
doi: 10.17567/dfd.50801
OZET Dis curukleri pulpal inflamasyona yol acabilen ve ileri donemlerinde dis kaybiyla sonuclanabilen yaygin bir saglik problemidir. Enflamasyon nedeniyle pulpa dokusu geri donusumlu olarak etkilendiginde; indirekt pulpa kaplamasi, direkt pulpa kaplamasi, parsiyel/total pulpatomi gibi vital pulpa tedavi yontemleri uygulanarak pulpanin canliliginin ve fonksiyonunun devam ettirilmesi saglanabilmektedir. Dislerin gelisim sureci boyunca meydana gelen molekuler ve histolojik degisimlerin anlasilmasi ile birlikte, son yillarda gozlenen yenilikler ile vital pulpa tedavilerinde yeni yaklasimlar gundeme gelmektedir. Bu derlemenin amaci; dislerin vitalitesini korumak icin gecmisten gunumuze kadar uygulanan vital pulpa tedavi yontemlerinin ve kullanilan kaplama ajanlarinin pulpa dokusu uzerindeki etkilerini degerlendirmektir. Anahtar Kelimeler: Vital pulpa tedavileri, Kalsiyum Hidroksit, MTA, Biodentin. NEW APPROACHES IN VITAL PULP THERAPY ABSTRACT Dental caries is a common problem that can cause pulpal inflammation and resultant tooth loss. When pulp tissue is irreversibly inflammed, vital pulp therapies like indirect pulp capping, direct pulp capping, partial/total pulpatomy procedures are implemented to preserve vitality and function of the pulp tissue. Recent progress in understanding the molecular and histologic changes during the tooth development is lead to designing new treatment strategies in vital pulp therapies. The aim of this review is to provide an overview of vital pulp therapy from past to present and to assess the efficiency of the pulp capping materials on the pulp tissue. Key Words: Vital pulp therapy, Calcium Hydroxide, MTA, Biodentine.
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