Vital Pulp Therapy can be used to prevent root canal treatment in the following cases:
In many cases, Vital Pulp Therapy treatment can even reverse the degeneration of the periodontal tissue to the point where the tooth has died.
A sharp, sudden pain on cold is often a sign of incipient inflammation of the periodontium. Tooth decay slowly reaches the tooth tissue, which responds with inflammation. The pain is not yet permanent, but can be triggered by cold. It is important to see a Vital Pulp Therapy dentist immediately. Treatment with microscopy or Loupe magnification and the use of Biodentin or other Minerale Trioxide Aggregate can stop the inflammatory process. If the pulp tissue disintegration can be prevented, root canal treatment can clearly be avoided.
In many cases, cavity-like caries is the cause of tooth chipping. The caries penetrates deep into the tooth tissue. For a while, a large caries is completely imperceptible and does not hurt. If a chunk of tooth has broken off, it still does not hurt, but it is a sign that there may be a large cavity in the tooth. In many cases, even if it does not hurt yet, the large cavity is very close to the pulp, the system of nerves inside the tooth. Here, too, it is advisable to consult a dentist who can build up the missing dentin with biodentin as soon as possible. In conventional cases, where no biodentin is used, the tooth may still die under the deep filling. This can happen even though someone has seen a dentist in time. The bioactivity of biodentin gives extra protection to the tooth under the deep filling. With this treatment, subsequent tooth decay can be avoided to a much greater extent.
Old fillings, such as amalgam fillings, often show deep caries or cracks. In cases where the caries approaches or reaches deep into the pulp tissue, Biodentine should be used. There is a good chance of avoiding root canal treatment.
Unfortunately, if a tooth has been hurting for several days, it can often mean advanced, irreversible pulpitis. In such cases, degenerative changes in the pulp tissue may already have occurred that do not allow the nerve tissue to survive.
Still, it is worth trying vital pulp therapy! Your doctor will remove the carious part of the tooth under microscopic magnification, and then remove part of the affected, inflamed pulp tissue. This is not the classic root canal treatment, as it is mainly the crown pulp or part of it that is removed. The pulp tissue in the roots is preserved. Biodentine is then applied to the pulp and the tooth is temporarily restored. In many cases, the tooth survives despite the fact that there is no longer any living tissue in the crown. This is very important, as the main risk factor of root canal treatment, the exposure of branched roots, is avoided. Since the pulp tissue in the roots remains alive and the crown is sterile sealed, no secondary nodal disease develops.
To preserve healthy tooth tissue as much as possible and remove only diseased tissue, magnification is necessary. The tooth is a tiny organ. In the case of a deep cavity, it is not easy to see where you are with the naked eye. Then the doctor can easily drill into tissue that is sensitive for vital pulp therapy and would be important to keep.
With magnification, you can see exactly where you are and work with precision. We can also precisely place the Biodentine material exactly where it is desired. Microscopic magnification is the safest way to carry out this treatment. A much higher percentage, about 90%, can achieve the goal: healthy, living tooth tissue, i.e., avoiding root canal treatment.
Unfortunately, no. If the inflammation of the pulp tissue has already resulted in severe histological degeneration, vital pulp therapy can no longer help. It requires sufficient quantity and quality of pulp tissue that is still intact. This is mainly the case with initial inflammation. It is advisable to consult a dentist at least once a year. At the annual check-up, the dentist is very likely to discover a lesion that can be corrected in time by keeping the tooth alive.
Microscope treatments are not short! The small, percise movements of microscopic treatment take much longer than traditional dental treatments. Vital pulp therapy involves removing the cavities, then precisely separating healthy tissue inside the tooth and applying bioactive material. Such a treatment usually takes 1 to 1.5 hours. In many cases, the tooth is sealed with a temporary filling and then, once the symptoms have subsided, the final restoration is carried out in a subsequent session.
No. This treatment is done under anaesthesia and is not painful. In most cases, the original complaints of the tooth disappear completely.
