Original scientific paper
[Modification of the technique of direct pulp capping — our experiences]
T. Cvetković
; Stomatološka klinika Medicinskog fakulteta, Sarajevo
Abstract
Direct pulp capping is long used in the treatment of diseased pulps. The best known and at the same time the most acceptable technique is the one where the capping is done with a silver-plate and placed above the exposed pulp. Although this technique protects the dental pulp very well from external pressure, it can not, however, be said that it is the most ideal method. It may be applied exclusive lyiniarge and easily accessible cavities. For exposed pulps in small and inaccessibie cavities, a simpler method had to be found. In the introductory part of the paper prelim inary steps are described which are im portant for the succesful treatment. This is the preparation of cavities, removal of the carious dentin above the pulp and application and adaptation of the drug at the exposed pulp. The technique of pulp
capping by means of a metal cap is described and the good and bad sides of this method are listed. The m odified technique in direct pulp capping mentioned ih this paper is carried out w ith soft phosphate cement exclusively. In the lower teeth w ith Iarge and accessible cavities simple pouring over of cement serves to cover the adapted drug. In cavities of the upper jaw and other less accessible cavities the work is done that a ring is first made by adding small portions of soft phosphate cement around the very drug. Subsequently individual portions of the same cement are used to bridge the ring by adhesion of these portions from one to the other end of the ring until the entire quantity of the drug is covered. The aforementioned ring firmly secures the drug in the cavity and renders it possible to cover the drug without the slightest pressure by bridging and adding of cement. This m odification of the technique of work tends to achieve the same defect as the technique of pulp capping by means of a metal cap. In our opinion this modification is more universal and much more acceptable in the dental practice.
Keywords
Hrčak ID:
120042
URI
Publication date:
15.6.1970.
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