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PubMed1981

Long term clinical assessment of direct pulp capping.

Appropriate definitions, history and success rates of direct pulp capping procedures are reviewed. Two of the disadvantages of this form of treatment are infection of the pulp, either preoperatively or postoperatively due to a non-sterile procedure or bacterial leakage at the capping site. Past results of directly capping potential inflamed pulps have been unsatisfactory, but now an increasing number of endodontists advocate capping when conditions are favourable. Direct capping should only be used on vital pulp which has been accidentally injured and shows no other symptoms. Direct capping with calcium hydroxide should not be used on pulp which has been exposed as a result of penetrating caries. Clinical studies 2338 cases have shown that the risk of failure is increased if the pulp is diseased before capping, but that the age of the tooth does not have an adverse effect. It also appears that capping performed by skilled practitioners is more successful than that performed by students. The results of a re-examination of 110 patients, a minimum of 4 years after they had received direct capping treatment from students, showed a success rate of 80 per cent. In skilled hands, the success rate for direct capping with calcium hydroxide is now 90 per cent provided that a hermetic seal is obtained.

Dental Pulp Capping↗
PubMedDate not supplied

[The diabetic foot: various interpretations by patients of some terms used by physicians in podiatric consultation].

Sixty diabetic patients gave their definitions of 12 terms concerning the diabetic foot. On average, only half of these terms were understood by these patients. The level of correct replies is associated neither with the patient's socio-cultural level nor with other variables such as the socio-demographic determinants (sex, age, life-style). The patient's diabetic history (duration of diabetes, treatment, education relating to complications with lower limbs), and the presence or absence of complications did no affect knowledge. On analyzing the contents of these patient's definitions, we discovered a whole range of different conceptions of this disease. By not verifying the patient's understanding of the words, both doctor and patient alike have no doubts as to their competence to understand them. These divergences could have certain consequences not only at the level of treatment, but also concerning prevention of lower limb's complications.

Age Factors↗