Abstract
Aim: The primary objective of any pulp therapy is to maintain the integrity and health of a tooth and its supporting tissue as well as to maintain arch length and space maintenance. The aim of this case is to a probate and popularizes the technique of vital pulpotomy in primary teeth with biodentin.Update Dent. Coll. j: 2015; 5 (2): 57-62
Highlights
Preservation of primary teeth before the eruption of permanent teeth is desirable since they help to determine the shape of dental arches, maintain the space between teeth, prevent detrimental tongue, speech habits,preserve aesthetics and maintain chewing function
Calcium silicate-based material, which called Biodentine® is a new option composed of tricalcium silicate that has been described as a dentin replacement material
They concluded that Biodentine and Mineral trioxide aggregate (MTA) may modify the proliferation of pulp cell lines.[35]
Summary
Preservation of primary teeth before the eruption of permanent teeth is desirable since they help to determine the shape of dental arches, maintain the space between teeth, prevent detrimental tongue, speech habits ,preserve aesthetics and maintain chewing function. There are varying opinions about how to manage primary teeth when the pulp has been exposed by caries or through mechanical procedures.[1] The possible choices for conservative pulp therapy are direct pulp capping, pulpotomy, pulpectomy. A pulpotomy is based on the hypothesis that the inflammation and reduced vascularization, caused by bacterial invasion, are confined to the coronal pulp, while the root pulp remains vital.[2]. CASE: A 6 years old girl came to BSMMU with complaints of pain for 2 days on her right lower jaw. Clinical examination illustrated extensive deep caries in the mandibular right deciduous molar. Radiological examination revealed that the tooth has no periapical pathology. The case was diagnosed as a case of acute reversible pulpitis due to caries. Treatment procedure was planed pulpotomy on lower right 2nd primary molar
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