Vital Pulp Therapy (VPT)
11 years old girl suffering from severe night pain , during diagnosis (cold test ) she suffered from severe pain on cold test last for few seconds indicating the presence of irreversible pulpits
The tooth, not tender percusion
After anaesthesia and isolation, all caries were removed, and multiple pulp exposure occurred due to the extension of caries lesion, and so complete pulpatomy done.
_Hemostasis is achieved by using sodium hypochlorite and cotton.
_MTA placed over the pulp and covered with flowable light cure GIC and restored with direct filling in the same visit.
_Ever x flow used for dentin replacement
_ direct composite for enamel replacement
Initial situation
During cavity preparation, you can expect the depth of the cavity from this view
Multiple exposures due to the extension of the caries into the pulp
Complete pulpatomy done
Attempt to control the bleeding by using sodium hypochlorite and cotton for 5 minutes
After hemostasis you can see the colour of the pulp tissue
MTA placed over the pulp one of the best CSC materials that used in VPT and to create optimal condition to the pulp to repair it self
MTA covered by flowable light cure GIC
Gold standard clearfil SE bond used, ever x flow for dentin replacement
Immediate result
Final result
Final x ray, you can see the incomplete root formation so VPT is the best choice
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