Kumari Ragini, Murmu Lugu Buru, Ghosh Amrita, Mazumder Dibyendu
Department of Conservative Dentistry and Endodontics, Dr. R. Ahmed Dental College and Hospital, Kolkata, West Bengal, India.
J Conserv Dent Endod. 2024 Sep;27(9):993-996. doi: 10.4103/JCDE.JCDE_443_24. Epub 2024 Sep 7.
Pulpotomy is recognized as a promising treatment option, especially for immature permanent teeth, as it prevents the unnecessary removal of radicular pulp tissue. The aim of the study was to evaluate the clinical and radiographic outcome of full pulpotomy using Biodentine in the young permanent tooth with symptomatic irreversible pulpitis. Full pulpotomy with Biodentine was performed on a 15-year-old male patient diagnosed with irreversible pulpitis in tooth #47. Follow-up was done at 6 months, 1 year, and 2 years postoperatively. The patient was asymptomatic throughout the follow-ups. 12-month postoperative radiograph revealed periapical healing and apical closure. 24-month radiographic follow-up revealed complete healing of the periapical lesion, but discrete pulp canal calcifications were also seen. Pulpotomy can be used successfully in the management of carious pulp exposure of fully erupted immature teeth to maintain pulp vitality and root maturation.
牙髓切断术被认为是一种有前景的治疗选择，特别是对于未成熟恒牙，因为它可防止不必要地切除根尖牙髓组织。本研究的目的是评估在患有症状性不可逆性牙髓炎的年轻恒牙中使用生物陶瓷（Biodentine）进行全牙髓切断术的临床和影像学结果。对一名15岁男性患者的47号牙进行了诊断为不可逆性牙髓炎的生物陶瓷全牙髓切断术。术后6个月、1年和2年进行随访。在整个随访过程中患者均无症状。术后12个月的X光片显示根尖愈合和根尖闭合。24个月的影像学随访显示根尖病变完全愈合，但也可见离散的牙髓根管钙化。牙髓切断术可成功用于治疗完全萌出的未成熟牙齿的龋源性牙髓暴露，以维持牙髓活力和牙根发育成熟。
