Endodontics · single question

What is currently the recommended hemostatic agent for controlling bleeding during vital pulp therapy (e.g., pulpotomy)?

  1. Sodium hypochlorite
  2. Calcium hydroxide
  3. Silver diamine fluoride
  4. Saline solution
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Correct answer: A. Sodium hypochlorite

Per AAE and AAPD guidance and current literature, sodium hypochlorite (typically 2-5%) applied to the pulp wound is the modern evidence-based hemostatic agent of choice in vital pulp therapy — it achieves hemostasis, disinfects the wound, dissolves the blood clot/fibrin, and removes debris simultaneously. Calcium hydroxide is the classic capping material placed AFTER hemostasis has been achieved, not the agent used to achieve hemostasis itself.

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