Akademik Veri Yönetim Sistemi
28th Congress of the International Association of Paediatric Dentistry, Washington, Amerika Birleşik Devletleri, 10 - 13 Haziran 2021, cilt.31, ss.264-265
Introduction: In recent years, various materials and treatment methods aimed to maintaining the vitality of the pulp in young permanent teeth, where root development has not been completed yet with excessive caries, have become increasingly preferred. The goal of the treatment was to ensure continues root development and maintenance of vitality of the remaining healthy radicular pulp. The overall success of vital pulp therapy majorly depends on the type of technique performed, the inflammatory status of the pulp, the type of the pulpotomy medicament used and the period of follow-up. This case report describes the pulpotomy of a carious immature permanent teeth with reversible pulpitis and follow-up for 6 months.
Case report: A 7-year-old girl came to our clinic complaining of sensitivity in the tooth to cold and sweets. No spontaneous pain was reported by the patient. Medical history of the patient was non-significant. On clinical radiographic evaluation, Left Mandibular first molar (tooth number 36) was found to be decayed. There was no percussion sensitivity. On radiographic examination, a close relation between carious lesion and the pulp horns, short root with a wide-open apex was revealed. There was no signs of periapical pathology. After careful clinical and radiographic assessments, the pulpal status of the tooth was determined as vital with reversible pulpitis with no peri-radicular involvement. Under Local anaesthesia, carious dentin in tooth number 36 was removed and it was decided to perform coronal pulpotomy as the bleeding from the exposed pulp horn could not be stopped. The amputation of the 2mm of inflamed pulp was performed and the homeostasis was achieved. MTA was placed on the exposed pulp stumps and the cavity was restored. At the end of 6 months of follow-up, it was observed that root development continued and the tooth was vital. Discussion: The main aims of vital pulp therapy is protection of the reversibly inflamed pulp from further injuries, maintenance of the vitality. continuations of root development and physiological apical closure
Conclusion: Pulpotomy treatment with biocompatible materials such as MTA in young permanent teeth is an optimal treatment for preserving vitality and physiological root development.