Vital Pulp Therapy
in London
Preserving natural teeth is the ultimate aim of conservative dentists. Dental pulp, which is the soft inner tissue that contains nerves, blood vessels and connective tissue can get damaged following injury due to dental trauma, deep decay, or extensive restorative procedures. Once the injury is very close to the pulp, direct restoration of the tooth with a normal filling could irritate the pulp further leading to complete death of the pulp and the spread of infection. Traditionally, if the injury had extended to the pulp, root canal treatment was the only option of saving the tooth.
With recent development of biomaterials such as calcium silicate cements (CSC) and further understanding of the immunological responses of the dentine and pulp, vital pulp therapy offers a biologically based treatments aimed at preserving the vitality and function of the dental pulp and prevention or delaying more invasive treatments and eventual loss of the tooth.
Treatment Duration
1-2 hours
Price
From £500
Combined Team Experience
40+ years
Recovery Time
1 day
Our Google Rating
★★★★★ (4.9)
What is Vital Pulp Therapy?
Vital pulp therapy represents a group of minimally invasive contemporary endodontic treatments aimed at preserving the vitality (or life) of a dental pulp. The primary goal of these biologically based treatment is to conservatively treat and prevent the spread of infection or inflammation within the tooth whilst maintaining its function and avoiding a more invasive treatment and extraction.
Preserving the vital pulp following an injury or threat of injury offers several benefits. Firstly, it helps maintain the tooth’s defence system, as the pulp plays a vital role in immune responses and protects the tooth from potential infections and inflammation. Secondly, it ensures the full proprioceptive function of the tooth, allowing it to sense and respond to stimuli during chewing and biting. Moreover, when a tooth is still forming, preserving the vital pulp allows for its continued development and the growth of the surrounding dentoalveolar complex, contributing to proper root development and overall structural integrity.
Preserving the vital pulp also reduces the need for complex and sometimes unpredictable endodontic procedures. Treating a necrotic pulp can be technically demanding and not always successful, highlighting the advantages of maintaining pulp vitality. Lastly, by avoiding extensive endodontic treatment, the natural strength and resilience of the tooth structure can be preserved, reducing the risk of tooth fractures.
Who is suitable for Vital Pulp Therapy?
It is important to note that the suitability for vital pulp therapy is assessed on a case-by-case basis by the dental professional. Factors such as the extent of pulp damage, extent of the sound remaining tooth structure, overall oral health, and the likelihood of successful treatment outcomes are taken into consideration when determining the appropriateness of vital pulp therapy for an individual.
The specific situations where vital pulp therapy may be considered include:
Dental caries (deep or very deep dental decay): In these scenarios, the tooth would have to be inspected directly under complete aseptic condition, good lighting and operating microscope, to assess the extent of the damage and suitability of the underlying tooth and pulp tissue. Extent and the texture of the damaged pulp dictates how much tooth tissue is removed. For the reference the treatments are named according to how much pulp tissue is removed; indirect pulp capping, direct pulp capping, partial pulpotomy, full pulpotomy.
Traumatic tooth injuries: When a tooth has suffered a traumatic injury, such as a fracture or a strong impact, vital pulp therapy may be appropriate if the pulp is not severely damaged or contaminated.
Pulp exposure during dental procedures: In some cases, the pulp may be accidentally exposed during dental procedures, such as cavity preparations or crown preparations. If the exposed pulp is healthy, vital pulp therapy can be considered to protect and preserve it.
Immature teeth with pulp infections: In young individuals with immature permanent teeth (usually under the age of 16), vital pulp therapy may be performed to treat pulp infections and allow the tooth to continue developing properly.
| VITAL PULP THERAPY fees PULP THERAPY TREATMENT | From £500 |
*(Follow up appointment is recommended 4 weeks, 6 months and annually until full resolution of the symptoms and vitality is maintained – if the tooth continues to be painful, root canal treatment would be advised)
Are you ready to protect your smile?
At Wimpole Street Dental Clinic, we are your best choice for vital pulp therapy. With our experienced dental professionals and advanced techniques, we provide effective treatment to preserve the vitality of your tooth’s pulp. Trust our expertise for optimal outcomes and a comfortable experience. Rest assured, your dental health is in excellent hands with us!
Our Reviews
Rest assured, you’re in safe hands with our Vital Pulp Therapy specialists
Scientific references and who is the best person to perform this procedure?
The protocol we follow is based on the recommendation of the following societies which is based on the current available best evidence-based dentistry:
American Association of Endodontics (AAE)
European Endodontic Society (EES)
British Endodontic Society (BES)
Dental Trauma UK (DTU)
The suitability of this procedure is assessed case by case basis and sometimes direct assessment of the tooth (via operating microscope) is essential to assess the pulp status before vital pulp therapy is offered.
To maximise the chances of success and the outcome of this procedure, an Endodontist with an extensive experience in this filed, using operating microscope is essential. This contemporary approach is currently under extensive research and is updated regularly.
