Pulpotomy of mature teeth: A systematic analysis of the failed cases

Almutairi, Nawaf

doi:10.1016/j.sdentj.2024.01.005

Cited by 3 publications

(1 citation statement)

References 31 publications

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“…In this case report, the successful application of tampon pulpotomy in a tooth with irreversible pulpitis and apical periodontitis/lesion was demonstrated, highlighting its effectiveness in managing these conditions. The resolution of the patient's symptoms and radiographic evidence of complete healing in the periapical region underscore the success of this technique [11]. Furthermore, the absence of pain and restoration of a normal periodontal ligament at the one-year recall validate the efficacy of tampon pulpotomy in symptom relief and promoting healing.…”

Section: Discussionmentioning

confidence: 77%

Successful Tampon Pulpotomy in a Molar With an Endodontic Lesion: A Case Report

Asgary

2024

Cureus

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Vital pulp therapy (VPT) has emerged as an alternative approach to root canal treatment (RCT) for managing cases with irreversible pulpitis/apical periodontitis, aiming to preserve pulp vitality and promote healing and regeneration of pulpal tissues. The tampon approach, which entails the placement of endodontic biomaterials over the pulpal wound to mechanically tamponade uncontrollable bleeding, shows promise as a technique within VPT. A 32-year-old female patient presented with severe/lingering pain in the lower left quadrant. Clinical/radiographic examinations confirmed symptomatic irreversible pulpitis and symptomatic apical periodontitis in the first right lower molar; radiographic examination exhibited an endodontic lesion for the mesial root and periodontal ligament (PDL) widening for the distal root. The patient opted for VPT; however, despite several attempts to achieve hemostasis using various solutions, including NaOCl, hemorrhage persisted. Therefore, a layer of freshly mixed calcium-enriched mixture cement was applied using a dry cotton pellet, resulting in bleeding control. Then, a permanent restoration was placed. Follow-up examinations revealed the resolution of symptoms and the one-year radiographic examination showed complete healing of the endodontic lesion. The successful outcomes highlight the effectiveness of tampon pulpotomy in managing irreversible pulpitis and associated apical lesions. Tampon pulpotomy offers several advantages, including preserving healthy pulp tissue, reduced invasiveness, and immediate hemorrhage control. This technique presents an alternative to more invasive procedures, such as RCT, and promotes patient satisfaction through a simplified treatment approach. Further clinical trials are needed to validate the findings of this case report and establish the long-term success rates of tampon pulpotomy.

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Section: Discussionmentioning

confidence: 77%

Successful Tampon Pulpotomy in a Molar With an Endodontic Lesion: A Case Report

Asgary

2024

Cureus

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Tampon approach in vital pulp therapy: Advancing endodontic care for permanent dentition

Asgary

2024

Saudi Endodontic Journal

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Clinical and Radiographic Evaluation of Diode and Er,Cr:YSGG Lasers as an Alternative to Formocresol and Sodium Hypochlorite for Pulpotomy Techniques in Primary Molars: A Randomized Controlled Clinical Trial

Fadhil,

Noori

2024

Cureus

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BackgroundPulpotomy treatment is one of the vital pulp therapies that can play a major role in the preservation of primary teeth until their natural exfoliation. The objective of this current clinical trial was to assess the clinical and radiographical success of diode and Er,Cr:YSGG lasers as a viable alternative to formocresol (FC) and sodium hypochlorite in the primary molar pulpotomies. Materials and methodsSixty primary molars were selected and randomly allocated to four groups. All treatment groups followed the same clinical protocol, except for the techniques used for hemostasis of the pulpotomy sites. In group A, hemostasis was achieved by applying a 1:5 dilution of FC solution, whereas in group B, 3% sodium hypochlorite was applied to achieve hemostasis. In group C, exposure to a diode laser of 940 nm was performed, whereas for group D, erbium laser irradiation with Er,Cr:YSGG laser of 2,780 nm was employed to achieve hemostasis. Radicular pulp stamps were covered with a 2 mm layer of mineral trioxide aggregate (MTA) paste. Stainless steel crowns were utilized for the final restorations of the primary teeth. The clinical and radiographic outcomes were evaluated at the six-and 12-month follow-up intervals. The investigation was registered with the ClinicalTrials.gov Protocol and Registration System (ID: NCT06002646). ResultsThe overall clinical and radiographic success rates of pulpotomy were 92.3% for FC, 89% for sodium hypochlorite, 98.3% for a diode laser, and 98.7% for Er,Cr:YSGG lasers. There were no statistically significant differences among the four groups (p > 0.05). ConclusionsBoth the diode and Er,Cr:YSGG lasers showed outcomes comparable to those of FC and sodium hypochlorite. Therefore, they could be promising alternatives to primary tooth pulpotomies.

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Pulpotomy of mature teeth: A systematic analysis of the failed cases

Cited by 3 publications

References 31 publications

Successful Tampon Pulpotomy in a Molar With an Endodontic Lesion: A Case Report

Successful Tampon Pulpotomy in a Molar With an Endodontic Lesion: A Case Report

Tampon approach in vital pulp therapy: Advancing endodontic care for permanent dentition

Clinical and Radiographic Evaluation of Diode and Er,Cr:YSGG Lasers as an Alternative to Formocresol and Sodium Hypochlorite for Pulpotomy Techniques in Primary Molars: A Randomized Controlled Clinical Trial

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