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Case Reports
. 2014 Fall;9(4):295-300.
Epub 2014 Oct 7.

Outcomes of different vital pulp therapy techniques on symptomatic permanent teeth: a case series

Saeed Asgary  1 , Mahta Fazlyab  2 , Sedigheh Sabbagh  2 , Mohammad Jafar Eghbal  2
Affiliations
Case Reports

Outcomes of different vital pulp therapy techniques on symptomatic permanent teeth: a case series

Saeed Asgary et al. Iran Endod J. 2014 Fall.

Abstract

In modern endodontics, vital pulp therapy (VPT) has been considered an ultra-conservative treatment modality. Based on the level of pulp preservation, VPT includes stepwise excavation, indirect pulp capping (IDPC), direct pulp capping (DPC), miniature pulpotomy (MP), partial/Cvek pulpotomy and coronal/complete pulpotomy (CP). The present article reviews the treatment outcomes of 94 permanent teeth with irreversible pulpitis treated with either IDPC (n=28), DPC (n=28), MP (n=29) or CP (n=9) using calcium-enriched mixture (CEM) cement. After a mean follow-up time of 12.3 months, 93 treated teeth were radiographic/clinically successful; only one radiographic failure was observed in the DPC group.

Keywords: CEM Cement; Calcium-Enriched Mixture; Endodontic Treatment; Irreversible Pulpitis; Pulpotomy; Vital Pulp Therapy.

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Figures

Figure 1
Figure 1
Preoperative, postoperative and follow-up radiographies of four mature molars treated with indirect pulp capping, direct pulp capping, miniature pulpotomy and coronal pulpotomy. In all cases, the widening of the periodontal ligament and periapical lucency is visible in the preoperative radiographs, which totally vanished in the follow-up clichés. Note that all cases were diagnosed with clinical signs of irreversible pulpitis
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