PARTIAL PULPOTOMY TREATMENT IN YOUNG PERMANENT TEETH

Kamile Nur Tozar; Merve Erkmen Almaz

doi:10.15311/selcukdentj.940869

Review

PARTIAL PULPOTOMY TREATMENT IN YOUNG PERMANENT TEETH

Year 2022, Volume: 9 Issue: 1, 308 - 314, 27.04.2022

Kamile Nur Tozar Merve Erkmen Almaz

https://doi.org/10.15311/selcukdentj.940869

Abstract

ABSTRACT
Partial pulpotomy is a treatment method used to reach healthy pulp tissue by removal of the inflamed pulp tissue in 1-3 mm depth from the caries exposed teeth. Pulpal bleeding should be controlled using bactericidal agents, such as sodium hypochlorite or chlorhexidine, and then the pulp tissue should be covered with a biocompatible material, such as MTA. MTA should be placed on the exposed area and the surrounding dentate with a thickness of at least 1.5 mm and resin modified glass ionomer cement should be applied on it. The tooth must be restored permanently.
The remaining pulp tissue after partial pulpotomy should be vital and no adverse signs or symptoms, such as swelling, pain, or tenderness, should be observed after treatment. Radiographically, internal or external root resorption, periapical radiolucency, abnormal calcification, or other pathological changes should not be observed, root development in immature teeth should continue, and the apex should be closed.

