Abstract
This chapter will emphasise the need for risk management to minimise pulp damage and its consequences:
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Informed consent—the risks of preparation should be discussed with patients and documented. In the case of crown and veneer preparations extended into dentine, this should routinely include the risk that the pulp may devitalise over time, along with the likely consequences and need for remedial treatment
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Tooth preparation—should be carried out with effective water coolant and with light pressure to reduce frictional heat and vibration. Avoid desiccating preparations by the overenthusiastic use of compressed air
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Restoration margins—both for provisional and definitive restorations should be optimally fitting and sealed
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Oral hygiene—patients may need instruction in controlling the biofilm around the roots and margins of restored teeth, not only for periodontal reasons but also for pulpal health.
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Stone, S., Whitworth, J., Wassell, R. (2019). Preserving Pulp Vitality. In: Wassell, R., Nohl, F., Steele, J., Walls, A. (eds) Extra-Coronal Restorations. BDJ Clinician’s Guides. Springer, Cham. https://doi.org/10.1007/978-3-319-79093-0_9
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