The biological method of pulpitis treatment allows fully preserving the pulp in the viable state. The indication for the biological method is the random opening of the pulp chamber and the reversible form of pulpitis, for example, acute focal pulpitis or pulp hyperemia.
The coverage of the pulp is subdivided into the direct and indirect one. The direct coverage implies that the coating of calcium hydroxide preparation is applied directly to the exposed pulp. The indication is the accidental exposure of the pulp cavity. With the indirect treatment, the medical preparation is applied to a thin layer of dentin on the cavity bottom. The indication for this is pulp hyperemia or acute focal pulpitis.
Dentists in North Carolina say: «The treatment can also be conducted in two stages. At the first stage, glucocorticoid-antibiotic paste is applied under the bandage, then, a few days later, we remove this paste and at the second stage, the preparations of calcium hydroxide are usually used».
The Methodology of the Treatment includes:
Initially, anesthesia is applied. Then, next the entirely destroyed dentin and enamel are completely removed with sterile dental drill. After that, the cavity is washed with the weak solution of chlorine hexidine. If the indirect pulp coverage method is used, on the bottom of the prepared cavity to one of the pulp chamber horns the preparation of calcium hydroxide is applied, and a sealing padding of ICS is applied over its top. If the tooth cavity is opened, the surface of the pulp is washed with distilled water or sterile saline with the subsequent removal of excess moisture with a clean swab. Then, the calcium hydroxide preparation and the padding of ionomer cement are applied to the bare pulp.
After the mentioned manipulations, the carious cavity is sealed with the composite material of photic solidification, and the correct anatomical shape of the tooth is restored simultaneously. Then the filling is ground and polished to the dry gloss in order to, firstly, make the seal invisible and, secondly, to prevent plaque accumulation on the surface of the filling. To strengthen the enamel and increase its resistance to caries fluoride preparations are applied to the surface of the tooth, the process can be simple or deep fluoridation.
The biological method is quite simple from the technical point of view, it can save the pulp in the vital condition, and it is also cost in low, which makes it available for most patients. Nevertheless, due to the certain psychological factors and the peculiarities of pulp inflammation, which do not arise, the patient’s suspicion at the early stages, the patients do not come to the dental clinics at the early stages of the disease and seek medical aid when the pulp becomes diffusely inflamed or at the stages of chronic inflammation. For all these reasons the biological method of pulpitis treatment is rarely used.
The information you just read is provided by a group of dental specialists from Montana http://dentalprofy.com/dentists/montana. In case you feel the symptoms of the disease, rush to your nearest dentist soon.