Indirect Pulp Capping Treatment on Tooth 26 with Follow Up Class 1 Composite Restoration

Nurma Murti Hapsari, Fajar Fatriadi

Abstract: Introduction: The preservation of pulp vitality is crucial when treating cases of severe caries. When cavities are excavated without pulpal exposure, there is still a chance that the pulp tissue will heal. However, such minimally intrusive therapy is dubious and impulsive in the case of pulp exposure. In these situations, indirect pulp capping (IPC) therapy is crucial to preventing pulpal exposure. Case Report: This case report describes the multiple visit indirect pulp therapy in maxillary first molar. Patient reported with a chief complaint of moderate pain when drink cold water or eat some food. There was no history of spontaneous pain. The tooth was examined for vitality using thermal test and revealed vital pulp. The treatment was done with the protocol of multiple visits indirect pulp therapy using calcium hydroxide and cavity was disinfected with 2% chlorhexidine. Cavity was lined with Glass Ionomer Cement and final restoration was done using composite resin restoration. The patient was followed up till 8 weeks and showed satisfactory outcome eliminating the need of more invasive approach of root canal therapy. Conclusion: Indirect pulp capping therapy is a safe, economical and proven treatment option in the teeth that have severe caries but not involved pulp exposure and with sound peri-radicular tissues; The success of indirect pulp capping relies on proper case selection and diagnosis, complete isolation, caries removal and disinfection with selection of suitable pulp capping material

Keywords: Indirect pulp capping, multiple visit indirect pulp capping, calcium hydroxide, deep carious lesion