Full Pulpotomy with Biodentine in Symptomatic Young Permanent Teeth with Carious Exposure

Carious exposure of immature first permanent molar is a widespread issue faced in paediatric dentistry. This may be the result of the early eruption of this molar, so parents may think it is replicable to the rest of the deciduous teeth. Preserving pulp vitality is the primary goal in treating those teeth to allow maturation of roots both in length and width. Mineral trioxide aggregate (MTA) is considered a perfect dressing material for pulpotomy (both partial and complete) due to its bio computability and sealing property. We present a case that describes treatment and two years follow-up of a symptomatic immature first permanent molar with a deep carious lesion. For treatment, we started with anaesthesia and rubber dam isolation. After that, the carious lesion was removed, and we performed partial pulpotomy, then applied MTA-Angelos on the fresh wound. Moistened cotton then was lightly packed over MTA for 15 minutes to allow initial setting, followed by application of glass ionomer and final restoration with composite. The following day, the tooth was asymptomatic with the patient reporting pain relief. After three months follow-up, the tooth normally responds to thermal test. After 12 months, a periapical radiograph of the tooth showed root maturation, and after 24 months also, the tooth was clinically and radiographically successful. MTA partial pulpotomy should be considered in the treatment of symptomatic young permanent teeth.

Download Full-text

Evaluation of Success of Pulpotomy in Mature Permanent Teeth with Carious exposure using Mineral Trioxide

10.53350/pjmhs211561352 ◽

2021 ◽

Vol 15 (6) ◽

pp. 1352-1355

Author(s):

N. Shafe ◽

M. B. Munir ◽

M. Virda ◽

M. Anwar ◽

M. Ali ◽

...

Keyword(s):

Case Series ◽

Mineral Trioxide Aggregate ◽

Permanent Teeth ◽

P Value ◽

Dental Hospital ◽

And Gender ◽

Level Of Significance ◽

Age Range ◽

Carious Exposure

Aim: To evaluate the radiographical success of pulpotomy in cariously exposed mature permanent teeth using mineral trioxide aggregate. Methods:This Descriptive case series was conducted at the Department of Operative Dentistry, de’Montmorency College of Dentistry/ Punjab Dental Hospital, Lahore from December 2015 to December 2016.A total of 75 cases were included using non-probability consecutive sampling..Patients of both genders with age range from 15 to 26 years were considered. Performance of procedure and evaluation of success was done in terms of absence of periapical radiolucency on periapical radiographs.Data was entered and analyzed with IBM SPSS 20. Level of significance was kept at p-value ≤ 0.05 Results: Out of 75 patients, 41 were females and 34 were males.Mean age of patients included in this study was 20.5 ±3.60. Follow up at 6 months showed 92% success, with 69 cases showed absence of periapical radiolucency on periapical radiograph. There was no significant relation of success with age and gender of patient with p- value greater that 0.05. Conclusion: It is concluded from current study that the protocol of pulpotomy using Mineral trioxide Aggregate (MTA) in mature permanent teeth with carious exposure of pulp is encouraging and can be recommended for the treatment of mature permanent teeth with carious exposures. Keywords: Pulpotomy, Mineral trioxide aggregate, periapical radiolucency

Download Full-text

PULPOTOMY;

The Professional Medical Journal ◽

10.29309/tpmj/2017.24.12.619 ◽

2017 ◽

Vol 24 (12) ◽

pp. 1909-1913

Author(s):

Muhammad Saqib ◽

Muhammad Adeel Ahmed ◽

Rizwan Jouhar ◽

Afifa Hemani ◽

Ziaullah -

Keyword(s):

