Citation Information :
Raj R, Nair MG, Dinakaran S, Babu A, Shajahan S, Devi K, Devadas SP, Kumar PD, Palliyali A. Outcome of Pulpotomy Using Bioceramic Material in Mature Permanent Anterior Teeth with Traumatic Pulp Exposure: A Case Report. J Oper Dent Endod 2021; 6 (1):24-27.
Aim: To evaluate the outcome of pulpotomy in traumatized mature permanent teeth using bioceramic material.
Rationale: To preserve the vitality of the tooth
Background and objectives: Traumatic injuries to anterior permanent teeth are more common in which complicated crown fracture needs special attention. Preservation of pulp vitality is important rather than replacing it with a root filling material following pulp exposure. This case report evaluates the treatment outcome following pulpotomy using bioceramic materials in traumatized mature permanent anterior teeth based on clinical evaluation at 3, 6, 12 months follow-up and radiographic evaluation at 12 months or any time during the follow-up period if symptomatic. Clinically visible coronal discoloration and diffuse calcification were also assessed.
Case description: A 14-year-old male patient was reported at the department following road traffic accident (RTA). On examination, a complicated crown fracture of teeth #9 was noted. Partial pulpotomy was performed. Pulpotomy medicament used was Biodentin. Nearly, 2.5% sodium hypochlorite used for hemostasis. The permanent restoration given was composite. Follow-up intervals were 3, 6, and 12 months.
Conclusion: Pulpotomy is a suitable alternative to root canal treatment in traumatized anterior teeth with pulp exposure. Biodentin is a suitable bioceramic material for pulpotomy which promotes dentin bridge formation and protects the vitality of the remaining portions of the pulp. Further research and clinical trials are also needed to develop a treatment protocol.
Clinical significance: Preservation of vitality of teeth has paramount importance as the vital pulp nourishes dentin and also forms reparative dentin in response to stimuli.
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