indirect pulp cap, tooth nerve, reversible pulpitis, sedative capping treatment

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by Dr. Jeffrey Dorfman, Director of The Center for Special Dentistry.

indirect pulp cap, tooth nerve, reversible pulpitis, sedative capping treatment
Click on the small photos below to enlarge.
Image	Photo Description
	The dental pulp (tooth nerve or root canal) can be seen in the middle of this preparation through a thin layer of dentin.
	How to pictures show tooth decay dental caries removal using a dental drill. In photo 3) the large tooth cavity is removed; the pink color. Drilling near the tooth nerve but not actually touching it with either the dental drill bur or a dental hand instrument may be called an indirect pulp cap. Bleeding from the dental nerve means that the dentist was directly in the dental pulp and pulpitis symptoms reversible or irreversible are more likely to occur. The text in this image says: Decay removal in a large cavity and Bonding. 1. Initial cavity. 2. decay exposed. 3. decay removed. 4. bonding. (the white in photo #2 is decalcification).
	Photos help explain the meaning of an Indirect Pulp Cap in dentistry. Indirect means that the tooth nerve exposure did not occur but was close. Treatment choices: 1) Dental Bonding only; 2) Dental Bonding the deeper tooth preparation drilling and a dental crown on top; 3) Root canal treatment and dental crown. The treatment choices can be made partially based upon tooth pain symptoms. If a pulpitis occurs then the question is - based upon the size and depth of the dental caries - whether a reversible pulpitis or irreversible pulpitiis would be expected. This is largely based upon dentist personal experience because it cannot be taught in textbooks.
	How to tooth bonding technique pictures show an indirect pulp cap - near dental pulp exposure. The dental pulp or tooth nerve is a blood vessel and nerve that is contained within a hollow void in the middle of the tooth called a root canal.
	Dental bonding can be used in the treatment of reversible pulpitis symptoms - tooth pain - in a broken tooth. These pictures show how to remove a fractured silver dental filling and the removal of tooth decay near the tooth nerve.
Information about these dental photos In medicine and dentistry "left" and "right" are based upon the orientation of the patient's body and not how they appear in a photograph of a smile. For example, a reference to the upper left teeth will actually appear to be on the right side when viewing a picture of the face and similarly an upper right tooth will appear to be on the left side. Many words in dentistry like oral and mouth have a similar meaning and are frequently used together to help our readers find specific words they best understand. This is particularly important because a majority of our visitors are from countries where English is not their primary language. Maxilla or maxillary refer to the upper jaw. Mandible or mandibular refer to the lower jaw. There are many other similar word combinations used throughout this website because our pages are read by patients and dentists. A few of the most common are discussed here. Tooth decay, tooth cavity and dental caries all mean the same thing. Tooth, teeth and dental are also frequently interchanged as in teeth veneers or dental veneer laminate. Oral rehabilitation and dental reconstruction mean smile makeover. The word for x-ray may be used with or without a hyphen (this is true for other words too) and can also be called a radiograph.

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