The main goal of vital pupl therapy (VPT) is maintain the vialibility of the pulp as long as possible. VPT has been recommended as a treatment procedure in young patients only in cases of reversible pulpitis. Even teeth with closed apices could be treated successfully with VPT methods in cases of reversible pulpitis. The diagnosis of irreversible pulpitis in mature teeth is considered a contraindication for these procedures. However the newest studies indicated that pulpotomy is a conservative treatment even for permanent teeth with symptoms of irreversible pulpitis or signs of chronic apical periodontitis. Coronal pulpotomy is less invasive, cost effective, reduces pain and discomfort for patients, simple and less time consuming for patients and the dentists. Pulpotomy helps save tooth structure and consequently increasing tooth survival. However it should be kept in mind that there is still needs of well designed, future clinical studies about case selection and clinical procedures protocol . Diagnosis of pulpitis should be rivised too as there is no still methods for determination of pulp vitality.
Objectives
- Pulpotomy can be a successful alternative treatment for teeth with symptoms of irreversible pulpitis.
- Coronal Pulpotomy is less invasive, cost effective, reduces pain and discomfort for patients, simple and less time consuming for patients and the dentists.
- There is still needs of well designed, future clinical studies about case selection and clinical preocedures protocol.