Indirect pulp capping, one visit technique, for treatment of reversible pulpitis in primary teeth

Pulp of primary teeth provides all the abilities of healing and regeneration and in this aspect it is similar to the pulp of permanent teeth. Odontoblasts may produce reactionary dentin under mild to moderate stimulus. Indirect pulp capping, one visit technique, is a vital method of treatment for reversible pulp inflammation successfully applied in primary dentition. The aim of the study is to determine the level of success after application of indirect pulp capping, one visit technique, in cases of reversible pulp inflammation in primary teeth. Material and method: There are 40 cases with reversible pulpitis in primary teeth and the patients are classified as patients with low caries risk. Indirect pulp capping one visit technique is applied by following the approved clinical protocol. The layer of affected demineralized dentin is covered by calcium hydroxide cement and the teeth are obturated with compomer. Results. Clinical results are registered clinically and radiographically till the end of the second year after treatment. The level of success is 92,5% after the end of the second year. Conclusion. We stated that the indirect pulp capping one visit technique for treatment of reversible pulpitis in primary teeth is suitable and recommended when the aim is to stimulate the healing processes in the pulp and keep its vitality

The Role of Light-Induced Fluorescence in the Treatment of Smooth Surface Carious Lesions with Icon Infiltration and the Results After 1 Year

Caries infiltration is a novel technique that brings out immediate esthetic improvement in the opacity of the white spot lesions. Light-induced fluorescence method is a modern caries diagnostic method. In this study SoproLife camera (Acteon, France) was applied for diagnosing and follow-up of the results. The aims of this in vivo study are to test the role of light-induced fluorescence method (SoploLife camera) in the diagnosis of non-cavitated smooth surfaces carious lesions (ICDAS codes 1 and 2) of primary and permanent teeth and in the follow-up period immediately after application, 6 months and 1 year after applying ICON material (DMG). Teeth: n = 90; primary teeth: 6 kids; n = 40 teeth; permanent teeth: 6 patients; n = 50 teeth. Visual examination by ICDAS without probe, dry for 10 s with 3-in-1 syringe using lightening; SoproLife camera (450 nm), digital photos. LIF method applied with SoproLife camera (Diagnostic mode with day light and blue light) is more accurate than visual examination only when applied for single tooth diagnose. Moreover, LIF method for single tooth is more accurate in following up the effect of non-operative treatment of smooth surfaces lesions than using digital images. ICON is a material that stops the progression of non-cavitated smooth surfaces carious lesions in both primary and permanent teeth and make the aesthetic result better up to 1 year following the procedure