Importance of the diagnosis in the pulpotomy of immature permanent teeth

Brazilian Dental Journal

Ronaldo Araújo Souza²  Suely Colombo Nelli Gomes¹  João Da Costa Pinto Dantas¹  Yara Terezinha Silva-sousa²  Jesus Djalma Pécora¹ 

[1] ,University of Ribeirão Preto School of Dentistry Ribeirão Preto SP ,Brazil

关键词: pulpotomy;    diagnosis;    calcium hydroxide;    periapical lesion;   

DOI  :  10.1590/S0103-64402007000300013

来源: SciELO

【 摘 要 】

Pulpotomy is a conservative therapy performed to remove the inflamed coronal portion of the pulp and preserve the vitality of the remaining radicular pulp. This article reports two cases of immature permanent mandibular molars with clinical signs of pulp vitality and radiographic images of periapical bone rarefaction, which were treated with calcium hydroxide pulpotomy. In Case 1, pulpotomy was performed in a single session, while in Case 2 two sessions were required to complete the treatment. Clinical and radiographic follow up within 13 and 9 months, respectively, showed hard tissue barrier and new bone formation as well as progression of root development. These outcomes are confirmatory that an accurate clinical/radiographic assessment of pulp vitality is of paramount importance for the correct diagnosis and indication of pulpotomy in cases of young permanent teeth with incomplete root formation.

【 授权许可】

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