PREVENTION OF PULPITIS OF A VITAL TOOTH PREPARED FOR AN ORTHOPEDIC CONSTRUCTION

Abstract

Abstract. The success of prosthetics in patients using fixed orthopedic structures on vital teeth is determined both by the high-quality preparation of teeth and by the antibacterial effect on the dentinal tubules exposed after preparation in order to reduce paresthesia and prevent bacteria from penetrating them. Orthopedic dentists are wary of certain potential problems that may arise when working with vital teeth. In this regard, the doctor should take care of the prevention of possible complications that arise after prosthetics with non-removable orthopedic structures, since the tooth after preparation has an unprotected dentin surface. During the preparation, a certain volume of hard tissues of the tooth is removed, which in functional terms is the integumentary tissue, and then comes the exposed peripheral dentin. Such an impact of various factors on the vital tooth can lead to damage to the dental pulp. This article discusses various ways to prevent tooth pulpitis, which can occur during tooth prosthetics with non-removable orthopedic structures due to the influence of physical and mechanical factors on the hard tissues of the tooth, or rather, due to the friction of the diamond bur against the hard tissues of the tooth during odontopreparation, as well as the penetration of bacteria along exposed dentinal tubules into the dental pulp. The purpose is to study and analyze data on various cements for temporary fixation of fixed orthopedic structures used to prevent pulpitis of vital abutment teeth. To analyze and identify what other modifications of temporary and permanent fixing cements for non-removable orthopedic structures are relevant to use in modern dentistry for prosthetics on vital teeth.