Importance of the diagnosis in the pulpotomy of immature permanent teeth
| Autor: | Jesus Djalma Pécora, Suely Colombo Nelli Gomes, Y.T.C. Silva-Sousa, Ronaldo Araújo Souza, João da Costa Pinto Dantas |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Molar
Male diagnosis Pulpotomy Dentistry Mandible Bone rarefaction stomatognathic system Tooth pulp stimulation periapical lesion Alveolar Process Medicine Humans pulpotomy calcium hydroxide Child General Dentistry Permanent teeth Orthodontics business.industry Periapical Diseases Root Canal Therapy Dentition Permanent Radiography stomatognathic diseases Treatment Outcome Coronal plane Pulp (tooth) Female business Single session |
| Zdroj: | Brazilian Dental Journal v.18 n.3 2007 Brazilian Dental Journal Fundação Odontológica de Ribeirão Preto (FUNORP) instacron:FUNORP Brazilian Dental Journal, Volume: 18, Issue: 3, Pages: 244-247, Published: 2007 |
| ISSN: | 1806-4760 |
| Popis: | Pulpotomy is a conservative therapy performed to remove the inflamed coronal portion of the pulp and preserve the vitality of the remaining radicular pulp. This article reports two cases of immature permanent mandibular molars with clinical signs of pulp vitality and radiographic images of periapical bone rarefaction, which were treated with calcium hydroxide pulpotomy. In Case 1, pulpotomy was performed in a single session, while in Case 2 two sessions were required to complete the treatment. Clinical and radiographic follow up within 13 and 9 months, respectively, showed hard tissue barrier and new bone formation as well as progression of root development. These outcomes are confirmatory that an accurate clinical/radiographic assessment of pulp vitality is of paramount importance for the correct diagnosis and indication of pulpotomy in cases of young permanent teeth with incomplete root formation. A pulpotomia é uma terapia conservadora indicada para dentes vitais com alterações inflamatórias da polpa dental coronária. Esse artigo relata dois casos de molares inferiores com rizogênese incompleta e imagem radiográfica de rarefação periapical que, clinicamente, apresentavam vitalidade pulpar e foram tratados pela técnica da pulpotomia com hidróxido de cálcio. No caso 1 a pulpotomia foi realizada em sessão única e no caso 2 em duas sessões. A proservação clínica e radiográfica com 13 e 9 meses, respectivamente, evidenciou formação de barreira mineralizada, neoformação óssea e desenvolvimento radicular. Conclui-se que a avaliação clínica da vitalidade pulpar, complementada pela análise radiográfica, é fundamental para o correto diagnóstico e indicação de pulpotomia em casos de dentes permanentes jovens com rizogênese incompleta. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|