Year : 2022

Volume : Volume 13

Issue : Issue 1

Address for correspondence :
Dr. Yadnesh Arun Dondulkar
ydondulkar@gmail.com

Abstract

Caries prevalence is still high over the world, with the disease affecting more elderly and socially disadvantaged people. Caries will progress through dentine stimulating pulpitis, pulp infection, and necrosis if left untreated; nevertheless, pulpal healing can occur even in deep carious lesions if conservatively managed. Deep caries therapy has traditionally consisted of nonselective removal of all carious dentine; however, the promotion of minimally invasive biologically based treatment techniques for selective caries removal, and a lower risk of pulp exposure has been promoted. One-visit indirect pulp treatment or a two-visit stepwise technique is both options for selective caries removal. With the avoidance of pulpectomy and the re-emergence of essential pulp treatment techniques such as partial and complete pulpotomy, management tactics for the treatment of cariously exposed pulp are also evolving. Notably, the discovery of new pulp capping materials such as mineral trioxide aggregate which, while not ideal, has resulted in more predictable histology and clinical therapies. In operative dentistry and endodontology, there is a compelling need to promote minimally invasive treatment options; nonetheless, the development of reliable diagnostic tools, evidence-based management strategies, and education in exposed pulp management will be crucial in the future.

Keywords: Deep caries, Indirect pulp capping, Direct pulp capping, Pulpotomy.