Valverde Haro Henry Paul, Erazo Conde Adriana Denisse
Postgraduate Program in Dentistry, University of Hemispheres, Quito, Pichincha, Ecuador.
Program in Dentistry, National University of Chimborazo, Riobamba, Chimborazo, Ecuador.
Iran Endod J. 2025;20(1):e24. doi: 10.22037/iej.v20i1.47139.
Vital pulp therapy is one of the least invasive and simplest and most economically acceptable treatment alternatives for immature teeth with pulpitis. The success rate of this treatment, with calcium silicate-based cements, ranges from 85% to 100%. Vital pulp therapy prevents the development of apical periodontitis and promotes normal root development, allowing the tooth to remain in the dentition and perform its functions. The patient was a nine-year-old boy with pain on chewing and a positive response to cold. The panoramic radiograph showed an immature permanent lower molar with deep caries. Partial pulpectomy and root pulp sealing with pre-mixed calcium silicate-based cement were performed under aseptic conditions. The absence of symptoms and the formation of roots with apical sealing were successfully achieved and observed by follow-up and radiographic control, making this treatment a viable option for immature teeth with pulpitis.
活髓治疗是牙髓炎未成熟恒牙最微创、最简单且经济上最易接受的治疗选择之一。使用硅酸钙基水门汀进行这种治疗的成功率在85%至100%之间。活髓治疗可预防根尖周炎的发展并促进牙根正常发育，使牙齿保留在牙列中并发挥其功能。患者为一名9岁男孩，咀嚼时疼痛，对冷刺激有阳性反应。全景X线片显示一颗未成熟的下颌恒磨牙有深龋。在无菌条件下进行了部分牙髓切除术并用预混硅酸钙基水门汀封闭根髓。通过随访和影像学检查成功实现并观察到无症状以及根尖封闭牙根的形成，这使得这种治疗成为牙髓炎未成熟恒牙的可行选择。
