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UDC: 616.314.18-089
MODERN METHODS OF PULPITIS TREATMENT
Ergashev Bekzod
Central Asian Medical University, Burhoniddin Marg‘inoniy Street 64,
Phone: +998 95 485 00 70, Email:
, Fergana, Uzbekistan
ORCID:
https://orcid.org/0009-0000-0382-0811
https://doi.org/10.5281/zenodo.15570012
Abstract. Pulpitis is a common dental condition that requires prompt and effective
treatment to prevent further complications such as tooth loss. The aim of this article is to explore
the modern methods available for treating pulpitis, with a focus on recent advancements in
endodontics. Emphasis is placed on minimally invasive procedures, biocompatible materials,
laser therapy, and regenerative endodontic techniques. These innovative approaches aim to
improve the success rates of pulpitis treatment by enhancing the preservation of dental pulp
vitality and reducing the need for extensive dental procedures. The article also discusses the role
of advanced diagnostic tools, such as digital radiography and cone-beam computed tomography
(CBCT), in detecting pulpitis early and planning the most effective treatment strategies.
Keywords: pulpitis, endodontics, laser-assisted therapy, regenerative endodontics,
biocompatible materials, minimally invasive dentistry, stem cell therapy, digital radiography,
CBCT.
Intradaction:
Pulpitis refers to the inflammation of the dental pulp, a condition typically
caused by bacterial infection resulting from untreated dental caries, trauma, or other factors that
disrupt the tooth’s natural defenses [1]. Without proper treatment, pulpitis can lead to irreversible
damage, resulting in necrosis and potential tooth loss. Traditionally, root canal therapy (RCT)
has been the primary treatment for pulpitis, but modern advancements have led to the
development of less invasive, more effective, and more patient-friendly treatment options [2, 3].
This article aims to review modern treatment techniques for pulpitis, with a focus on the
evolution of endodontic methods. New technologies, such as laser therapy and regenerative
techniques, are being introduced to improve patient outcomes. Additionally, the use of
biocompatible materials has gained importance in ensuring long-term tooth health post-treatment
[4, 5]. This article explores these advancements in greater detail, providing a comprehensive
understanding of current trends in pulpitis management.
Methods:
This article is based on an extensive review of peer-reviewed clinical studies,
systematic reviews, and clinical trial reports published between 2015 and 2023. The literature
was selected from databases such as PubMed, ScienceDirect, and Google Scholar. Keywords
like "pulpitis treatment," "modern endodontics," "laser therapy in dentistry," "biocompatible
materials in endodontics," and "regenerative endodontics" were used to gather relevant studies
[4]. The focus was on identifying treatments that have been shown to improve the prognosis of
pulpitis through less invasive, biologically compatible methods. Special attention was given to
innovations in diagnostic tools such as digital radiography and CBCT, and their impact on
treatment planning.
Results:
1. Minimally Invasive Endodontics
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The focus of minimally invasive dentistry is to remove as little of the healthy tooth
structure as possible while effectively treating the infection. Techniques such as
microendodontics and rotary instruments have become widely used to treat pulpitis with greater
precision. These approaches minimize trauma to the tooth, reducing patient discomfort and
speeding recovery times. According to studies, minimally invasive procedures have been linked
to improved clinical outcomes, including better tooth preservation and reduced risk of
reinfection.
2. Laser-Assisted Therapy
Laser technology has been successfully integrated into endodontics as a tool to treat
pulpitis. Laser-assisted root canal therapy (LARCT) involves the use of laser beams to disinfect
the root canal system, ensuring thorough cleaning and sterilization. This method has been shown
to reduce bacterial load within the canal system and improve treatment outcomes. Additionally,
lasers have been demonstrated to reduce post-treatment pain and inflammation, providing
significant advantages over traditional methods. A study by Williams et al.
(2021) indicated that laser therapy accelerates the healing process and enhances the
success rates of pulpitis treatments.
3. Biocompatible Materials
The application of biocompatible materials is a significant advancement in modern
endodontics. Materials such as calcium silicate-based cements (e.g., MTA) have proven to be
more effective than traditional materials in sealing root canals and promoting tissue regeneration.
These materials are not only biocompatible but also support the healing of surrounding
tissues, reducing the risk of inflammation and infection [6]. Recent studies have shown that
using biocompatible materials leads to improved long-term success rates and helps preserve
tooth vitality post-treatment.
4. Regenerative Endodontics
Regenerative endodontics is a cutting-edge field that aims to regenerate or preserve the
dental pulp, offering an alternative to conventional root canal treatment. This approach involves
using stem cells, growth factors, and scaffolds to encourage the natural regeneration of the pulp
tissue. The use of stem cells, particularly from dental pulp or other mesenchymal sources, has
shown promise in restoring pulp vitality and promoting tissue repair. Regenerative endodontics
not only offers the potential to save teeth that might otherwise require extraction, but also aims to
restore full function to the affected tooth. However, as promising as these therapies are, more
clinical studies are needed to establish long-term outcomes and best practices for regenerative
procedures.
5. Advanced Diagnostic Technologies
The integration of advanced diagnostic technologies such as digital radiography and
CBCT has revolutionized the detection and treatment planning of pulpitis. Digital radiography
offers high-resolution images with lower radiation exposure, making it easier to diagnose early-
stage pulpitis and assess the extent of the infection [7]. CBCT provides three-dimensional
imaging, which can be crucial for visualizing complex root canal systems and identifying hidden
infections that might not be visible on traditional X-rays. The use of these technologies allows
clinicians to make more accurate treatment decisions, ensuring better outcomes for patients.
Discussion:
Modern methods of treating pulpitis have significantly improved the
prognosis for affected teeth. Minimally invasive techniques, such as microendodontics and rotary
instrumentation, allow for the preservation of tooth structure while effectively addressing the
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infection. Laser-assisted therapies enhance the disinfection process and reduce post-treatment
pain, offering significant benefits to patients [7, 8, 9]. The use of biocompatible materials such as
calcium silicate-based cements not only improves the sealing of root canals but also promotes
tissue healing and vitality.
The introduction of regenerative endodontics has the potential to revolutionize the
treatment of pulpitis by encouraging the regeneration of dental pulp, offering a biologically
based alternative to traditional root canal therapy. While the clinical success of regenerative
therapies is promising, further research is needed to optimize these methods and assess their
long-term efficacy [10, 11].
Advanced diagnostic tools such as digital radiography and CBCT play a crucial role in
the early detection of pulpitis and the planning of effective treatment strategies. These
technologies enhance the ability of clinicians to assess the extent of the infection and tailor
treatment plans accordingly.
Despite the promising results of modern techniques, challenges remain. The cost and
accessibility of advanced technologies such as lasers and CBCT may limit their widespread use,
especially in developing regions [12]. Additionally, regenerative endodontics, while promising,
requires more rigorous clinical studies to validate its long-term effectiveness.
Conclusion:
The management of pulpitis has significantly advanced with the
development of modern endodontic treatments. Minimally invasive procedures, laser therapy,
biocompatible materials, and regenerative endodontics offer a wide range of options for
improving patient outcomes and preserving the health of affected teeth. The integration of
advanced diagnostic tools further enhances treatment planning, ensuring better clinical results.
While challenges exist, ongoing research and technological advancements will continue to refine
these methods and expand their accessibility, leading to even better outcomes in the future.
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