With tooth preparation, will the pulp resist surgical aggression? Criteria to assess pulp reparative, reactional and defensive ability before surgical procedures. Does the dentin-pulp complex age or does it adapt?

Alberto Consolaro

Improper use of teeth speeds the process of aging up, leads to changes relative to color and shape, and modifies the morphological, imaging and biological characteristics of the pulp-dentin complex. Rapidly aged pulp has its reparative, reactional and defensive abilities decreased. This should be taken into account whenever assessing restoration and other surgical procedures planning, in which case the following doubt arises: should endodontic treatment be carried out or will the dental pulp resist damage caused by extensive wear inherent to surgical procedures? This article aims at providing biological grounds to answer the question, in addition to understanding how pulp-dentin complex aging occurs and which the potential clinical implications are.

Keywords: Dental pulp. Aging. Dentin sclerosis. Reactive dentin. Darkening. Pulp calcification.

How to cite: Consolaro A. With tooth preparation, will the pulp resist surgical aggression? Criteria to assess pulp reparative, reactional and defensive ability before surgical procedures. Does the dentin-pulp complex age or does it adapt? J Clin Dent Res. 2016 Jul-Sep;13(3):18-38. DOI: http://dx.doi.org/10.14436/2447-911x.13.3.018-038.bio

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