ПУЛЬПОТОМИЯ ПРИ ПРОТЕЗИРОВАНИИ ЗУБОВ. ПИЛОТНОЕ ИССЛЕДОВАНИЕ

Abstract

The subject. Significant preparation of the teeth for metal-ceramic or ceramic crowns in most cases is accompanied by a preliminary devitalization of the teeth, which shortens the period of their survival. The problem of ensuring the vitality of supporting teeth can be solved by amputating only the coronal pulp, which inevitably overheats during preparation, while retaining the root pulp. The skeptical attitude of dentists to vital pulpotomy may be explained by the often unsuccessful (ineffective) use of this method for teeth with already affected pulp. The hope for success in this study is based on the choice of intact teeth for vital pulpotomy of subsequent prosthetics. Urgency. The amputation method of endodontic dentistry is not used for prosthetic purposes. This can be explained by its low efficiency when using teeth with inflamed pulp. The aim of the work is to confirm the effectiveness of vital pulpotomy in a typical dental situation and subsequent prosthetics. Methodology. Clinical observation of the patient before and during 1 year after treatment, with the use of clinical and modern paraclinical methods of examination. Diagnosed. Treatment is planned: removable denture on the upper jaw with a preliminary shortening of the tooth 46 and subsequent use of a metal-ceramic crown. Significant sosotoyanie hard tissues of the tooth 46 and the subsequent preparation for artificial crowns required endodontic-specific training. It was supposed to preserve the root pulp (vital pulpotomy). As a result, there were no complaints at the control examination 1 year after pulpotomy. The pain threshold from the electrode was 11 µa. Summary. The vital pulpotomy of the tooth with intact pulp showed the possibility of its effective prosthetics with an artificial crown while maintaining the viability of the root pulp. The technique of introduction of the electrode into the cavity of the tooth allowed to conduct direct measurements of the pain threshold of the root pulp in the dynamics of (application for invention No. 2017115518/17(026915) from 02.05.2017).