Contemporary Perspectives on Vital Pulp Therapy: Views From the Endodontists and Pediatric Dentists

Dental Material Choices for Pulp Therapy in Paediatric Dentistry

“…The literature often cites the high cost of MTA being a major barrier to its use in clinical practice despite a widely held view that for procedures such as direct pulp capping, it is the material of choice (6,(13)(14)(15)(16)(17). The mismatch between the evidence from the literature and the patterns of clinical practice suggests that there may be factors other than cost that influence the material selection by GD and PD.…”

The obsolescence of formocresol

“…Mineral trioxide is the acceptable replacement. 17 Ironically, formocresol pulpotomy is still the most frequently used procedure for asymptomatic caries that endangers the pulp chamber in primary teeth. Indirect pulp therapy, IPT, has been show to be an effective alternative to the full pulpotomy.…”

Mineral Trioxide Aggregate: A review of clinical usage and investigations of the effects of modifying particle size

“…Although much literature from the UK, Europe and the USA describes the high cost of MTA as being the main barrier to its widespread clinical use, 5,7,10,295,296 the results of this study show that in the Australian context, the main factor that restricts the use of MTA is a lack of formal training in how to use the material appropriately. It is noteworthy that the majority of GD members of the ASE expressed a need to undertake hands-on training in the use of MTA.…”

“…7,295,296 despite a widely held view that for procedures such as DPC that it is the material of choice. [296][297][298] The mismatch between the evidence from the literature and the patterns of clinical practice suggests that there may be factors other than cost that influence the materials selection of GDs and PDs. A recent survey of GDs and EDs in Australia and New Zealand showed that a lack of education on the use of MTA was more of a barrier than its cost.…”

“…Some infected carious dentine may intentionally be left, and this is then entombed using a well-sealed restoration. 296 In the Hall technique, preformed metal crowns filled with viscous GIC are placed onto teeth without local anaesthesia and without caries removal or approximal enamel preparation.…”