Keywords

Pulpotomy, Permanent tooth, MTA

References

1. Guideline on Pulp Therapy for Primary and Immature Permanent Teeth. American Academy of Pediatric Dentistry, Pediatr Dent, 2016; 38, 280-288.
2. Glossary of Endodontic Terms American Assoc of Endodontists. Endodontists. Chicago, Ill: American Association of Endodontists, 2003.
3. Fuks AB Current concepts in vital primary pulp therapy. Eur J Paediatr Dent, 2002;3,115-120.
4. Kiatwateeratana T, Kintarak S, Piwat S, Chankanka O, Kamaolmatyakul S, Thearmontree. A Partial pulpotomy on caries-free teeth using enamel matrix derivative or calcium hydroxide: a randomized controlled trial. Int Endod J, 2009; 42, 584-592.
5. Barrieshi-Nusair KM, Qudeimat MA. A prospective clinical study of mineral trioxide aggregate for partial pulpotomy in cariously exposed permanent teeth. J Endod 2006;32, 731-735.
6. Aguilar P, Linsuwanont P. Vital pulp therapy in vital permanent teeth with cariously exposed pulp: a systematic review. J Endod, 2011;37, 581-587.
7. Siqueira JF, Rocas JR, Rocas IN, Rocas SS, Paiva T, Guimaraes-Pinto KM, et al. Bacteriologic investigation of the effects of sodium hypochlorite and chlorhexidine during the endodontic treatment of teeth with apical periodontitis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2007;104, 122-130.
8. Camp JH, Fuks AB. Pediatric endodontics: Endodontic treatment for the primary and young permanent dentition. Pathways of the Pulp. H. K. In: Cohen S, eds. St. Louis, Mo: Mosby Elsevier: 2011;808-857.
9. Cvek M. Endodontic management and the use of calcium hydroxide in traumatized permanent teeth. Textbook and Color Atlas of Traumatic Injuries to the Teeth. J. O. In: Andreasen, Andreasen FM, Andersson L, Ames, Iowa: Blackwell Munksgaard: 2007; 598-657.
10. Bakland LK. New endodontic procedures using mineral trioxide aggregate (MTA) for teeth with traumatic injuries Textbook and Color Atlas of Traumatic Injuries to the Teeth. Iowa: Blackwell Munksgaard, 2007;658-668.
11. Bimstein E, Rotstein I. Cvek pulpotomy-revisited. Dent Traumatol, 2016;32, 438-442.
12. Cvek M, Cleaton-Jones PE, Austin JC, Andreasen JO. Pulp reactions to exposure after experimental crown fractures or grinding in adult monkeys. J Endod, 1982;8, 391-397.
13. Qudeimat MA, Barrieshi-Nusair KM, Owais AI. Calcium hydroxide vs mineral trioxide aggregates for partial pulpotomy of permanent molars with deep caries. Eur Arch Paediatr Dent, 2007; 8, 99-104.
14. Chacko V, Kurikose S. Human pulpal response to mineral trioxide aggregate (MTA): a histologic study. J Clin Pediatr Dent, 2006; 30, 203-209.
15. Bogen G, Kim JS, Bakland LK. Direct pulp capping with mineral trioxide aggregate: an observational study. J Am Dent Assoc, 2008; 139, 305-315.
16. Hafez AA, Cox CF, Tarim B, Otsuki M. An in vivo evaluation of hemorrhage control using sodium hypochlorite and direct capping with a one or twocomponent adhesive system in exposed nonhuman primate pulps. Quintessence Int, 2002; 33, 261-272.
17. Stanley HR. Pulp capping: conserving the dental pulp-can it be done? Is it worth it? Oral Surg Oral Med Oral Pathol, 1989; 68, 628-639.
18. Silva AF, Tarquinio SB, Demarco FF, Piva E, Erivero ER. The influence of haemostatic agents on healing of healthy human dental pulp tissue capped with calcium hydroxide. Int Endod J, 2006; 39, 309-316.
19. Lim KC, Kırk EE. Direct pulp capping: a review. Endod Dent Traumatol, 1987;3, 213-219.
20. Webber RT. Traumatic injuries and the endodontic role of calcium hydroxide, 1981; 59.
21. Bogen G, Chandler NP. Pulp preservation in immature permanent teeth. Endodontic Topics, 2012; 23, 131–152.
22. Zhao S, Sloan AJ, Murray PE, Lumley PJ, Smith AJ. Ultrastructural localisation of TGF-beta exposure in dentine by chemical treatment. Histochem J, 2000; 32, 489-494.
23. Smith AJ. Vitality of the dentin-pulp complex in health and disease: growth factors as key mediators. J Dent Educ, 2003; 67, 678-689.
24. Pameijer C, Norval G. Pulp Capping with an Experimental Hemostatic Agent and Calcium Hydroxide. J Dent Res, 2002; 81, 237.
25. Kumar Y, Lohar J, Bhat S, Bhati M, Gandhi A, Mehta A. Comparative evaluation of demineralization of radicular dentin with 17% ethylenediaminetetraacetic acid, 10% citric acid, and MTAD at different time intervals: An in vitro study. J Int Soc Prev Community Dent, 2016; 6, 44-48.
26. Mohammad SG, Raheel SA, Baroudi K. Histological Evaluation of Allium sativum Oil as a New Medicament for Pulp Treatment of Permanent Teeth. J Contemp Dent Pract, 2015;16, 85-90.
27. Safavi KE, Nichols FC. Effect of calcium hydroxide on bacterial lipopolysaccharide. J Endod, 1993; 19, 76-78.
28. Mitchell DF, Shankwalker GB. Osteogenic potential of calcium hydroxide and other materials in soft tissue and bone wounds. J Dent Res, 1958;37, 1157-1163.
29. Witherspoon DE, Small JC, Harris GZ. Mineral trioxide aggregate pulpotomies: a case series outcomes assessment. J Am Dent Assoc, 2006; 137, 610-618.
30. Tagger M, Tagger E. Pulp capping in monkeys with Reolit and Life, two calcium hydroxide bases with different pH. J Endod, 1985; 11, 394-400.
31. Sciaky I, Pisanti S. Localization of calcium placed over amputated pulps in dogs' teeth. J Dent Res, 1960; 39, 1128-1132.
32. Holland R, De Souza V, De Mello W, Nery MJ, Bernabe PF, Otoboni Filho JA. Permeability of the hard tissue bridge formed after pulpotomy with calcium hydroxide: a histologic study. J Am Dent Assoc, 1979; 99, 472-475.
33. Foreman PC, Barnes IE. Review of calcium hydroxide. Int Endod J, 1990;23(6): 283-297.
34. Mejare I, Cvek M. Partial pulpotomy in young permanent teeth with deep carious lesions. Endod Dent Traumatol, 1993; 9, 238-242.
35. Mejare I, Cvek M. Partial pulpotomy in young permanent teeth with deep carious lesions. Endod Dent Traumatol, 1993; 9, 238-242.
36. Camilleri J, Pitt Ford TR. Mineral trioxide aggregate: a review of the constituents and biological properties of the material. Int Endod J, 2006; 39, 747-754.
37. Barrieshi-Nusair KM, Hammad HM. Intracoronal sealing comparison of mineral trioxide aggregate and glass ionomer. Quintessence Int, 2005;36, 539-545.
38. Tziafas D, Pantelidou O, Alvanou A, Belibasakis G, Papadimitriou S. The dentinogenic effect of mineral trioxide aggregate (MTA) in short-term capping experiments. Int Endod J, 2002; 35, 245-254.
39. Ruparel NB, Teixeira FB, Ferraz CC, Diogenes A. Direct effect of intracanal medicaments on survival of stem cells of the apical papilla. J Endod, 2012; 38, 1372-1375.
40. Singh H, Kaur M, Markan S, Kapoor P. Biodentine: A promising dentin substitute. J Interdiscipl Med Dent Sci, 2014; 2: 140.
41. Soni HK. Biodentine Pulpotomy in Mature Permanent Molar: A Case Report. J Clin Diagn Res, 2016; 10, 09-11.
42. Smith AJ, Lesot H. Induction and regulation of crown dentinogenesis: embryonic events as a template for dental tissue repair? Crit Rev Oral Biol Med, 2001; 12, 425-437.
43. Huang FM, Yang SF, Zhao JH, Chang YC. Platelet-rich fibrin increases proliferation and differentiation of human dental pulp cells. J Endod, 2010; 36, 1628-1632.
44. Keswani D, Pandey RK, Ansari A, Gupta S. Comparative evaluation of platelet-rich fibrin and mineral trioxide aggregate as pulpotomy agents in permanent teeth with incomplete root development: a randomized controlled trial. J Endod, 2014; 40, 599-605.
45. Bhagat D, Sunder RK, Devendrappa SN, Vanka A, Choudaha N. A comparative evaluation of ProRoot mineral trioxide aggregate and Portland cement as a pulpotomy medicament. J Indian Soc Pedod Prev Dent, 2016; 34, 172-176.
46. Elliott RD, Roberts MW, Burkes J, Phillips C. Evaluation of the carbon dioxide laser on vital human primary pulp tissue. Pediatr Dent, 1999; 21, 327-331.
47. Folwaczny M, Aggstaller H, Mehl A, Hickel R. Removal of bacterial endotoxin from root surface with Er:YAG laser. Am J Dent, 2003;16, 3-5.
48. Olivi G, Genovese MD. Erbium Chromium Laser in Pulp Capping Treatment. J Oral Laser Applications, 2006;6, 291-299.
49. Moritz A, Schoop U, Goharkhay K, Sperr W. The CO2 laser as an aid in direct pulp capping. J Endod, 1998; 24, 248-251.
50. Yazdanfar I, Gutknecht N, Franzen R. Effects of diode laser on direct pulp capping treatment : a pilot study. Lasers Med Sci, 2015; 30, 1237-1243.
51. Tozar KN, Erkmen Almaz M. Evaluation of the efficacy of erbium, chromium-doped yttrium, scandium, gallium, and garnet laser in partial pulpotomy in permanent immature molars: a randomized controlled trial. J Endod 2020;46(5):575–583.

