Indications for Treatment of Reversible Pulpitis Through Direct Pulp Capping—Clinical Study

This study aims to monitor the results of treating reversible pulpitis using direct pulp capping with biomaterial autologous blood A-PRF+ after 12 months. Materials and Methods. Twenty-nine patients with a diagnosis of reversible pulpitis were treated through direct pulp capping with biomaterial autologous blood (biomaterial AB) A-PRF+. The protocol for the biomaterial AB A-PRF+ is provided. Results of the treatment are analyzed statistically.Results. We found a 72.41% success rate for direct pulp capping with biomaterial AB, and this were the cases with pulp comunication up to < 1.5mm. A uniform pink or slightly reddish colour of the pulp is considered as favorable. A pulp comunications between 1.5 mm and 2.5 mm were related with unsuccessful outcome using the same procedure. Red colouration and darkening areas of the surrounding dentin are unfavourable. The location of the pulp wound below the dentin level, and the presence of dentin fragments inside the pulp wound for direct pulp capping are also unfavourable. Conclusions. According these results the derermination of pulp communication type and the condition of the surrounding dentin are crucial for the successful outcome after direct pulp capping with biomaterial AB A-PRF+.