West China Journal of Stomatology ›› 2023, Vol. 41 ›› Issue (6): 622-627.doi: 10.7518/hxkq.2023.2023193

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Vital pulp therapy of permanent teeth with irreversible pulpitis

Wang Jun.()   

  1. Dept. of Pediatric Dentistry, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine & College of Stomatology, Shanghai Jiao Tong University & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, Shanghai 200011, China
  • Received:2023-06-20 Revised:2023-08-30 Online:2023-12-01 Published:2023-11-27
  • Contact: Wang Jun. E-mail:wangjun202@126.com
  • Supported by:
    Shanghai Municipal Natural Science Foundation(23ZR1437800);Research Discipline Fund from Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, and College of Stomatology, Shanghai Jiao Tong University(KQYJXK2021);Correspondence: Wang Jun, E-mail: wangjun202@126.com

Abstract:

Traditionally, vital pulp therapy (VPT) is mainly indicated for young permanent teeth. However, in recent years, VPT has been increasingly applied to mature permanent teeth. VPT was previously thought to be effective only for teeth with normal pulp or reversible pulpitis. However, an increasing body of evidence has demonstrated that VPT can successfully manage permanent teeth with irreversible pulpitis or apical periodontitis. This work discusses which teeth with irreversible pulpitis or apical periodontitis are suitable for VPT, the recommended method to evaluate and select this kind of case, and the clinical procedure involved to operate such a case.

Key words: vital pulp therapy, irreversible pulpitis, apical periodontitis

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