Journal of Emergency Health Care
Formerly known as: International Journal of Medical Investigation
Volume 7, Issue 4 (12-2018)
J Emerg Health Care 2018, 7(4): 68-72 |
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Malekzadeh Shafaroudi A, Hali H. Mineral Trioxide Aggregate (MTA) As a Pulpotomy Agent in Developing Permanent Teeth: A Case Report. J Emerg Health Care 2018; 7 (4) :68-72
URL: http://intjmi.com/article-1-354-en.html
URL: http://intjmi.com/article-1-354-en.html
Assistant Professor, Department of pedodontics, Dental Faculty, Mazandaran University of Medical Sciences, Sari, Iran.
Abstract: (7024 Views)
Introduction: Traumatic injuries or caries to developing permanent teeth may prevent the integrity of root maturation and finally result in pulp necrosis, vital pulp therapy (VPT) is a suitable treatment for these teeth. This article describes a successful apexogenesis report of a nine year old boy with impact trauma to the mandibular left first molar which caused complicated crown fracture, pulp exposure and thereupon spontaneous pain.
Methods: Cervical pulpotomy was performed and the remaining pulp was capped with mineral trioxide aggregate (MTA). Afterwards the crown was restored using a stainless steel crown, the patient was followed up using radiographic images and clinical examinations 6 and 12 months after the treatment.
Findings: The follow up documents indicated that the tooth maturation was completed, the apex was developed and a calcified barrier was formed right above the remaining vital pulp and no other endodontic treatments were needed.
Conclusion: Regarding to the excellent healing potential of the immature vital pulp and using MTA as medicated filling matter, clinical and radiographic documents represent MTA as a successful pulpotomy agent in immature permanent teeth.
Methods: Cervical pulpotomy was performed and the remaining pulp was capped with mineral trioxide aggregate (MTA). Afterwards the crown was restored using a stainless steel crown, the patient was followed up using radiographic images and clinical examinations 6 and 12 months after the treatment.
Findings: The follow up documents indicated that the tooth maturation was completed, the apex was developed and a calcified barrier was formed right above the remaining vital pulp and no other endodontic treatments were needed.
Conclusion: Regarding to the excellent healing potential of the immature vital pulp and using MTA as medicated filling matter, clinical and radiographic documents represent MTA as a successful pulpotomy agent in immature permanent teeth.
References
1. 1. Bastone EB, Freer TJ, McNamara JR. Epidemiology of dental trauma: a review of the literature. Australian dental journal. 2000;45(1):2-9.
2. Witherspoon DE. Vital pulp therapy with new materials: new directions and treatment perspectives—permanent teeth. Pediatric dentistry. 2008;30(3):220-4.
3. Rafter M. Apexification: a review. Dental Traumatology. 2005;21(1):1-8.
4. Barrington C, Barnett F. Apexogenesis in an incompletely developed permanent tooth with pulpal exposure. Oral Health. 2003;93(2):49-56.
5. Katebzadeh N, Dalton BC, Trope M. Strengthening immature teeth during and after apexification. Journal of Endodontics. 1998;24(4):256-9.
6. Asgary S, Eghbal MJ, Parirokh M, Ghanavati F, Rahimi H. A comparative study of histologic response to different pulp capping materials and a novel endodontic cement. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2008;106(4):609-14.
7. FORD TRP, Torabinejad M, ABEDI HR, BAKLAND LK, KARIYAWASAM SP. Using mineral trioxide aggregate as a pulp-capping material. The Journal of the American Dental Association. 1996;127(10):1491-4.
8. Torabinejad M, Watson T, Ford TP. Sealing ability of a mineral trioxide aggregate when used as a root end filling material. Journal of endodontics. 1993;19(12):591-5.
9. Swift EJ, Trope M. Treatment options for the exposed vital pulp. Practical periodontics and aesthetic dentistry. 1999;11:735-9.
10. Kontham UR, Tiku AM, Damle SG, Kalaskar RR. Apexogenesis of a symptomatic mandibular first permanent molar with calcium hydroxide pulpotomy. Quintessence international (Berlin, Germany: 1985). 2005;36(8):653-7.
11. Qudeimat M, Barrieshi-Nusair K, Owais A. Calcium hydroxide vs. mineral trioxide aggregates for partial pulpotomy of permanent molars with deep caries. European Archives of Paediatric Dentistry. 2007;8(2):99-104.
12. Karabucak B, Li D, Lim J, Iqbal M. Vital pulp therapy with mineral trioxide aggregate. Dental Traumatology. 2005;21(4):240-3.
13. Tomson PL, Grover LM, Lumley PJ, Sloan AJ, Smith AJ, Cooper PR. Dissolution of bio-active dentine matrix components by mineral trioxide aggregate. Journal of Dentistry. 2007;35(8):636-42.
14. Andreasen JO, Farik B, Munksgaard EC. Long‐term calcium hydroxide as a root canal dressing may increase risk of root fracture. Dental Traumatology. 2002;18(3):134-7.
15. Holden DT, Schwartz SA, Kirkpatrick TC, Schindler WG. Clinical outcomes of artificial root-end barriers with mineral trioxide aggregate in teeth with immature apices. Journal of endodontics. 2008;34(7):812-7.
16. Cvek M. Prognosis of luxated non‐vital maxillary incisors treated with calcium hydroxide and filled with gutta‐percha. A retrospective clinical study. Dental Traumatology. 1992;8(2):45-55.
17. Parirokh M, Torabinejad M. Mineral trioxide aggregate: a comprehensive literature review—part I: chemical, physical, and antibacterial properties. Journal of endodontics. 2010;36(1):16-27.
18. Guven G, Cehreli ZC, Ural A, Serdar MA, Basak F. Effect of mineral trioxide aggregate cements on transforming growth factor β1 and bone morphogenetic protein production by human fibroblasts in vitro. Journal of endodontics. 2007;33(4):447-50.
19. Thomson TS, Berry JE, Somerman MJ, Kirkwood KL. Cementoblasts maintain expression of osteocalcin in the presence of mineral trioxide aggregate. Journal of Endodontics. 2003;29(6):407-12.
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