Restorative Dentistry and Endodontics

  • 제38권4호
  • /
  • Pages.227-233
  • /
  • 2013
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  • 2234-7658(pISSN)
  • /
  • 2234-7666(eISSN)
대한치과보존학회 (The Korean Academy of Conservative Dentistry)
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A preliminary report on histological outcome of pulpotomy with endodontic biomaterials vs calcium hydroxide

  • Nosrat, Ali (Iranian Center for Endodontic Research, Research Institute for Dental Sciences, Shahid Beheshti University of Medical Sciences) ;
  • Peimani, Ali (Department of Oral and Maxillofacial Surgery, Dental School, Rafsanjan University of Medical Sciences) ;
  • Asgary, Saeed (Iranian Center for Endodontic Research, Research Institute for Dental Sciences, Shahid Beheshti University of Medical Sciences)
  • 투고 : 2013.08.06
  • 심사 : 2013.09.17
  • 발행 : 2013.11.29
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초록

Objectives: The purpose of the study was to evaluate human dental pulp response to pulpotomy with calcium hydroxide (CH), mineral trioxide aggregate (MTA), and calcium enriched mixture (CEM) cement. Materials and Methods: A total of nine erupted third molars were randomly assigned to each pulpotomy group. The same clinician performed full pulpotomies and coronal restorations. The patients were followed clinically for six months; the teeth were then extracted and prepared for histological assessments. The samples were blindly assessed by an independent observer for pulp vitality, pulp inflammation, and calcified bridge formation. Results: All patients were free of clinical signs/symptoms of pulpal/periradicular diseases during the follow up period. In CH group, one tooth had necrotic radicular pulp; other two teeth in this group had vital uninflamed pulps with complete dentinal bridge formation. In CEM cement and MTA groups all teeth had vital uninflamed radicular pulps. A complete dentinal bridge was formed beneath CEM cement and MTA in all roots. Odontoblast-like cells were present beneath CEM cement and MTA in all samples. Conclusions: This study revealed that CEM cement and MTA were reliable endodontic biomaterials in full pulpotomy treatment. In contrast, the human dental pulp response to CH might be unpredictable.

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참고문헌

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  2. Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview - part I: vital pulp therapy pp.01432885, 2018, https://doi.org/10.1111/iej.12841
  3. Surgical management of a failed internal root resorption treatment: a histological and clinical report vol.39, pp.2, 2014, https://doi.org/10.5395/rde.2014.39.2.137
  4. Periodontal healing following non-surgical repair of an old perforation with pocket formation and oral communication vol.43, pp.2, 2018, https://doi.org/10.5395/rde.2018.43.e17
  5. Calcium-Enriched Mixture Pulpotomy of Primary Molar Teeth with Irreversible Pulpitis. A Clinical Study vol.10, pp.None, 2013, https://doi.org/10.2174/1874210601610010043
  6. Conservative Management of Class 4 Invasive Cervical Root Resorption Using Calcium-enriched Mixture Cement vol.42, pp.8, 2013, https://doi.org/10.1016/j.joen.2016.05.001
  7. Which procedures and materials could be applied for full pulpotomy in permanent mature teeth? A systematic review vol.77, pp.7, 2013, https://doi.org/10.1080/00016357.2019.1614217
  8. Postendodontic Pain after Pulpotomy or Root Canal Treatment in Mature Teeth with Carious Pulp Exposure: A Multicenter Randomized Controlled Trial vol.2020, pp.None, 2013, https://doi.org/10.1155/2020/5853412
  9. Dexamethasone- loaded polymeric porous sponge as a direct pulp capping agent vol.31, pp.13, 2013, https://doi.org/10.1080/09205063.2020.1769801
  10. Long-term Outcomes of Full Pulpotomy in Permanent Molars for Patients Treated in a Single, Short Session under Special Conditions vol.46, pp.11, 2013, https://doi.org/10.1016/j.joen.2020.08.003