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Protection of the Dentin-Pulp Complex

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Modern Operative Dentistry

Part of the book series: Textbooks in Contemporary Dentistry ((TECD))

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Abstract

The adequate protection of the pulp-dentin complex is important to maintain the pulp vitality. Different factors can cause alterations on the pulp tissues, which will react through various mechanisms. The dentist must be able to understand those factors and assess the pulp condition, creating a diagnostic hypothesis and prognostics about the tooth. The knowledge about the available cleaning agents and protective materials is important to perform the different techniques for protection of the complex, depending on the preparation depth and proximity of the pulpal chamber. All restorative materials have a potential harmful effect over the pulp tissue. Therefore, it should never be applied in directly contact with the cells. The use of a more biocompatible material can maintain cell viability and stimulate the natural protective mechanisms, such as the cellular differentiation and dentin bridge formation. However, the dentin tissue can by itself protect the pulp, and the clinical determination of its remaining is paramount for the decision about the use or not of an additional protective material. This chapter helps the reader to understand the different aspects related to the decision of performing or not a protective technique as well how exactly it should be done.

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    Adriana Cristina de Mello Torres, Ana Paula Martins Gomes, Claudio Hideki Kubo & Carlos Rocha Gomes Torres

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de Mello Torres, A.C., Gomes, A.P.M., Kubo, C.H., Torres, C.R.G. (2020). Protection of the Dentin-Pulp Complex. In: Torres, C. (eds) Modern Operative Dentistry. Textbooks in Contemporary Dentistry. Springer, Cham. https://doi.org/10.1007/978-3-030-31772-0_9

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