This case report presents a novel, minimally invasive approach for treating internal root resorption (IRR) in a tooth diagnosed with symptomatic irreversible pulpitis and symptomatic apical periodontitis. A 32-year-old patient exhibited rapidly progressing IRR, along with apical radiolucency, one month after the initial diagnosis. Instead of conventional root canal therapy (RCT), a partial pulpotomy was performed using calcium-enriched mixture (CEM) cement with a tampon approach. Over a two-year follow-up period, apical radiolucency healed, with halting of the resorptive area. The root canals gradually narrowed, and no further pathology was detected, resembling the biological outcomes of successful pulpotomies. This case highlights the potential of tampon partial pulpotomy with CEM cement as an effective alternative to conventional RCT, offering improved preservation of pulpal vitality and favorable long-term outcomes.
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http://dx.doi.org/10.7759/cureus.71157 | DOI Listing |
Int Endod J
January 2025
Department of Periodontics & Oral Implantology, Post Graduate Institute of Dental Sciences, Rohtak, India.
Aim: The objective of pulpotomy is to preserve the pulp vitality. However, the assessment of pulpal status following pulpotomy is often overlooked. This retrospective analysis aimed to compare the pulp responses to EPT (Electric pulp test) and cold test in mature permanent molars that have undergone either complete pulpotomy (CP) or partial pulpotomy (PP) for managing carious pulpal exposure and symptomatic irreversible pulpitis (SIP) and completed 12 months follow-up.
View Article and Find Full Text PDFClin Case Rep
January 2025
Iranian Centre for Endodontic Research, Research Institute of Dental Sciences Shahid Beheshti University of Medical Sciences Tehran Iran.
Internal root resorption (IRR) is a complex and often asymptomatic dental condition that can severely compromise tooth vitality and function. This case report presents the successful management of a perforated large IRR lesion in a 49-year-old female using an ultraconservative approach involving partial pulpectomy (PP) using calcium-enriched mixture (CEM) cement. The patient, initially presenting with an asymptomatic resorptive lesion in her left first premolar, underwent ultraconservative PP following diagnosis via conventional radiography and cone beam computed tomography.
View Article and Find Full Text PDFInt J Oral Sci
January 2025
Department of Cariology and Endodontics, Wuhan University & State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan, China.
Pulpotomy, which belongs to vital pulp therapy, has become a strategy for managing pulpitis in recent decades. This minimally invasive treatment reflects the recognition of preserving healthy dental pulp and optimizing long-term patient-centered outcomes. Pulpotomy is categorized into partial pulpotomy (PP), the removal of a partial segment of the coronal pulp tissue, and full pulpotomy (FP), the removal of whole coronal pulp, which is followed by applying the biomaterials onto the remaining pulp tissue and ultimately restoring the tooth.
View Article and Find Full Text PDFBeijing Da Xue Xue Bao Yi Xue Ban
December 2024
Department of Pediatric Dentistry, Peking University School and Hospital of Stomatology, Beijing 100081, China.
Objective: To investigate the clinical and radiographic outcomes of 3 years after partial pulpotomy with iRoot BP Plus in immature permanent teeth with complex crown fracture and to provide refe-rence for the clinical application.
Methods: The study was prospectively designed and 104 immature permanent teeth with complex crown fracture were randomly allocated into two groups (=52). The experiment group received iRoot BP Plus as the pulp capping agent while the control group received calcium hydroxide as the pulp capping agent.
PLoS One
December 2024
Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.
Background: A Partial pulpotomy technique is an alternative choice of treatment for immature permanent teeth with exposed vital pulps. This study aimed to compare the histopathological pulpal response of the primary teeth of puppies after partial pulpotomy and full pulpotomy using mineral trioxide aggregate (MTA).
Materials And Methods: 72 primary premolars from experimental puppies aged 6-8 weeks were equally divided into test and control groups, as MTA partial pulpotomy (MTA-PP) and MTA full pulpotomy (MTA-FP).
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