Ouni Marouane, Kallel Ines, Douki Nabiha
Department of Dental Medicine, Sahloul Hospital, Sousse, Tunisia.
Dental Clinic, Faculty of Dentistry Monastir, University of Monastir, Sousse, Tunisia.
SAGE Open Med Case Rep. 2022 Apr 4;10:2050313X221087565. doi: 10.1177/2050313X221087565. eCollection 2022.
The management of deep carious lesions in immature tooth and the preservation of its pulp vitality is a real challenge in daily dental practice. Bioactive cements are of interest to deal with such cases. Our case report describes the immediate management and the follow-up of an extensive carious lesion on an immature first right mandibular molar with pulp exposure by direct pulp capping using Biodentine. A 6-month clinical and radiographic follow up showed that the tooth was vital, with dentine-bridge formation in the pulp chamber with continuous root formation. This procedure allowed the protection of pulp complex, preserving at the same time its functional and biologic activities due to the capacities of Biodentine as an effective pulp capping material to induce pulp cells to form hard tissue. The aim of this article is to discuss through the report of this clinical case, the indications, advantages and disadvantages of different procedures and biomaterials used for direct pulp capping.
在日常牙科实践中，处理未成熟牙齿的深龋病变并保留其牙髓活力是一项真正的挑战。生物活性粘固剂对于处理此类病例很有意义。我们的病例报告描述了使用碧兰麻对右下第一未成熟下颌磨牙广泛龋损伴牙髓暴露进行直接盖髓的即刻处理及随访情况。6个月的临床和影像学随访显示，该牙齿活力正常，髓腔内有牙本质桥形成，牙根持续发育。由于碧兰麻作为一种有效的盖髓材料能够诱导牙髓细胞形成硬组织，该操作保护了牙髓复合体，同时保留了其功能和生物学活性。本文旨在通过该临床病例报告，探讨用于直接盖髓的不同操作和生物材料的适应证、优缺点。
