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Direct Pulp Cap

A direct pulp cap is a dental procedure used to protect and preserve a tooth’s pulp after it has been exposed due to decay or trauma. Used commonly in immature teeth to facilitate tooth development, a biocompatible material, such as calcium hydroxide or mineral trioxide aggregate (MTA), is placed directly over the exposed pulp to promote healing and dentin formation. When successful it prevents the need for more invasive treatments like root canals. This procedure allows an immature tooth to continue developing which decreases the potential for tooth fracture.

Pre-treatment periapical radiograph showing immature root development before direct pulp cap procedure in a young permanent tooth.

Pre-Op (PA): Initial radiograph showing immature roots prior to treatment.     

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Bitewing radiograph taken immediately after direct pulp cap treatment, showing pulp cap material placement and early signs of healing.

Post-Op (BWX): Radiograph taken after treatment, demonstrating pulp cap placement.

Two-year follow-up periapical radiograph demonstrating successful direct pulp cap outcome with calcific bridge formation and continued root development.

2-Year Follow-Up PA: Radiograph showing calcific bridge formation and continued root development.

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