GENÇ DAİMİ DİŞLERDE PARSİYEL PULPOTOMİ TEDAVİSİ

Year 2022, Volume: 9 Issue: 1, 308 - 314, 27.04.2022

Kamile Nur Tozar Merve Erkmen Almaz

https://doi.org/10.15311/selcukdentj.940869

Abstract

ÖZ
Parsiyel pulpotomi tedavisi, çürükle ekspoze olmuş dişlerde inflame pulpa dokusundan 1-3 mm derinliğinde kaldırılarak sağlıklı pulpa dokusuna ulaşmak için uygulanan bir tedavi yöntemidir. Pulpal kanama sodyum hipoklorit veya klorheksidin gibi bakterisid ajanlar kullanılarak konrol altına alınmalıdır, daha sonra pulpa dokusu MTA gibi biyouyumlu bir materyal ile kapatılmalıdır. MTA ekpoze alana ve çevresindeki dentine en az 1.5 mm kalınlığında yerleştirilmeli ve üzerine rezin modifiye cam iyonomer siman uygulanmalıdır. Diş daimi olarak restore edilmelidir.
Parsiyel pulpotomi sonrasında kalan pulpa dokusu vital olmalıdır ve tedavi sonrasında şişlik, ağrı, hassasiyet gibi semptom ve bulgular gözlenmemelidir. Radyografik olarak internal veya eksternal kök rezorpsiyonu, periapikal radyolüsensi, anormal kalsifikasyon veya diğer patolojik değişiklikler gözlenmemelidir ayrıca immatür dişlerde kök gelişimi devam etmeli ve apeks kapanmalıdır.