European Endodontic Society has created a great video, which explains the Vital Pulp Treatment:
How to protect and preserve your pulp
When undergoing dental procedures, it’s important to prevent unnecessary damage to the pulp, the vital tissue inside your tooth. Here are some ways to protect and treat the pulp:
- Indirect pulp capping: A material is applied near the pulp to stimulate a positive response, allowing the pulp to protect itself.
- Direct pulp capping: A material is directly applied to the pulp to promote a positive response and self-protection.
- Partial pulpotomy: A small portion of the superficial pulp tissue is removed, and a material is applied to encourage a positive response and self-protection.
- Full pulpotomy: The complete removal of the coronal pulp, followed by the application of a material to stimulate a positive response and self-protection.
Strategies for Vital Pulp Therapy
Indirect Pulp Capping
Indications: When there is tooth decay, trauma, or previous dental treatment that has caused dentin loss, but some dentin still covers the pulp tissue, indirect pulp capping may be recommended.
Treatment Procedure: The tooth is isolated using a rubber dam, and the dentist completes the cavity preparation as necessary, ensuring peripheral caries removal. Careful attention is given to the floor and axial wall of the cavity to avoid exposing the pulp. The cavity is disinfected using cotton pellets soaked in a diluted solution of sodium hypochlorite for a short time. After drying, the deepest part of the cavity near the pulp is ideally covered with a specific type of dental material called calcium silicate cement (CSC). If a CSC is not available, calcium hydroxide can be used as an alternative. To seal the material, glass ionomer cement (GIC) or resin glass ionomer cement (RMGIC) is applied. Finally, the tooth is restored and monitored regularly.
Note: It is essential to follow up with your dentist to ensure the success of the treatment and maintain the tooth’s health.
Direct Pulp Capping
Indications: When there is tooth decay, trauma, or previous dental treatment that has caused dentin loss, and there is an open cavity with the soft tissue of the pulp exposed. In most cases, there may be mild symptoms, but not indicative of irreversible pulpitis.
Treatment Procedure: The tooth is immediately isolated using a rubber dam. It is then disinfected by using cotton pellets soaked in a diluted solution of sodium hypochlorite until the bleeding is controlled. If bleeding persists for more than five minutes, a partial pulpotomy may be necessary. The exposed pulp is preferably covered with a dental material called calcium silicate cement (CSC). If a CSC is not available, calcium hydroxide can be used instead. To seal the material, glass ionomer cement (GIC) or resin glass ionomer cement (RMGIC) is applied. The tooth can then be restored, and regular check-ups are important. Patients should be informed about the possibility of further treatment if symptoms occur.
Note: It is crucial to follow up with your dentist and report any symptoms that may arise. They will assess the situation and recommend appropriate treatment if needed.
Partial Pulpotomy
Indications: When there is tooth decay, trauma, or previous dental treatment that has caused dentin loss, and there is an open cavity where the soft tissue of the pulp is exposed and bleeding. The exposed pulp may be inflamed or contaminated, and symptoms may be present.
Treatment Procedure: The tooth is isolated using a rubber dam. Superficial coronal pulp tissue is removed using a high-speed handpiece with a new sterile bur and sterile saline as an irrigant. Bleeding is controlled using cotton pellets soaked in a diluted solution of sodium hypochlorite. If bleeding persists for more than five minutes, additional pulp tissue may need to be removed. A dental material called calcium silicate cement (CSC) is placed on the remaining pulp tissue. However, if a CSC is not available, calcium hydroxide can be used as a substitute. To seal the material, glass ionomer cement (GIC) or resin glass ionomer cement (RMGIC) is applied. The tooth can then be definitively restored, and appropriate follow-up appointments are scheduled.
Note: It is essential to adhere to the recommended follow-up schedule and inform your dentist if any symptoms arise. They will assess the situation and provide further treatment if necessary.
Full Pulpotomy
Indications: When there is tooth decay, trauma, or previous dental treatment that has caused dentin loss, and there is an open cavity where the soft tissue of the pulp is exposed and bleeding. The exposed pulp may be inflamed or contaminated, and symptoms may be present.
Treatment Procedure: The tooth is isolated using a rubber dam. The entire coronal pulp tissue is completely removed using a high-speed handpiece until reaching the canal orifice level. Bleeding is controlled using cotton pellets soaked in a diluted solution of sodium hypochlorite. If bleeding persists for more than five minutes, further pulp tissue may need to be removed until bleeding stops or it is determined that a pulpectomy (complete removal of pulp) is required. A dental material called calcium silicate cement (CSC) is placed on the remaining pulp tissue. However, if a CSC is not available, calcium hydroxide can be used as an alternative. To seal the material, glass ionomer cement (GIC) or resin glass ionomer cement (RMGIC) is applied. The tooth can then be definitively restored, and appropriate follow-up appointments are scheduled.
