Shetty Ashwija, Sultana Hajira A, V Keerthan B, Reddy Nithin S
Department of Conservative Dentistry and Endodontics, The Oxford Dental College, Bengaluru, IND.
Cureus. 2024 Dec 29;16(12):e76566. doi: 10.7759/cureus.76566. eCollection 2024 Dec.
Preserving pulp vitality in developing permanent teeth is paramount. This approach facilitates continued root formation, ultimately leading to apical closure, enhanced root strength, and improved overall tooth integrity. This case report details the management of a 17-year-old female patient presenting with dental caries on the right permanent maxillary molar. Clinical and radiographic examinations revealed reversible pulpitis in the tooth with an immature apex. The case highlights the use of a novel bioceramic cement, Bio-C Repair (Angelus, Londrina, Brazil), for apexogenesis. Treatment was performed under rubber dam isolation. This involved caries removal and extirpation of the inflamed coronal pulp. Subsequently, the residual radicular pulp was covered with Bio-C Repair cement. Follow-up examinations at one, three, and six months demonstrated normal tooth function and a normal response to pulp sensibility tests. No signs or symptoms of pulpal pathology were observed. The radiographic evaluation confirmed complete root development. Therefore, Bio-C Repair, with its convenient ready-to-use format, can facilitate faster and more efficient management of open apices.
在发育中的恒牙中保存牙髓活力至关重要。这种方法有助于牙根的持续形成，最终导致根尖闭合、牙根强度增强以及牙齿整体完整性提高。本病例报告详细介绍了一名17岁女性患者右上颌恒磨牙龋齿的治疗情况。临床和影像学检查显示该根尖未发育成熟的牙齿患有可逆性牙髓炎。该病例突出了使用新型生物陶瓷粘固剂Bio-C Repair（安吉利斯公司，巴西隆德里纳）进行根尖诱导成形术的情况。治疗在橡皮障隔离下进行。这包括龋洞清理和摘除发炎的冠髓。随后，用Bio-C Repair粘固剂覆盖剩余的根髓。在1个月、3个月和6个月时的随访检查显示牙齿功能正常，对牙髓敏感性测试反应正常。未观察到牙髓病变的体征或症状。影像学评估证实牙根完全发育。因此，Bio-C Repair具有方便即用的形式，可促进对开放根尖进行更快、更有效的治疗。
