Use of Vital Pulp Therapies in Primary Teeth with Deep Caries Lesions.

Purpose: This manuscript presents evidence-based guidance on the use of vital pulp therapies for treatment of deep caries lesions in children. A guideline panel convened by the American Academy of Pediatric Dentistry formulated evidence-based recommendations on three vital pulp therapies: indirect pulp treatment (IPT; also known as indirect pulp cap), direct pulp cap (DPC), and pulpotomy.

Methods: The basis of the guideline's recommendations was evidence from "Primary Tooth Vital Pulp Therapy: A Systematic Review and Meta-Analysis.

Behavior symposium Workshop A report - current guidelines/revision.

A Workshop of attendees was convened following the completion of the American Academy of Pediatric Dentistry (AAPD) symposium, "Beyond the Guidelines: Factors Affecting Behavior Guidance." The title of Workshop A was Guidelines/Revisions and charges were to review whether the current AAPD Behavior Management Guidelines were adequate to guide delivery of dental care for children with specific attention to their effectiveness and safety, the protection of the pediatric patient and dentist, and the newly revised Protective Stabilization guideline, considering the presentations during the symposium. Major themes emerged as areas for consideration in future revisions of the guidelines: 1) toxic stress and the culture of poverty; 2) behavior risk assessment; 3) contemporary knowledge of pain theory; 4) deferred treatment; 5) parental presence in the operatory and 6) current use of protective stabilization.