Vital Pulp Therapy in Permanent Teeth Diagnosed with Symptomatic Irreversible Pulpitis: Reports with Long-Term Controls
The aim of this study was to describe the treatment of permanent teeth diagnosed with irreversible pulpitis, which can be effectively managed with partial or total pulpotomy. This alternative approach has shown great clinical and radiographic success in the long term compared to traditional pulpecto...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Hindawi Limited
2023-01-01
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| Series: | Case Reports in Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2023/2694388 |
| _version_ | 1797437779533103104 |
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| author | Abel Teves-Cordova Luis Coloma Calle Pierre Mejia Rojas Juan Goncalves-Pereira Marco Antonio Hungaro Duarte |
| author_facet | Abel Teves-Cordova Luis Coloma Calle Pierre Mejia Rojas Juan Goncalves-Pereira Marco Antonio Hungaro Duarte |
| author_sort | Abel Teves-Cordova |
| collection | DOAJ |
| description | The aim of this study was to describe the treatment of permanent teeth diagnosed with irreversible pulpitis, which can be effectively managed with partial or total pulpotomy. This alternative approach has shown great clinical and radiographic success in the long term compared to traditional pulpectomies. In this series of clinical cases, all the teeth exhibited symptoms of intense pain upon exposure to cold and at night. The clinical examination revealed extensive caries, while radiographic imaging showed radiolucent lesions in contact with the pulp chamber, indicating symptomatic irreversible pulpitis. The chosen treatment approach was either partial or total pulpotomy. The tooth was anesthetized, and the operative field was isolated and disinfected. After removing caries with a sterile round drill, the area was rinsed with sodium hypochlorite. In some cases, a portion of the pulp tissue was removed, while in others, the entire tissue of the pulp chamber was extracted using diamond burs. Hemostasis was achieved by applying sterile cotton pellets for 2 to 6 minutes. Following that, the tissue exhibited no signs of bleeding. Bioceramic cements were used, and the tooth was definitively restored. Periodic follow-up examinations were conducted, consistently showing positive pulp responses and no evidence of periradicular radiolucent lesions on radiographs. |
| first_indexed | 2024-03-09T11:26:35Z |
| format | Article |
| id | doaj.art-6affe7a017804881b5b814176ccb4707 |
| institution | Directory Open Access Journal |
| issn | 2090-6455 |
| language | English |
| last_indexed | 2024-03-09T11:26:35Z |
| publishDate | 2023-01-01 |
| publisher | Hindawi Limited |
| record_format | Article |
| series | Case Reports in Dentistry |
| spelling | doaj.art-6affe7a017804881b5b814176ccb47072023-12-01T00:00:06ZengHindawi LimitedCase Reports in Dentistry2090-64552023-01-01202310.1155/2023/2694388Vital Pulp Therapy in Permanent Teeth Diagnosed with Symptomatic Irreversible Pulpitis: Reports with Long-Term ControlsAbel Teves-Cordova0Luis Coloma Calle1Pierre Mejia Rojas2Juan Goncalves-Pereira3Marco Antonio Hungaro Duarte4Department of Operative DentistryFaculty of Dentistry of the Catholic University of Cuenca-AzoguesDepartment of EndodonticsDepartment of EndodonticsDepartment of Operative DentistryThe aim of this study was to describe the treatment of permanent teeth diagnosed with irreversible pulpitis, which can be effectively managed with partial or total pulpotomy. This alternative approach has shown great clinical and radiographic success in the long term compared to traditional pulpectomies. In this series of clinical cases, all the teeth exhibited symptoms of intense pain upon exposure to cold and at night. The clinical examination revealed extensive caries, while radiographic imaging showed radiolucent lesions in contact with the pulp chamber, indicating symptomatic irreversible pulpitis. The chosen treatment approach was either partial or total pulpotomy. The tooth was anesthetized, and the operative field was isolated and disinfected. After removing caries with a sterile round drill, the area was rinsed with sodium hypochlorite. In some cases, a portion of the pulp tissue was removed, while in others, the entire tissue of the pulp chamber was extracted using diamond burs. Hemostasis was achieved by applying sterile cotton pellets for 2 to 6 minutes. Following that, the tissue exhibited no signs of bleeding. Bioceramic cements were used, and the tooth was definitively restored. Periodic follow-up examinations were conducted, consistently showing positive pulp responses and no evidence of periradicular radiolucent lesions on radiographs.http://dx.doi.org/10.1155/2023/2694388 |
| spellingShingle | Abel Teves-Cordova Luis Coloma Calle Pierre Mejia Rojas Juan Goncalves-Pereira Marco Antonio Hungaro Duarte Vital Pulp Therapy in Permanent Teeth Diagnosed with Symptomatic Irreversible Pulpitis: Reports with Long-Term Controls Case Reports in Dentistry |
| title | Vital Pulp Therapy in Permanent Teeth Diagnosed with Symptomatic Irreversible Pulpitis: Reports with Long-Term Controls |
| title_full | Vital Pulp Therapy in Permanent Teeth Diagnosed with Symptomatic Irreversible Pulpitis: Reports with Long-Term Controls |
| title_fullStr | Vital Pulp Therapy in Permanent Teeth Diagnosed with Symptomatic Irreversible Pulpitis: Reports with Long-Term Controls |
| title_full_unstemmed | Vital Pulp Therapy in Permanent Teeth Diagnosed with Symptomatic Irreversible Pulpitis: Reports with Long-Term Controls |
| title_short | Vital Pulp Therapy in Permanent Teeth Diagnosed with Symptomatic Irreversible Pulpitis: Reports with Long-Term Controls |
| title_sort | vital pulp therapy in permanent teeth diagnosed with symptomatic irreversible pulpitis reports with long term controls |
| url | http://dx.doi.org/10.1155/2023/2694388 |
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