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. 2023 Oct;18(4):1948-1949.
doi: 10.1016/j.jds.2023.05.034. Epub 2023 Jun 8.

Two vital pulp therapy techniques for treating a molar with established irreversible pulpitis and condensing osteitis

Affiliations

Two vital pulp therapy techniques for treating a molar with established irreversible pulpitis and condensing osteitis

Saeed Asgary. J Dent Sci. 2023 Oct.
No abstract available

Keywords: Calcium-enriched mixture (CEM) cement; Condensing osteitis; Endodontics; Pulpotomy; Vital pulp therapy.

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Conflict of interest statement

The author has no conflicts of interest relevant to this article.

Figures

Figure 1
Figure 1
Periapical radiographs of the affected left mandibular first molar. (A) Pre-operative view showing previous Class I coronal filling of tooth #36, deep/extensive decay in the distal aspect of the involved tooth, and separate periapical lesions (condensing osteitis) at both root apices. (B) The immediate post-operative radiograph demonstrating the complete pulpotomy of the distal half of the coronal pulp chamber next to the remained intact mesial part of the pulp chamber, being completely covered/capped with calcium-enriched mixture cement. Condensing osteitis is clearly evident. (C) The two-year follow-up radiograph showing complete healing of the two apical radiolucencies, normal periodontal ligament space, and the formation of dentinal bridges at the orifice of the distal canal as well as the distal aspect of the mesial part of the pulp chamber. The condensing osteitis is still evident. (D) The five-year follow-up radiograph exhibiting the normal architecture of surrounding bone, which represented the resolution of condensing osteitis and a healthy tooth.

References

    1. Asgary S. A successful pulpotomy-treated permanent molar withstood recurrent decay after 10 years of treatment. J Dent Sci. 2022;17:1827–1828. - PMC - PubMed
    1. Asgary S. Calcium-enriched mixture pulpotomy of a human permanent molar with irreversible pulpitis and condensing apical periodontitis. J Conserv Dent. 2011;14:90. - PMC - PubMed
    1. Koli B., Chawla A., Logani A., Kumar V., Sharma S. Combination of nonsurgical endodontic and vital pulp therapy for management of mature permanent mandibular molar teeth with symptomatic irreversible pulpitis and apical periodontitis. J Endod. 2021;47:374–381. - PubMed
    1. Yao Y., Luo A., Hao Y. Selective versus stepwise removal of deep carious lesions: a meta-analysis of randomized controlled trials. J Dent Sci. 2023;18:17–26. - PMC - PubMed
    1. Asgary S., Parhizkar A. The Role of Vital pulp therapy in the management of periapical lesions. Eur Endod J. 2021;6:130. - PMC - PubMed

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