Abarajithan M, Velmurugan N, Kandaswamy D
Department of Conservative Dentistry and Endodontics, Meenakshiammal Dental College and Hospitals, Chennai, India.
J Conserv Dent. 2010 Apr;13(2):110-3. doi: 10.4103/0972-0707.66724.
In traumatized, young, permanent teeth, pulpotomy is classically undertaken to promote apexogenesis. The objective is to promote root development and apical closure. Once root end development and apical closure is achieved, the root canal treatment is completed. However, it has been suggested that mere pulp exposure does not cause pulpitis in the absence of bacteria. Recent studies have proposed that as long as a good seal is ensured, root canal treatment may not be necessary following pulpotomy. In this article we report two cases of traumatized, fully matured, maxillary permanent central incisors, which have been treated with mineral trioxide aggregate following partial pulpotomy, with a two-year follow-up.
对于外伤的年轻恒牙,经典的治疗方法是进行牙髓切断术以促进牙根形成。目的是促进牙根发育和根尖闭合。一旦实现根尖发育和根尖闭合,就完成根管治疗。然而,有人提出,在没有细菌的情况下,单纯的牙髓暴露不会引起牙髓炎。最近的研究表明,只要确保良好的封闭,牙髓切断术后可能无需进行根管治疗。在本文中,我们报告了两例外伤的、完全成熟的上颌恒中切牙病例,这些牙齿在部分牙髓切断术后用三氧化矿物凝聚体进行了治疗,并进行了两年的随访。