PB-6 Current Evidence in VPT Based on AAE Position Statement 2021
CE Hours: 1.0
Description: Vital pulp therapy (VPT) is a collection of techniques that are intended for preserving the vitality ad function of the dental pulp after traumatic injury, deep caries, or insult from restorative procedures. These techniques include indirect or direct pulp capping, partial pulpotomy, or complete pulpotomy. Contemporary application of VPT techniques is not only limited to the preservation of the radicular pulp in immature adult teeth, to enable complete formation of the root apex. These techniques have been recommended as alternatives for root canal therapy, for the treatment of mature adult teeth with completely formed apices. Pulpotomy, for example, has been used as a permanent treatment procedure for teeth that have either reversibly inflamed or irreversibly inflamed pulps. Since the publication of the European Society of Endodontology position statement on the management of deep caries and the exposed pulp in 2019, the American Association of Endodontists (AAE) has published a new position statement on VPT in 2021. The AAE position statement focused on 5 issues: diagnostic consideration for VPT, caries management, pulp management, placement of biomaterials, and timing for placement of a permanent restorative material. The objective of this presentation is to examine the quality of the evidence currently available for these five aspects of VPT.
Learning Objectives:
- Describe factors that affect an endodontist's decision for the amount of pulpal tissue removed or retained to create the optimal conditions for pulp tissue repair in VPT.
- Appreciate the quality of evidence currently available for different aspects of VPT, and the major gaps in scientific knowledge associated with VPT in mature adult teeth.
- Identify the problems that deter the clinical acceptance of VPT techniques by endodontists.
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Franklin Tay, B.D.S., PhD
FRANKLIN R. TAY, BDSC (HONS), PHD, Department chair, Department of Endodontics, The Dental College of Georgia at Augusta University University, Dr. Frank Tay received his BDSc with first class honors from the University of Queensland School of Dentistry in Australia in 1981, his Ph.D. from The University of Hong Kong in China in 1997 and his endodontic residency from the Medical College of Georgia, USA in 2007. He is a Diplomate of the American Board of Endodontics. He is currently Chairman and Professor of the Department of Endodontics, The Dental College of Georgia at Augusta University, Georgia, USA. Dr. Tay is a member of the Honor Society of Phi Kappa Phi. He serves as Associate Editors for the Journal of Endodontics and Journal of Dentistry. His research interests include collagen biomineralization, remineralization of resin-dentin bonds, antimicrobial sol-gel chemistry, mesoporous silica and endodontic materials. He is a Fellow of the Academy of Dental Materials and has published more than 600 papers in peer-reviewed journals. As of September 2020, Dr. Tay’s H-index is 102.
Disclosure(s): No financial relationships to disclose
