Biodentine™ Partial Pulpotomy of a Young Permanent Molar with Signs and Symptoms Indicative of Irreversible Pulpitis and Periapical Lesion: A Case Report of a Five-Year Follow-Up
| Autor: | T. Sutharaphan, W. Chinadet, Papimon Chompu-inwai |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Molar
medicine.diagnostic_test business.industry 0206 medical engineering Pulpotomy Dentistry Case Report Physical examination Temporary restoration RK1-715 030206 dentistry 02 engineering and technology 020601 biomedical engineering Mandibular first molar 03 medical and health sciences stomatognathic diseases 0302 clinical medicine stomatognathic system Pulp (tooth) Medicine business General Dentistry Caries Removal Electric pulp test |
| Zdroj: | Case Reports in Dentistry, Vol 2019 (2019) Case Reports in Dentistry |
| ISSN: | 2090-6455 2090-6447 |
| Popis: | The purpose of this paper was to report the five-year success of Biodentine™ partial pulpotomy in a young permanent molar, with signs and symptoms indicative of irreversible pulpitis and periapical lesion, in a nine-year-old girl. Preoperative clinical examination revealed a large carious lesion of the left mandibular permanent first molar. The patient reported pain on percussion. The tooth responded positively to the electric pulp test and had lingering pain after cold testing. A periapical radiograph showed a deep carious lesion and periapical lesion. Based on the clinical and radiographical examination, the tooth had signs and symptoms indicative of irreversible pulpitis and periapical lesion. During caries removal, pulp exposure occurred, and 2-3 mm in depth of pulp tissue at the exposure site was removed. Haemorrhage was controlled within four minutes with 2.5% sodium hypochlorite-moistened cotton pellets. Biodentine™ was then applied as both a pulp dressing and a temporary restoration. At the following visit, composite resin was placed over the Biodentine™ as a final restoration. During a five-year follow-up, the tooth was asymptomatic, had positive responses to sensibility tests, and had no discolouration. Follow-up radiographs showed a dentine bridge and periapical healing. |
| Databáze: | OpenAIRE |
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