Indirect pulp treatment in a permanent molar: case reort of 4-year follow-up

Authors

  • Ticiane Cestari Fagundes University of São Paulo; Bauru School of Dentistry; Department of Operative Dentistry, Endodontics and Dental Materials
  • Terezinha Jesus Esteves Barata University of North of Paraná; Department of Operative Dentistry
  • Anuradha Prakki University of Toronto; Faculty of Dentistry; Department of Restorative Dentistry
  • Eduardo Bresciani University of Michigan; School of Dentistry; Department of Orthodontics and Pediatric Dentistry
  • José Carlos Pereira University of São Paulo; Bauru School of Dentistry; Department of Operative Dentistry, Endodontics and Dental Materials

DOI:

https://doi.org/10.1590/S1678-77572009000100014

Keywords:

Dental Caries, Dental pulp, Biocompatible materials, Dental restoration

Abstract

This case report describes the Indirect Pulp Treatment (IPT) of deep caries lesion in a permanent molar. A 16-year-old male patient reported discomfort associated with thermal stimulation on the permanent mandibular left first molar. The radiographs revealed a deep distal caries lesion, very close to the pulp, absence of radiolucencies in the periapical region, and absence of periodontal space thickening. Pulp sensitivity was confirmed by thermal pulp vitality tests. Based on the main complaint and the clinical and radiographic examinations, the treatment plan was established to preserve pulp vitality. Clinical procedures consisted of removing the infected dentin and lining the caries-affected dentin with calcium hydroxide paste. The tooth was provisionally sealed for approximately 60 days. After this period, tooth vitality was confirmed, the remaining carious dentin was removed, and the tooth was restored. At 4-year follow-up, no clinical or radiographic pathological findings were found.

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Published

2009-02-01

Issue

Vol. 17 No. 1 (2009)

Section

Original Articles

License

Todo o conteúdo do periódico, exceto onde está identificado, está licenciado sob uma Licença Creative Commons do tipo atribuição CC-BY.

 

 

How to Cite

Fagundes, T. C., Barata, T. J. E., Prakki, A., Bresciani, E., & Pereira, J. C. (2009). Indirect pulp treatment in a permanent molar: case reort of 4-year follow-up . Journal of Applied Oral Science, 17(1), 70-74. https://doi.org/10.1590/S1678-77572009000100014