Candidacy for Pulp Capping
Pulp capping is typically recommended for patients with relatively minor damage or infection in the pulp tissue. It’s not usually recommended for patients with severe damage or infection, as more invasive treatments may be necessary.
To determine whether pulp capping is the right treatment option for you, consult with our Location dentist, who can evaluate your case and recommend the best course of treatment.
How Does Pulp Capping Work?
Pulp capping is typically performed in two different ways: direct pulp capping and indirect pulp capping.
Direct Pulp Capping
The direct pulp capping procedure involves applying a medicated material directly to the exposed pulp of a tooth. This procedure is typically performed when a small area of the pulp has been exposed due to a cavity or other damage.
The medicated material used in direct pulp capping promotes healing and prevents infection. Your dentist will clean the exposed pulp and apply the medicated material. After applying the material, they’ll place a filling or crown over the tooth to protect it from further damage.
The direct pulp capping procedure involves:
- Removing Tooth Decay: Your endodontist will start by drilling the cavity and removing any decayed tooth material. They’ll thoroughly clean the area.
- Adding Sedative Material: After the decay is removed, they’ll use a sedative material to protect the tooth pulp from bacteria until the dentin can repair itself.
- Filling the Cavity: A temporary or permanent dental filling is placed to strengthen the tooth and allow the patient to bite and chew easily.
Indirect Pulp Capping
The indirect pulp capping procedure is typically performed when a larger area of the pulp has been exposed due to significant decay or damage. This procedure involves removing as much decayed or damaged tissue as possible and applying a medicated material to the remaining pulp.
The medicated material used in indirect pulp capping encourages the growth of new dentin, a substance that helps protect the pulp. Your dentist will place a temporary filling over the tooth to protect it while the dentin grows.
The indirect pulp capping procedure typically involves:
Removing Decay: The endodontist will start by removing decayed tooth material, but will leave a small portion to cover the pulp tissue.
Adding Sedative Material: Just like direct pulp capping, a protective sedative material is applied to the decayed dentin.
Filling the Cavity: Then, the dental professional will place the temporary filling until you come back for your second appointment.
Evaluating Progress: After about six to eight months, your endodontist will remove the temporary filling to evaluate the status of your recovery. In most cases, the previously decayed dentin has regenerated, and any residual decay is removed.
Getting the Permanent Restoration: Lastly, a permanent dental filling is placed to strengthen the tooth and allow the patient to eat, bite, and speak normally.