Conservative approach of a symptomatic carious immature permanent tooth using a tricalcium silicate cement (Biodentine): a case report
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The restorative management of deep carious lesions and the preservation of pulp vitality of immature teeth present real challenges for dental practitioners. New tricalcium silicate cements are of interest in the treatment of such cases. This case describes the immediate management and the follow-up of an extensive carious lesion on an immature second right mandibular premolar. Following anesthesia and rubber dam isolation, the carious lesion was removed and a partial pulpotomy was performed. After obtaining hemostasis, the exposed pulp was covered with a tricalcium silicate cement (Biodentine, Septodont) and a glass ionomer cement (Fuji IX extra, GC Corp.) restoration was placed over the tricalcium silicate cement. A review appointment was arranged after seven days, where the tooth was asymptomatic with the patient reporting no pain during the intervening period. At both 3 and 6 mon follow up, it was noted that the tooth was vital, with normal responses to thermal tests. Radiographic examination of the tooth indicated dentin-bridge formation in the pulp chamber and the continuous root formation. This case report demonstrates a fast tissue response both at the pulpal and root dentin level. The use of tricalcium silicate cement should be considered as a conservative intervention in the treatment of symptomatic immature teeth.
Abstract
The restorative management of deep carious lesions and the preservation of pulp vitality of immature teeth present real challenges for dental practitioners. New tricalcium silicate cements are of interest in the treatment of such cases. This case describes the immediate management and the follow-up of an extensive carious lesion on an immature second right mandibular premolar. Following anesthesia and rubber dam isolation, the carious lesion was removed and a partial pulpotomy was performed. After obtaining hemostasis, the exposed pulp was covered with a tricalcium silicate cement (Biodentine, Septodont) and a glass ionomer cement (Fuji IX extra, GC Corp.) restoration was placed over the tricalcium silicate cement. A review appointment was arranged after seven days, where the tooth was asymptomatic with the patient reporting no pain during the intervening period. At both 3 and 6 mon follow up, it was noted that the tooth was vital, with normal responses to thermal tests. Radiographic examination of the tooth indicated dentin-bridge formation in the pulp chamber and the continuous root formation. This case report demonstrates a fast tissue response both at the pulpal and root dentin level. The use of tricalcium silicate cement should be considered as a conservative intervention in the treatment of symptomatic immature teeth.
참고문헌 (31)
- Witherspoon DE, "Mineral trioxide aggregate pulpotomies: a case series outcomes assessment", J Am Dent Assoc, 137, pp.610~618 (2006)
- European Society of Endodontology, "Quality guidelines for endodontic treatments: consensus report of the European Society of Endodontology", Int Endod J, 39, pp.921~930 (2006)
- Mohammadi Z, "Properties and applications of calcium hydroxide in endodontics and dental traumatology", Int Endod J, 44, pp.697~730 (2011)
- Nair PN, "Histological, ultrastructural and quantitative investigations on the response of healthy human pulps to experimental capping with mineral trioxide aggregate: a randomized controlled trial", Int Endod J, 41, pp.128~150 (2008)
- Camilleri J, "Mineral trioxide aggregate: a review of the constituents and biological properties of the material", Int Endod J, 39, pp.747~754 (2006)
- 윤영란, "Mineral trioxide aggregate, calcium sulfate와 calcium hydroxide의 치수에 대한 반응", Restorative Dentistry and Endodontics, 32(2), pp.95~101 (2007), 대한치과보존학회
