Vital pulp therapy: A Bio ceramic - Based Approach

Abstract

The vital pulp therapy (VPT) is a biologically-motivated treatment method that aims at preserving the vitality of the dental
pulp after trauma or carious exposure. The development of conventional pulp capping agents to sophisticated bioactive
compounds has enhanced prediction and effectiveness of this treatment tremendously. Among them, the bioceramics
materials have become the most effective one as they possess the best sealing ability, biocompatibility, antimicrobial
property, and ability to induce the dentin bridge development. They have demonstrated encouraging clinical results
when used in the form of direct pulp capping, partial pulpectomy and total pulpectomy in both primary and permanent
teeth. Moreover, nanoparticulate preparation and the introduction of bioactive molecules have increased the prospect
of bioceramics to promote regenerative mechanisms and survival of pulp in the long term. Although the encouraging
evidence exists, the standardization of clinical protocols and long-term trials are necessary to determine the ultimate
role of standardization in standard practice. The general finding is that bioceramic-based vital pulp therapy is a major
advancement toward biologically focused, conservative, and long-lasting care of pulpal health.