Faculty of medicine, Dpt of restorative dentistry, ass.prof. L. Roubalikova1
Management of deep caries
Caries pulpae proxima
̶ Dental caries next to dental pulp
̶ Dentin between the lesion and the pulp (can be decalcified)
Caries pulpae proxima
̶ Indirect pulp capping
Caries next to dental pulp (caries pulpae proxima). Carious dentin is
possible to remove almost completely. Decay is deep in small region. Appr
1 mm2 carious dentin can be left.
Kalciumhydroxide cement,permanent filling
Alternativs: MTA, Biodentine
Formation of tertiary dentine.
Caries ad pulpam penetrans or large car
pulpae proxima
Definujte zápatí – název prezentace nebo pracoviště4
Large caries pulpae proxima or caries ad
pulpam penetrans
̶ Intermitent excavation
Large dental caries spreading towards dental pulp. Big amount of carious
dentine.
High risk of perforation
Suspension of calcium hydroxide, temporary filling for 6 weeks.
Dessication of soft dentine, formation of tertiary dentine.
Permanent filling follows
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Intermitent excavation
Pulpotomy
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Nepřímé překrytí materiálem Biodentine
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