Evaluation of Clinical and Radiographic Success of Vital Pulp Therapy Using Calcium Enriched Mixture (CEM): A Case Report

Dentists always prioritize the preservation of the dental pulp. Nowadays, minimally invasive endodontic techniques such as Vital Pulp Therapy (VPT) are considered due to their affordability and remarkable success compared to conventional treatments such as Root Canal Treatment (RCT). VPT aims at pre...

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Main Authors: Mahnaz Nemati, Reza Beyraghshamshir, Atefeh Nemati-Karimooy
Format: Article
Language:fas
Published: Mashhad University of Medical Sciences 2022-09-01
Series:Journal of Mashhad Dental School
Subjects:
Online Access:https://jmds.mums.ac.ir/article_20914_36bcccb04b88a80400f42091c0ce5187.pdf
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author Mahnaz Nemati
Reza Beyraghshamshir
Atefeh Nemati-Karimooy
author_facet Mahnaz Nemati
Reza Beyraghshamshir
Atefeh Nemati-Karimooy
author_sort Mahnaz Nemati
collection DOAJ
description Dentists always prioritize the preservation of the dental pulp. Nowadays, minimally invasive endodontic techniques such as Vital Pulp Therapy (VPT) are considered due to their affordability and remarkable success compared to conventional treatments such as Root Canal Treatment (RCT). VPT aims at preserving healthy portions of the exposed pulp while removing the inflamed parts with biocompatible materials to seal the pulp.The present case report aimed to describe a successful VPT of a right mandibular permanent first molar with reversible pulpitis using Calcium Enriched Mixture (CEM) cement in an 18-year-old female patient. As pulp exposure happened regarding extensive caries removal, 2 mm of the inflamed pulp was removed and replaced with CEM cement. CEM was covered with Resin-modified glass ionomers (RMGI) and the tooth was restored with amalgam. Regular follow-ups were performed at 3 and 6 months and 1, 2, and 4 years after treatment.Conclusion: The tooth was clinically and radiographically functional without signs and symptoms of infection or inflammation. The result of this case suggests that pinpoint pulp exposure during deep caries excavation can be successfully treated with VPT using CEM cement.
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spelling doaj.art-f48678df2d5347d4ac31d0bd53fb4be92024-04-07T08:42:43ZfasMashhad University of Medical SciencesJournal of Mashhad Dental School1560-92862008-23472022-09-0146328829410.22038/jmds.2022.59730.207920914Evaluation of Clinical and Radiographic Success of Vital Pulp Therapy Using Calcium Enriched Mixture (CEM): A Case ReportMahnaz Nemati0Reza Beyraghshamshir1Atefeh Nemati-Karimooy2Dentistry Student, Dental School, Mazandaran University of Medical Sciences, Sari, IranAssistant Professor, Department of Endodontics, Dental School, Shahid Sadoughi University of Medical Sciences, Yazd, IranAssistant Professor, Department of Restorative and Cosmetic Dentistry, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, IranDentists always prioritize the preservation of the dental pulp. Nowadays, minimally invasive endodontic techniques such as Vital Pulp Therapy (VPT) are considered due to their affordability and remarkable success compared to conventional treatments such as Root Canal Treatment (RCT). VPT aims at preserving healthy portions of the exposed pulp while removing the inflamed parts with biocompatible materials to seal the pulp.The present case report aimed to describe a successful VPT of a right mandibular permanent first molar with reversible pulpitis using Calcium Enriched Mixture (CEM) cement in an 18-year-old female patient. As pulp exposure happened regarding extensive caries removal, 2 mm of the inflamed pulp was removed and replaced with CEM cement. CEM was covered with Resin-modified glass ionomers (RMGI) and the tooth was restored with amalgam. Regular follow-ups were performed at 3 and 6 months and 1, 2, and 4 years after treatment.Conclusion: The tooth was clinically and radiographically functional without signs and symptoms of infection or inflammation. The result of this case suggests that pinpoint pulp exposure during deep caries excavation can be successfully treated with VPT using CEM cement.https://jmds.mums.ac.ir/article_20914_36bcccb04b88a80400f42091c0ce5187.pdfvital pulp therapypermanent dentitionpartial pulpotomypulp exposure
spellingShingle Mahnaz Nemati
Reza Beyraghshamshir
Atefeh Nemati-Karimooy
Evaluation of Clinical and Radiographic Success of Vital Pulp Therapy Using Calcium Enriched Mixture (CEM): A Case Report
Journal of Mashhad Dental School
vital pulp therapy
permanent dentition
partial pulpotomy
pulp exposure
title Evaluation of Clinical and Radiographic Success of Vital Pulp Therapy Using Calcium Enriched Mixture (CEM): A Case Report
title_full Evaluation of Clinical and Radiographic Success of Vital Pulp Therapy Using Calcium Enriched Mixture (CEM): A Case Report
title_fullStr Evaluation of Clinical and Radiographic Success of Vital Pulp Therapy Using Calcium Enriched Mixture (CEM): A Case Report
title_full_unstemmed Evaluation of Clinical and Radiographic Success of Vital Pulp Therapy Using Calcium Enriched Mixture (CEM): A Case Report
title_short Evaluation of Clinical and Radiographic Success of Vital Pulp Therapy Using Calcium Enriched Mixture (CEM): A Case Report
title_sort evaluation of clinical and radiographic success of vital pulp therapy using calcium enriched mixture cem a case report
topic vital pulp therapy
permanent dentition
partial pulpotomy
pulp exposure
url https://jmds.mums.ac.ir/article_20914_36bcccb04b88a80400f42091c0ce5187.pdf
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