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vital pulp Therapy (VPT) - Coggle Diagram

- - - - preoperative symptoms, clinical and radiographic signs,
        
        Problems of current classification
        
        The dichotomy of salvageable or non-salvageable is not reflected by the reported success of partial (Taha & Khazali, 2017; Uesrichai et al., 2019) and complete pulpotomy (Taha & Abdulkhader, 2018) in cases with signs and symptoms indicative of irreversible pulpitis.
        
        the patient's pain history is subjective in nature
        
        irreversible pulpitis may be asymptomatic in up to 60% of cases (Michaelson & Holland, 2002; Seltzer et al., 1963),
        
        The need for a new classification with more prediction for VPT outcomes
        
        objective measures of pulpal inflammation such as carious lesion depth, as well as clinical indicators of activity including progression rate, colour, sensibility tests (ESE, 2019) and potentially pulpal inflammatory biomarkers (Ballal et al., 2021) should perhaps be used as the basis of a more functional classification moving forwar dakin to those used for facial pain (Pigg et al., 2021) or in Periodontology (Papapanou et al., 2018).
      - intra-operative 1.assessment of blood colour and volume and 2. time needed to achieve haemostasis
    - - Histology is the gold standard for determining pulp inflammation status, but it is impractical to use when trying to maintain pulp vitality.
    - - Intra-operative
        
        MMP9
  - - - investigated widely
    - - visual
        inspection after carious exposure
        
        Use of microscop
        
        Not tested yet
    - - lavage
        
        NaOCl
        
        Tested in 2-3 studies
        
        EDTA
        
        has been recommended but not tested yet
        
        Others
      - Physical tissue removal
        
        Partial Pulpotomy
        
        Full Pulpotomy
        
        No Removal