Regarding VPT :
As mentioned before,the primary goal of VPT is to create optimal conditions for pulp tissue repair and preservation.
Following several steps, starting with the correct diagnosis to ensure the pulp still vital , the AAE current diagnostic terminology assigns a vital pulp to the one of the three categories:”normal”, “reversible pulpitis ” or “irreversible pulpitis ” (wich could be symptomatic or asymptomatic ).
In this case, the female patient was 17 years
old and came to a clinic with severe pain on
#diagnosis :
-No periapical changes on x ray detected
– No tenderness to percusion
-On cold test, the tooth responed with severe pain that lasted for a few seconds, indicating the diagnosis of irreversible pulpitis
-Isolation with rubberdam to prevent any contamination
-strict aseptic procedures.
– Hemostasis is achieved by using sodium hypochlorite.
After Hemostasis, the pulp wound appears continuous homogeneous, and blood filled pulp tissue
MTA placed over the pulp tissue and covered by RMGIC, and the final restoration was following the principles of adhesive dentistry
Initial situation showing ditsal box with carious lesion
The patient feels of severe night pain, no tenderness to percusion, on cold test the patient feels of severe pain that last for few seconds indicating the presence of irreversible pulpits, the patient informed that according to the status of the pulp the treatment could be done with pulpatomy or pulpectomy
Step by stepncavity design
Multiple exposures occurred due to the extension of caries
The pulp wound appears continuous homogeneous and blood filled pulp tissue
MTA applied and covered by RMGIC
Direct composite done
Direct view
Finishing and polishing
Final result
Pre operative x ray
Final x ray
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