Case Report: Pulpotomy in an Immature Cariously Exposed Second Permanent Molar
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Background: Exposure of the pulp by caries is often accompanied by chronic inflammation in the immediate area of the carious lesion and localized abscess formation. Direct pulp capping and vital pulpotomy are two accepted clinical modalities to preserve tooth vitality in cases of pulp exposure in carious young permanent teeth but the success rates are often less than 50%. Case report: A 13 year old boy presented with an immature and grossly carious 37. Having already lost 36 a decision was made to maintain 37. Treatment: A cervical pulpotomy was initiated using local analgesia. All the inflamed, contaminated pulp tissue in the pulp chamber to the level of the radicular pulp stumps was removed and a cervical pulpotomy was carried out. Following haemostasis the radicular pulp stumps were coveredwith non-setting calcium hydroxide then setting calcium hydroxide, and the tooth restored temporarily with zinc oxide and eugenol cement. Follow-up: At 26 months following the pulpotomy, the molar had been symptomless and there were no clinical signs of infection or inflammation. Radiographically root development of 37 was complete, the lamina dura was continuous apically and the root canals were partially sclerosed.
Key wordspulpotomy caries immature permanent molar
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- Hallett GE, Porteous JR. Fractured incisors treated by vital pulpotomy. A report on 100 consecutive cases. Br Dent. J.1963; 115: 414–26.Google Scholar
- Mass E and Zilberman U. Clinical and radiographic evaluation of partial pulpotomy in carious exposure of permanent molars. Paediatr Dent 1993 Jul–Aug; 15(4): 257–259.Google Scholar
- Mass E, Zilberman U, Fuks AB: Partial pulpotomy: Another treatment option for cariously exposed permanent molars. J Dent Child 1995 Sept–Oct; 62(5): 342–5.Google Scholar
- Massler M. Pulp curettage: A review. J Dent Child 1959 26: 154–157Google Scholar
- Seltzer S, Bender IB The dental pulp, 2nd ed., Philadelphia, JB Lippincott Co, pp 172–176, 252–256, 318–320, 1975Google Scholar