AAE Online CE
SP-45 Treatment of Mature Permanent Teeth with Irreversible Pulpitis: A Forgotten Vital Pulp Therapy
Traditionally, mature permanent teeth clinically diagnosed with irreversible pulpitis are treated with complete root canal therapy (RCT). However, recent studies have showed that mature permanent teeth with irreversible pulpitis could be successfully treated with vital pulp therapy (VPT). Complete RCT compared to VPT has following disadvantages: weakening of the teeth by removing tooth structure to accommodate root canal filling; higher prevalence of root fracture; poorer survival rate; prone to carious attack; and loss of apical healthy pulp to prevent development of apical periodontitis. In VPT, correct diagnosis of a pulp disease is important. Clinically, diagnosis of a pulp disease based on the patient’s subjective symptoms and objective clinical examination is a challenge. Control of pulp infection and bacteria-tight seal of pulp wound with capping materials and coronal restoration are keys to the success of VPT. VPT of mature permanent teeth with irreversible pulpits can be an option to complete RCT, similar to regenerative endodontic therapy, which is an option to traditional apexification of immature permanent teeth with necrotic pulp.
At the conclusion, participants should be able to:
- Describe the definition of irreversible pulpitis.
- Discuss pulp infection and pulp inflammation.
- Perform a vital pulp therapy.
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Louis Lin, BDS, DMD, PhD
Dr. Louis M. Lin graduated from Chung Shan Medical University School of Dentistry, Taiwan. He then went to University of Tokyo University Hospital, Japan to receive postgraduate training in Oral Surgery. He continued to pursue graduate study in Pathology at University of Oklahoma Medical Center, Oklahoma, USA and obtained a PhD degree in Pathology. He completed Oral Pathology residency at Louisiana State University School of Dentistry, Louisiana, USA. He received a Doctor of Dental Medicine degree from Rutgers University School of Dentistry, New Jersey, USA. He also completed Postgraduate Education in Endodontics at University of Connecticut School of Dental Medicine. Connecticut, USA. Dr. Lin has been Director of Postgraduate Education in Endodontics at Rutgers University School of Dentistry, New Jersey, University of California School of Dentistry at Los Angeles, California, and New York University College of Dentistry, New York. He has also been Chair of Department of Endodontics at Rutgers University School of Dentistry, New Jersey, and University of California School of Dentistry, California.
Louis Lin, BDS, DMD, PhD
I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation.