Clinical case of preservation of teeth vitality during treatment of initial pulpitis
https://doi.org/10.36377/1683-2981-2023-21-3-222-226
Abstract
Diagnosis and treatment of pulp disease is one of the leading and widespread problems in dentistry. Clinicians are often faced with a dilemma when treating vital teeth with deep carious lesions and the development of reversible inflammation in the pulp tissue: whether to perform minimally invasive treatment to maintain pulp viability or to perform vital extirpation to prevent pulp necrosis, its further infection and prevention of apical periodontitis. To date, researchers and clinicians report that clinical recovery of the pulp with viable new bioactive materials is observed in 90% of cases provided that the inflammatory process in the pulp is diagnosed in the stage of reversibility. This article presents a clinical case of initial pulpitis treatment of teeth 1.5, 1.6 with the pulp-preserving method: direct pulp capping with bioactive cement Biodentine (Septodont). In the dynamics of observation after 1, 6, 12, 18 months teeth were asymptomatic and a favorable prognosis of the therapy was observed.
About the Authors
D. A. Ostanina
A.I. Yevdokimov Moscow State University of Medicine and Dentistry
Russian Federation
Russian Federation
Diana A. Ostanina – Candidate of Medical Sciences, Associate Professor of the Department of cariology and endodontics
20с1, Delegatskaya st, Moscow, 27473
A. M. Fulova
A.I. Yevdokimov Moscow State University of Medicine and Dentistry
Russian Federation
Russian Federation
Angelina M. Fulova – laboratory assistant, student
20с1, Delegatskaya st, Moscow, 27473
Yu. A. Mitronin
A.I. Yevdokimov Moscow State University of Medicine and Dentistry
Russian Federation
Russian Federation
Yuri A. Mitronin – postgraduate student
20с1, Delegatskaya st, Moscow, 27473
A. V. Mitronin
A.I. Yevdokimov Moscow State University of Medicine and Dentistry
Russian Federation
Russian Federation
Alexander V. Mitronin – Professor, Doctor of Medical Sciences, Dean of the Faculty of Dentistry, Head of the Department of cariology and endodontics, Honored Doctor of Russian Federation
20с1, Delegatskaya st, Moscow, 27473
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Review
For citations:
Ostanina D.A., Fulova A.M., Mitronin Yu.A., Mitronin A.V. Clinical case of preservation of teeth vitality during treatment of initial pulpitis. Endodontics Today. 2023;21(3):222-226. (In Russ.) https://doi.org/10.36377/1683-2981-2023-21-3-222-226
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