Abstract
Background: Apexogenesis is a vital pulp therapy that aims to preserve pulp vitality and maintain root formation in not-fully-formed permanent teeth with exposed pulp from trauma or caries. To achieve success, reliable diagnostic tools are required to assess the pulp health and tooth development stage, design an appropriate treatment plan and evaluation, and follow-up. Pulse oximetry is a non-invasive method for monitoring pulp oxygen saturation, which corresponds to pulp vitality. Case Presentation: This case report describes the successful apexogenesis of two pulp exposure-immature permanent teeth treated with acemannan, an implantable natural biomaterial extracted from aloe vera. Based on pulp oxygen saturation level, clinical evaluation, and radiographic examination, the teeth were asymptomatic with preserved pulp vitality and continued root development. Conclusion: Therefore, as an auxiliary tool, pulse oximetry could be useful for diagnosis, treatment, and follow-ups of apexogenesis therapy.
Highlights
Conclusion: as an auxiliary tool, pulse oximetry could be useful for diagnosis, treatment, and follow-ups of apexogenesis therapy
The goal of apexogenesis is to preserve a vital pulp in notfully-formed permanent teeth exposed pulp from trauma or caries to continue root development until apical closure [1]
Apexogenesis addresses an important goal for treating an incompletelyformed permanent tooth with its pulp exposed by trauma or caries, and partial pulpotomy is generally regarded as the treatment of choice to achieve this objective [6]
Summary
The goal of apexogenesis is to preserve a vital pulp in notfully-formed permanent teeth exposed pulp from trauma or caries to continue root development until apical closure [1]. The success of this technique is multifactorial, including accurate diagnosis, suitable capping materials, an appropriate treatment plan, and follow-up, and cooperative patients and parents. The conventional thermal and electric pulp test (EPT) provides high specificity and positive predictive value in mature permanent Based on these findings, the present report describes the successful apexification of two not-fully-developed permanent teeth with pulp exposure using acemannan as a pulp capping
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