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Case Reports
. 2022 Apr 4:10:2050313X221087565.
doi: 10.1177/2050313X221087565. eCollection 2022.

Direct pulp capping of carious immature tooth using bioactive material: A case report

Marouane Ouni  1   2 , Ines Kallel  1   3   4 , Nabiha Douki  1   3   4
Affiliations
Case Reports

Direct pulp capping of carious immature tooth using bioactive material: A case report

Marouane Ouni et al. SAGE Open Med Case Rep. .

Abstract

The management of deep carious lesions in immature tooth and the preservation of its pulp vitality is a real challenge in daily dental practice. Bioactive cements are of interest to deal with such cases. Our case report describes the immediate management and the follow-up of an extensive carious lesion on an immature first right mandibular molar with pulp exposure by direct pulp capping using Biodentine. A 6-month clinical and radiographic follow up showed that the tooth was vital, with dentine-bridge formation in the pulp chamber with continuous root formation. This procedure allowed the protection of pulp complex, preserving at the same time its functional and biologic activities due to the capacities of Biodentine as an effective pulp capping material to induce pulp cells to form hard tissue. The aim of this article is to discuss through the report of this clinical case, the indications, advantages and disadvantages of different procedures and biomaterials used for direct pulp capping.

Keywords: Biodentine; dentistry; direct pulp capping; permanent immature tooth; tricalcium silicate cement.

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Conflict of interest statement

Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Clinical pre-operative view of 4.6 tooth showing a deep caries lesion.
Figure 2.
Figure 2.
Bitewing X-ray of 4.6 tooth showing the proximity of the lesion to the pulp.
Figure 3.
Figure 3.
Clinical view after the caries removal showing the pulp exposure (red arrow).
Figure 4.
Figure 4.
Appearance after the application of Biodentine™.
Figure 5.
Figure 5.
Post-operative photograph.
Figure 6.
Figure 6.
Clinical control at 6 months showing yellow discoloration and local destruction of the Biodentine™ coronal restoration.
Figure 7.
Figure 7.
X-ray at 6 -month follow-up appointment showing dentin bridge formation underneath the Biodentine™, as well as apical closure.
See this image and copyright information in PMC

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