauru, São Paulo, Brazil.
authors.forename: Eduardo Batista
authors.initials: EB
authors.lastname: Franco
authors.affiliation: Assistant professor, Department of Restorative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry - University of São Paulo, Bauru, São Paulo, Brazil.
authors.forename: Sérgio Kiyoshi
authors.initials: SK
authors.lastname: Ishikiriama
mesh_terms: D002648:Child; D003731:Dental Caries / Q000628:therapy*; D003737:Dental Cavity Preparation; D003785:Dental Pulp Capping; D003790:Dental Pulp Necrosis / Q000517:prevention & control*; D003793:Dental Restoration, Permanent / Q000379:methods*; D006801:Humans; D008297:Male; D014089:Tooth Remineralization