Abstract
A higher chance of carrying out a successful full pulpotomy may depend on whether the coronal restoration can be completed within a single appointment. The development of chairside CAD/CAM (Computer Aided Design and Manufacturing) technology has made it possible to carry out indirect restoration of endodontically treated teeth in a single session. This study aimed to evaluate the long-term outcome of a full pulpotomy with Biodentine™ immediately covered with a chairside CAD/CAM endocrown on teeth affected by pulpitis and deep carious lesions. The investigation involved a cohort of 30 molars that were treated by pulpotomy and CAD/CAM endocrown. Clinical and radiological examinations were scheduled at 1, 6, and 12 months postoperatively. Overall, all treatments were effective at any time during the follow-up. The results of this study need to be confirmed with a longer-term follow-up to allow for comparison with the literature. This original combination of endodontic and restorative treatments provides an Endo-prosthetic continuum in a single session, with the objective of long-term success in terms of tooth health.
Highlights
Over the last decade, aided by simultaneous progress in biological research and development of materials, recommendations have been made for carious tissue removal and caries management in vital teeth with the aim of preserving tooth tissue and retaining teeth in the long term
This study aimed at evaluating the outcome of the original combination of full Pulpotomy and Immediate
Patients presenting one molar with a deep or extremely deep carious lesion, according to Bjørndal et al [22], associated with a diagnosis of reversible, chronic or irreversible pulpitis were recruited from the Dental Department of the University Hospital of Clermont-Ferrand between November 2017 and January 2020
Summary
Over the last decade, aided by simultaneous progress in biological research and development of materials, recommendations have been made for carious tissue removal and caries management in vital teeth with the aim of preserving tooth tissue and retaining teeth in the long term. When a tooth with severe coronal tissue damage is diagnosed with reversible pulpitis, there are two possible minimal intervention approaches. The conservative approach aims to prevent pulpal exposure and to induce pulpal reaction by the formation of reparative dentine in the periphery of the cameral pulp, localized at the front of the carious decay. This approach aims to maintain tissue integrity by treating reversible pulpitis with a stepwise removal technique and restoring the loss of coronal tissue with plastic materials. The alternative approach is to treat pulpitis with a full pulpotomy (removal of the entire coronal pulp to the level of the canal) [6,7,8,9] to restore coronal damage with direct plastic materials with cusp coverage [9] or preformed crowns [10]
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