Best Practices to Avoid and Treat Pulp Exposures

Six Lessons Approach Podcast by Dr. David Alleman

Dr. David Alleman’s landmark paper written with Dr. Pascal Magne in 2012 gave practitioners predictable steps for deep caries, and now crack, treatment without exposing the pulp. But why is preventing pulp exposures so important? Dr. Alleman discusses research about the outcomes of pulp exposures and their effect on the tooth long-term in addition to proven treatment for teeth that have had exposed pulps.

Adhesive dentistry offers these teeth a second chance, but only when the seal is bonded at the nanometer level, like with biomimetic dentistry. Just like each step in the Six Lessons Approach to Biomimetic Dentistry, the protocols for treating pulp exposures offer predictable results and protect the tooth’s long-term vitality.

Article referenced in this episode:

• Thompson T., Et al. Treatment of deep carious lesions by complete excavation or partial removal. JADA. 2008;139:705-712.
• Hafez A., Et al. An in vivo evaluation of hemorrhage control using sodium hypochlorite and direct capping with a one- or two-component adhesive system in exposed nonhuman primate pulps. Quintessence Int. 2002 Apr;33(4):261-72.

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