Vital pulp therapy following pulpotomy in immature first permanent molars with deep caries using novel fast-setting calcium silicate cement: a retrospective clinical study

2021 ◽  
pp. 103890
Author(s):  
Ali Vafaei ◽  
Mahsa Nikookhesal ◽  
Leila Erfanparast ◽  
Henrik Løvschall ◽  
Bahram Ranjkesh
Keyword(s):  
Clinical Study ◽  
Calcium Silicate ◽  
Calcium Silicate Cement ◽  
Pulp Therapy ◽  
Vital Pulp Therapy ◽  
Retrospective Clinical Study ◽  
Permanent Molars ◽  
First Permanent Molars

scholarly journals Preoperative Factors of Immature First Permanent Molars Treated with Vital Pulp Therapy

2021 ◽  
Vol 48 (2) ◽  
pp. 176-183
Author(s):  
Heejung Lim ◽  
Eungyung Lee ◽  
Soyoung Park ◽  
Taesung Jeong ◽  
Jonghyun Shin
Keyword(s):  
Therapy Group ◽  
Preventive Treatment ◽  
Active Management ◽  
Pulp Therapy ◽  
Vital Pulp Therapy ◽  
Molar Incisor Hypomineralization ◽  
History Of ◽  
Permanent Molars ◽  
First Permanent Molars ◽  
Preoperative Factors

This study aimed to analyze the preoperative factors of immature first molars treated with vital pulp therapy and to find out their correlation in pediatric patients. From May 2014 to January 2020, 523 patients and 1,242 immature first molars were investigated. Factors including age, sex, tooth location, Molar-incisor hypomineralization (MIH), caries cavity location, and history of previous restoration were evaluated. As a result of the study, the vital pulp therapy group had 5.56 times more MIH, 3.39 times more mesial cavities, and 8.73 times more distal cavities. In order to avoid vital pulp therapy in immature first molar, early diagnosis and active management of MIH and preventive treatment of mesial and distal caries are necessary after its immediate eruption.

scholarly journals Bioceramics in modern endodontics

2021 ◽  
Vol 19 (3) ◽  
pp. 166-170
Author(s):  
A. V. Mitronin ◽  
D. A. Ostanina ◽  
Yu. A. Mitronin
Keyword(s):  
Clinical Practice ◽  
Clinical Application ◽  
Root Canal ◽  
Calcium Silicate ◽  
Biological Properties ◽  
Review Article ◽  
Endodontic Treatment ◽  
Pulp Therapy ◽  
Vital Pulp Therapy ◽  
Physicochemical And Biological Properties

The introduction of modified bioceramic calcium silicate- based materials into clinical practice has changed the standards and strategies of endodontic treatment. The review article highlights modern calcium silicate- based cements that are used in various areas of endodontics, including vital pulp therapy, root canal obturation, management of endodontic complications and pulp regeneration. The classifications of bioceramic materials based on their chemistry and specific use in endodontics are presented. The physicochemical and biological properties of various types of materials, as well as the features of their clinical application, are described.

scholarly journals Biodentine Total Pulpotomy as an Effective Alternative to Conventional Endodontic Therapy for Young Permanent Teeth – A Study from Calicut, India

2021 ◽  
Vol 10 (21) ◽  
pp. 1593-1597
Author(s):  
Amith Adyanthaya ◽  
Prathyusha P ◽  
Risana K ◽  
Aparna Sivaraman ◽  
Nazreen Ayub K ◽  
...  
Keyword(s):  
Treatment Options ◽  
Clinical Signs ◽  
Effective Alternative ◽  
Permanent Teeth ◽  
Pulp Tissue ◽  
Term Survival ◽  
Pulp Therapy ◽  
Vital Pulp Therapy ◽  
Permanent Molars

BACKGROUND The vitality of dental pulp is essential for long-term survival of the tooth. Vital pulp therapy (VPT) intends to maintain healthy pulp tissue by eliminating bacteria from the dentin-pulp complex. There are many treatment options for vital pulp therapy in extensively decayed teeth. Pulp capping or pulpotomy procedures rely upon an accurate assessment of the pulp status, and careful management of the remaining pulp tissue. We wanted to evaluate as to whether biodentine total pulpotomy is an effective alternative to conventional endodontic therapy for young permanent teeth. METHODS Full coronal pulpotomy was performed in young permanent molars diagnosed with acute irreversible pulpitis with Biodentine as the pulpotomy medicament. Follow up evaluation was done clinically and radiographically at 3, 6 and 12 months. RESULTS During follow-up periods clinical signs/symptoms were absent including pulpal pain, swelling or presence of sinus and percussion pain. Continuous root development and healing of periapical radiolucency were noticed in the study which were indicative of maintenance of vitality of the pulp. CONCLUSIONS Within the limitations of this clinical study, it is concluded that total pulpotomy with Biodentine has a promising scope in regenerative approaches in the treatment of carious young permanent teeth. KEY WORDS Biodentine, Coronal Pulpotomy, Permanent Teeth, Total Pulpotomy

scholarly journals Vital Pulp Therapy in Aesthetic Zone-Identifying the Biomaterial That Reduces the Risk of Tooth Discolouration

Materials ◽  
2021 ◽  
Vol 14 (20) ◽  
pp. 6026
Author(s):  
Joanna Metlerska ◽  
Irini Fagogeni ◽  
Marcin Metlerski ◽  
Alicja Nowicka
Keyword(s):  
Calcium Silicate ◽  
Colour Change ◽  
Clinical Results ◽  
Negative Control ◽  
Pulp Tissue ◽  
Pulp Therapy ◽  
Anterior Teeth ◽  
Vital Pulp Therapy ◽  
Significance Levels ◽  
The Aesthetic

Calcium silicate-based cements are biocompatible materials for vital pulp therapy. However, they discolour the tooth tissue, which is important for the aesthetics of the anterior teeth. The aim of this study was to investigate the effect of calcium silicate-based cements on tooth discolouration. The study included 70 extracted bovine incisors. The crown of the tooth was cut off from the root, 2 mm below the cement–enamel junction. The pulp tissue was removed via a cervical cut with a barbed broach. The teeth were randomly divided into five experimental, one positive, and one negative control groups. The evaluated materials included Biodentine, Ortho MTA, Retro MTA, MTA Plus, MTA Repair HP, and in the positive group, ProRoot MTA. A VITA Easyshade Compact 5.0 spectrophotometer was used before the application, after 1 week, 1 month, 3 months, and 6 months. The significance levels were set at p < 0.05. All materials significantly changed the teeth colour (p < 0.05). However, Ortho MTA, ProRoot MTA, MTA Plus, and Biodentine (ΔE > 6) caused maximum colour change after 6 months. While the ProRoot MTA, Ortho MTA, and MTA Plus caused grey discolouration, Biodentine darkened the shade of the base colour. Thus, Retro MTA and MTA Repair HP can be safely used in the aesthetic dentition zone. According to these clinical results, the possibility of using Biodentine, due to its lack of gray discoloration, can be considered.

Five-year results of vital pulp therapy in permanent molars with irreversible pulpitis: a non-inferiority multicenter randomized clinical trial

2014 ◽  
Vol 19 (2) ◽  
pp. 335-341 ◽  
Author(s):  
Saeed Asgary ◽  
Mohammad Jafar Eghbal ◽  
Mahta Fazlyab ◽  
Alireza Akbarzadeh Baghban ◽  
Jamileh Ghoddusi
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Pulp Therapy ◽  
Vital Pulp Therapy ◽  
Permanent Molars ◽  
Irreversible Pulpitis
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