- 장석우, "MTA와 포틀랜드 시멘트의 구성성분분석과 세포독성에 관한 연구", Restorative Dentistry and Endodontics, 33(4), pp.369~376 (2008), 대한치과보존학회
- Roberts HW, "Mineral trioxide aggregate material use in endodontic treatment: a review of the literature", Dent Mater, 24, pp.149~164 (2008)
- Torabinejad M, "Mineral trioxide aggregate: a comprehensive literature review-part II: leakage and biocompatibility investigations", J Endod, 36, pp.190~202 (2010)
- 장석우, "Chemical characteristics of mineral trioxide aggregate and its hydration reaction", Restorative Dentistry and Endodontics, 37(4), pp.188~193 (2012), 대한치과보존학회
- Parirokh M, "Mineral trioxide aggregate: a comprehensive literature review-part III: clinical applications, drawbacks and mechanism of action", J Endod, 36, pp.400~413 (2010)
- Parirokh M, "Mineral trioxide aggregate: a comprehensive literature review-part I: chemical, physical, and antibacterial properties", J Endod, 36, pp.16~27 (2010)
- Koubi G, "Clinical evaluation of the performance and safety of a new dentine substitute, Biodentine, in the restoration of posterior teeth-a prospective study", Clin Oral Investig, 17, pp.243~249 (2013)
- Darvell BW, "‘MTA’-an hydraulic silicate cement: review update and setting reaction", Dent Mater, 27, pp.407~422 (2011)
- Laurent P, "Biodentine induces TGF-β 1 release from human pulp cells and early dental pulp mineralization", Int Endod J, 45, pp.439~448 (2012)
- Han L, "Uptake of calcium and silicon released from calcium silicate-based endodontic materials into root canal dentine", Int Endod J, 44, pp.1081~1087 (2011)
- Villat C, "Impedance methodology. A new way to characterize the setting reaction of dental cements", Dent Mater, 26, pp.1127~1132 (2010)
- Atmeh AR, "Dentin-cement interfacial interaction: calcium silicates and polyalkenoates", J Dent Res, 91, pp.454~459 (2012)
- Eghbal MJ, "MTA pulpotomy of human permanent molars with irreversible pulpitis", Aust Endod J, 35, pp.4~8 (2009)
- Camilleri J., "Characterization and hydration kinetics of tricalcium silicate cement use as a dental biomaterial", Dent Mater, 27, pp.836~844 (2011)
- Accorinte Mde L, "Evaluation of mineral trioxide aggregate and calcium hydroxide cement as pulp-capping agents in human teeth", J Endod, 34, pp.1~6 (2008)
- Leye Benoist F, "Evaluation of mineral trioxide aggregate (MTA) versus calcium hydroxide cement (Dycal) in the formation of a dentine bridge: a randomized controlled trial", Int Dent J, 62, pp.33~39 (2012)
- Huang GT, "Apexification: the beginning of its end", Int Endod J, 42, pp.855~866 (2009)
- Aeinehchi M, "Mineral trioxide aggregate (MTA) and calcium hydroxide as pulp-capping agents in human teeth: a preliminary report", Int Endod J, 36, pp.225~231 (2003)
- Iwamoto CE, "Clinical and histological evaluation of white ProRoot MTA in direct pulp capping", Am J Dent, 19, pp.85~90 (2006)
- Witherspoon DE, "Vital pulp therapy with new materials: new directions and treatment perspectives-permanent teeth", Pediatr Dent, 30, pp.220~224 (2008)
- Accorinte ML, "Evaluation of two mineral trioxide aggregate compounds as pulp-capping agents in human teeth", Int Endod J, 42, pp.122~128 (2009)
- Bakland LK, "Will mineral trioxide aggregate replace calcium hydroxide in treating pulpal and periodontal healing complications subsequent to dental trauma? A review", Dent Traumatol, 28, pp.25~32 (2012)
- Asgary S, "One-year of vital pulp therapy in permanent molars with irreversible pulpitis: an ongoing multicenter, randomized, noinferiority clinical trial", Clin Oral Investig, 17, pp.431~439 (2013)
- El-Meligy OA, "Comparison of mineral trioxide aggregate and calcium hydroxide as pulpotomy agents in young permanent teeth (apexogenesis)", Pediatr Dent, 28, pp.399~404 (2006)
- Tran XV, "Effect of a calcium-silicate-based restorative cement on pulp repair", J Dent Res, 91, pp.1166~1171 (2012)