Clinical Trials ◽

Alternative Treatment ◽

Mineral Trioxide Aggregate ◽

Good Alternative ◽

Permanent Teeth ◽

Spontaneous Pain ◽

Operative Dentistry ◽

Carious Exposure ◽

Irreversible Pulpitis

Objectives: To assess the efficacy of mineral trioxide aggregate (MTA)pulpotomy in mature permanent teeth with irreversible pulpitis due to carious exposure. Placeand Duration: The study was conducted in the Department of Operative Dentistry, AltamashInstitute of Dental Medicine from 05-01-2016 to 05-07-2016. Methodology: A total of 70 teethof 70 patients with irreversible pulpitis were treated with mineral trioxide aggregate (MTA)pulpotomy. The patients were re-evaluated after 2 months. All patients were asked whether theyhad experienced spontaneous pain, pain on chewing or pain stimulated by hot/cold and thetreatment was counted as successful in case of no post-operative symptoms. Results: Efficacyof pulpotomy treatment with mineral trioxide aggregate in symptomatic mature permanentteeth with irreversible pulpitis and normal periapical periodontium was 88.57%. Conclusion:MTA pulputomy is a good alternative treatment for cases of irreversible pulpitis in permanentteeth with mature roots and normal apical periodontium. However, long term clinical trials andhistological assessment is desirable.

Download Full-text

Relationship between incisal tooth wear and the increasing number of permanent teeth in children and adolescents

Journal of Oral Rehabilitation ◽

10.1046/j.1365-2842.1997.00516.x ◽

1997 ◽

Vol 24 (6) ◽

pp. 410-413 ◽

Cited By ~ 1

Author(s):

J. SILNESS ◽

M. BERGE ◽

G. JOHANNESSEN

Keyword(s):

Children And Adolescents ◽

Tooth Wear ◽

Permanent Teeth

Download Full-text

Cementum and other root abnormalities of permanent teeth in cleidocranial dysostosis

BDJ ◽

10.1038/sj.bdj.4803603 ◽

1975 ◽

Vol 139 (8) ◽

pp. 313-318 ◽

Cited By ~ 13

Author(s):

A D Hitchin

Keyword(s):

Permanent Teeth ◽

Cleidocranial Dysostosis

Download Full-text

Signs and symptoms of craniomandibular dysfunction in a population of Spanish children

REVISTA ODONTOLOGÍA PEDIÁTRICA ◽

10.33738/spo.v16i1.11 ◽

2018 ◽

Vol 16 (1) ◽

pp. 24

Author(s):

Maria Esperanza Sánchez-Sánchez

Keyword(s):

Signs And Symptoms ◽

Permanent Teeth ◽

Tooth Sensitivity ◽

Craniomandibular Dysfunction ◽

Teeth Grinding ◽

Specific Questionnaire ◽

Other Hand ◽

Opening And Closing

The craniomandibular dysfunction (CMD) is a pathology that can appear at early ages. In a sample of 36 childrenresiding in Madrid (Spain), of both sexes, with ages between 7 and 13 years, the prevalence of signs and symptomsof CMD was analyzed. For that purpose, we did a dental and muscular examination, together with temporomandibularjoints, functional and occlusal examination, and completed with a specific questionnaire. The results revealedthat 100% showed some sign or sympthom of CMD. 77,8% of the pacients presented 3 or more CMD signs.The most prevalent were painful muscle palpation (94,4%), together with sliding anteriorly (91,7%), painful jointpalpation (69,4%), wear facets in permanent teeth (41,7%) and altered opening and closing trayectory (38,9%). Onthe other hand, only 38,9% showed any CMD symptom. The most prevalent symptoms were night teeth grinding(27,8%), followed by tooth sensitivity (19,4%) and fullness in the ears (16,7%). We conclude that in our sample,25% presented mild CMD (less that 3 signs or symptoms), 58,3% presented moderate CMD (from 3 to 6 signs orsymptoms) and 16,7% showed severe CMD (more than 6 symptoms). Nevertheless, it’s important to remark thatnone of these pacients came seeking treatment for his CMD and these symptoms were refered only when beingasked. Hence the importance of a comprehensive clinic history to precociously diagnose this pathology and havethe ability to prevent its progression.

Download Full-text