Wimpole Street Dental Clinic has the best Endodontists in London
When it comes to taking care of your smile, whether it’s for emergency treatment, routine care, or cosmetic dentistry, it’s crucial to find a qualified and experienced dental professional you can trust. At Wimpole Street Dental Clinic, we strive to meet and exceed your expectations by delivering premium dental care at every appointment. We invite you to place your trust in us and experience the exceptional dental services we offer.
- We are internationally renowned within the dental profession
- We pride ourselves on offering evidence-based dentistry with a person-centred approach
- We use a microscope or other magnifying equipment to ensure world class results
- We offer a new standard in modern specialist dentistry in our clinical methodology – leveraging the optimal combination of the finest handcraft, digital computer-aided design (CAD) and computer-aided manufacturing (CAM) technology to deliver excellence in both patient care and dental treatment success
- We perform all root canal treatments in accordance with the guidelines of the German and British Society of Endodontics here at Wimpole Street Dental Clinic in London.
Meet our dentists who are experts in Vital Pulp Therapy…
- We have over 75+ years of combined dentistry experience across our specialist team.
- 10,000+ treatments performed and counting.
- We are leaders in the dental industry – we regularly teach, lecture and publish our research work internationally.
Frequently asked questions
Is Vital Pulp Therapy painful?
Vital pulp therapy is typically performed using local anesthesia, ensuring that the procedure itself is not painful. However, it is normal to experience some discomfort or sensitivity in the treated tooth following the therapy. This discomfort is usually temporary and can be managed with over-the-counter pain relievers. Your dentist at Wimpole Street Dental Clinic in London will provide appropriate post-treatment instructions and may recommend medications to alleviate any discomfort. Rest assured that our skilled professionals prioritize your comfort throughout the vital pulp therapy process.
How long does Vital Pulp Therapy take?
The duration of vital pulp therapy can vary depending on the specific case and the complexity of the treatment required. In general, the procedure can be completed in a single dental visit, typically lasting between 30 minutes to 1 hour. However, the exact time may vary based on factors such as the extent of pulp damage, the number of teeth involved, and the individual patient’s unique circumstances. During your consultation at Wimpole Street Dental Clinic in London, your dentist will assess your specific situation and provide you with a more accurate estimate of the treatment duration.
Is Vital Pulp Therapy a permanent solution for tooth preservation?
Vital pulp therapy is an effective treatment for preserving the vitality of the tooth’s pulp in many cases. However, its long-term success depends on various factors such as the extent of pulp damage, the patient’s oral hygiene habits, and regular dental check-ups. In some cases, additional treatment may be required in the future, such as root canal therapy, if the pulp becomes irreversibly damaged or infected. It’s important to follow your dentist’s recommendations for ongoing care and maintenance after vital pulp therapy to maximize the longevity of the treated tooth. At Wimpole Street Dental Clinic in London, our skilled dentists will guide you through the appropriate post-treatment care to ensure the best outcomes for your dental health.
Related Treatments
Fillings
Dental Hygiene
Dental Crowns
Oral Surgery
Inlays & Partial Crowns
Root Canal Treatment
When did we last update this page?
Our expert team continually update and research the latest news and techniques in dentistry, as such we regularly update our pages and have these clinically reviewed.
Current Version
July 21st 2023
- Added “when did we last update this page” and author biography to the page.
Written by: Prof Dr Christian Mehl
Medically reviewed by: Dr Raul Costa
Previous Versions
October 2nd 2022
- Page redesigned and updated to reflect change in address.
Written by: Prof Dr Christian Mehl
Medically reviewed by: Dr Raul Costa
30th August 2021
- Original content created.
Written by: Prof Dr Christian Mehl
Medically reviewed by: Dr Raul Costa
Wimpole St Dental Clinic has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.
- Ricucci D, Siqueira JF Jr, Li Y, Tay FR. Vital pulp therapy: histopathology and histobacteriology-based guidelines to treat teeth with deep caries and pulp exposure. J Dent. 2019 Jul;86:41-52. doi: 10.1016/j.jdent.2019.05.022. Epub 2019 May 21. PMID: 31121241.
- Ricucci D, Siqueira JF Jr, Li Y, Tay FR. Vital pulp therapy: histopathology and histobacteriology-based guidelines to treat teeth with deep caries and pulp exposure. J Dent. 2019 Jul;86:41-52. doi: 10.1016/j.jdent.2019.05.022. Epub 2019 May 21. PMID: 31121241.
- Fuks AB. Vital pulp therapy with new materials for primary teeth: new directions and Treatment perspectives. Pediatr Dent. 2008 May-Jun;30(3):211-9. PMID: 18615986.
- JOE Editorial Board. Vital pulp therapy: an online study guide. J Endod. 2008 May;34(5 Suppl):e103-6. doi: 10.1016/j.joen.2007.08.002. PMID: 18457685.
