Abstract
The preservation of pulp vitality is crucial for treating cases of advanced caries. When cavities are excavated without pulpal exposure, there is still a chance that the pulp tissue will heal. However, this kind of minimally invasive management becomes questionable & breakouts in cases where the pulp is exposed. In these situations, indirect pulp capping (IPC) therapy is crucial to preventing pulpal exposure.
Case report: Management of deep caries with Indirect pulp treatment in a mandibular molar is described in this case report as a single visit procedure. The patient presented with the chief complaint of Food lodgement and mild, sporadic pain. There was no prior history of spontaneous or nighttime pain. The clinical and radiographic assessment showed no pulpal involvement or peri-radicular pathosis. Utilizing an electric pulp test, the tooth's vitality was determined. Treatment followed a multi-visit indirect pulp therapy procedure utilizing MTA as a subbase, and the cavity was cleaned with 2% chlorhexidine. The cavity was lined with Glass Ionomer Cement, and composite resin was used for the final restoration. The patient's prognosis was satisfactory and eliminated the need for a more intrusive technique, such as root canal therapy, after 6 months of follow-up.
Conclusion: When the pulp has not been affected and the peri-radicular tissues around the tooth are healthy, indirect pulp therapy is a safe, affordable, and effective treatment option. Effective case selection and diagnosis, total isolation, caries removal, and disinfection along with the choice of an appropriate pulp capping material are all necessary for the success of indirect pulp capping.
Key words : Indirect pulp capping, indirect pulp therapy, two-visit indirect pulp capping, calcium hydroxide, pulp capping, deep carious lesion.