Asgary Saeed, Kemal Çalışkan Mehmet
Iranian Center for Endodontic Research, Research Institute of Dental Sciences, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran;
Department of Endodontics, Dental School, Ege University, İzmir, Turkey.
Iran Endod J. 2015 Fall;10(4):284-6. doi: 10.7508/iej.2015.03.015.
Vital pulp therapy (VPT) of permanent mature teeth is continuously ascertaining to be a more reliable endodontic treatment. The purpose of this case report was to describe successful VPT of a mature mandibular left first molar with concurrent hyperplastic pulpitis, internal root resorption and periradicular periodontitis in a 35-year-old male patient. After complete caries removal and access cavity preparation, the dental pulp was removed from the coronal third of the roots. To protect the remaining pulp, calcium-enriched mixture (CEM) cement was placed and adapted into the cavities; the tooth was then restored with amalgam. Six months after VPT, radiographic examination showed evidence of periradicular healing. Clinically, the tooth was functional without signs and symptoms of infection/inflammation. The successful outcome of this case suggests that diseased dental pulp (i.e. irreversible pulpitis) has the potential to heal after pulp protection with CEM biocement.
恒牙成熟牙的活髓治疗（VPT）一直被认为是一种更可靠的牙髓治疗方法。本病例报告的目的是描述一名35岁男性患者下颌左侧第一恒磨牙并发增生性牙髓炎、牙根内吸收和根尖周炎的成功活髓治疗过程。在完全去除龋坏组织并制备开髓洞形后，从牙根冠三分之一处去除牙髓。为保护剩余牙髓，放置富钙混合物（CEM）粘结剂并填入窝洞；然后用银汞合金修复牙齿。活髓治疗6个月后，影像学检查显示根尖周有愈合迹象。临床上，该牙齿功能正常，无感染/炎症的体征和症状。本病例的成功结果表明，患病牙髓（即不可逆性牙髓炎）在用CEM生物粘结剂进行牙髓保护后有愈合的潜力。