The kofferdam, or saliva tray, is a perfect isolation tool for the dentist. The tooth is completely separated from the oral cavity and other teeth. Just as in heart surgery, the heart surgeon isolates the operated body part. This is important for two reasons:
Firstly, because our saliva is full of bacteria and the aim of the treatment is to remove the infected tissue as thoroughly as possible. If, while we are drilling, the saliva, which is full of bacteria, flows into the cavity to be cleaned, there is no chance of eliminating the infection. So our treatment will almost certainly fail.
On the other hand, we use strong disinfectants to disinfect the cavity, but we don't want them to get into the mouth. These substances can bite the lining of the mouth, which we must avoid. Therefore, cofferdam isolation is a necessary part of vital pulp therapy.
Root canal therapy is the cleaning of the root canals of a tooth when bacterial infection from decay infects the nerve tissue inside the tooth. The treatment also removes the blood vessels and nerve tissue that support the tooth. The tooth remains, but it is no longer living tissue.
The success rate of microscope root canal treatments is high at 96%. This is good news. You can stay with the tooth as your own implant. However, it is not a living tooth. Such teeth break more easily, and over time inflammation can recur. So it is not like a natural living tooth.
When performed under magnification, it is possible to remove deep carious tissue with sufficient precision. Only what is cavernous, and selectively. And biodentine can replace what is lost and heal living tissue. The tooth remains alive.
Active biosilicate technology
Biodentine is biocompatible with tooth tissues. This means that the cells accept it as "their own", not as a foreign substance, and therefore fully adapt to it, even absorbing its beneficial effects.
Biodentine is not only accepted by dental tissue, but damaged cells remain viable. The bioactivity allows damaged pulp tissue to regenerate, so the viability of the tooth tissue is maintained. No root canal treatment is necessary and that is VERY NOT ALL!
Root management options
Root canal treatment is the last attempt to save a tooth before extraction. If successful, a root canal can be used to treat a tooth that is no longer alive and will last a lifetime. This is good news, but it also comes with a risk! Rooted teeth can also develop gum disease!
Better to prevent
Therefore, if at all possible, the best thing to do is to prevent root canal treatment! In the case of teeth severely damaged by caries, this can be done by using a magnifying procedure and Biodentine!
Vital pulp strategy
An attempt to avoid root canal therapy for severely damaged teeth is the vital pulp therapy concept. This treatment is only possible by magnification and microscopic treatment. The idea is to separate diseased tooth tissue as precisely as possible from healthy or nearly healthy tooth tissue and then replace the lost tissue with Biodentin.
Tooth tissue kept alive
Vital pulp therapy is used to selectively remove carious dentin tissue from deep within the tooth. By using magnified treatment, we are more likely to avoid opening the pulp chamber, so there is a good chance of avoiding root canal treatment. Read our case study where we show you how to avoid root canal treatment with modern vital pulp therapy.
If you experience pain when it is cold or sweet, contact your dentist as soon as possible. A tooth like this is still alive, but it's in big trouble! The first and most important step in choosing the right therapy is to assess the condition.
It often happens that there is no pain yet, but there is still a lot of decay in the tooth. It is important to visit your dentist at least once a year. A thorough oral examination and X-rays will help to detect the problem in time!
In many cases, deep decay is the cause of the chipped tooth. The inside of the tooth is cavitated from the side. By the time the enamel breaks down, there is deep, softened carious dentin underneath, often making root canal treatment almost unavoidable.
Vital Pulp Therapy is only possible with dental treatment under magnification. The aim of the therapy is to separate carious and non-carious tissue with the utmost precision. Take your time, find a dental clinic with alkamas!
During the treatment, the removal of the cavernous tissue is controlled by microscope. If the caries reaches the pulp tissue, we use selective caries management. Biodentine is applied to the damaged tissue.
When done with proper dental knowledge and magnification, treatment is 80-90% successful and the tooth can be kept alive. Pain is eliminated and root canal treatment is avoided, reducing the chance of developing a cavity.