Keywords

Pulpotomi, Daimi diş, MTA

References

1. Guideline on Pulp Therapy for Primary and Immature Permanent Teeth. American Academy of Pediatric Dentistry, Pediatr Dent, 2016; 38, 280-288.
2. Glossary of Endodontic Terms American Assoc of Endodontists. Endodontists. Chicago, Ill: American Association of Endodontists, 2003.
3. Fuks AB Current concepts in vital primary pulp therapy. Eur J Paediatr Dent, 2002;3,115-120.
4. Kiatwateeratana T, Kintarak S, Piwat S, Chankanka O, Kamaolmatyakul S, Thearmontree. A Partial pulpotomy on caries-free teeth using enamel matrix derivative or calcium hydroxide: a randomized controlled trial. Int Endod J, 2009; 42, 584-592.
5. Barrieshi-Nusair KM, Qudeimat MA. A prospective clinical study of mineral trioxide aggregate for partial pulpotomy in cariously exposed permanent teeth. J Endod 2006;32, 731-735.
6. Aguilar P, Linsuwanont P. Vital pulp therapy in vital permanent teeth with cariously exposed pulp: a systematic review. J Endod, 2011;37, 581-587.
7. Siqueira JF, Rocas JR, Rocas IN, Rocas SS, Paiva T, Guimaraes-Pinto KM, et al. Bacteriologic investigation of the effects of sodium hypochlorite and chlorhexidine during the endodontic treatment of teeth with apical periodontitis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2007;104, 122-130.
8. Camp JH, Fuks AB. Pediatric endodontics: Endodontic treatment for the primary and young permanent dentition. Pathways of the Pulp. H. K. In: Cohen S, eds. St. Louis, Mo: Mosby Elsevier: 2011;808-857.
9. Cvek M. Endodontic management and the use of calcium hydroxide in traumatized permanent teeth. Textbook and Color Atlas of Traumatic Injuries to the Teeth. J. O. In: Andreasen, Andreasen FM, Andersson L, Ames, Iowa: Blackwell Munksgaard: 2007; 598-657.
10. Bakland LK. New endodontic procedures using mineral trioxide aggregate (MTA) for teeth with traumatic injuries Textbook and Color Atlas of Traumatic Injuries to the Teeth. Iowa: Blackwell Munksgaard, 2007;658-668.
11. Bimstein E, Rotstein I. Cvek pulpotomy-revisited. Dent Traumatol, 2016;32, 438-442.
12. Cvek M, Cleaton-Jones PE, Austin JC, Andreasen JO. Pulp reactions to exposure after experimental crown fractures or grinding in adult monkeys. J Endod, 1982;8, 391-397.
13. Qudeimat MA, Barrieshi-Nusair KM, Owais AI. Calcium hydroxide vs mineral trioxide aggregates for partial pulpotomy of permanent molars with deep caries. Eur Arch Paediatr Dent, 2007; 8, 99-104.
14. Chacko V, Kurikose S. Human pulpal response to mineral trioxide aggregate (MTA): a histologic study. J Clin Pediatr Dent, 2006; 30, 203-209.
15. Bogen G, Kim JS, Bakland LK. Direct pulp capping with mineral trioxide aggregate: an observational study. J Am Dent Assoc, 2008; 139, 305-315.
16. Hafez AA, Cox CF, Tarim B, Otsuki M. An in vivo evaluation of hemorrhage control using sodium hypochlorite and direct capping with a one or twocomponent adhesive system in exposed nonhuman primate pulps. Quintessence Int, 2002; 33, 261-272.
17. Stanley HR. Pulp capping: conserving the dental pulp-can it be done? Is it worth it? Oral Surg Oral Med Oral Pathol, 1989; 68, 628-639.
18. Silva AF, Tarquinio SB, Demarco FF, Piva E, Erivero ER. The influence of haemostatic agents on healing of healthy human dental pulp tissue capped with calcium hydroxide. Int Endod J, 2006; 39, 309-316.
19. Lim KC, Kırk EE. Direct pulp capping: a review. Endod Dent Traumatol, 1987;3, 213-219.
20. Webber RT. Traumatic injuries and the endodontic role of calcium hydroxide, 1981; 59.
21. Bogen G, Chandler NP. Pulp preservation in immature permanent teeth. Endodontic Topics, 2012; 23, 131–152.
22. Zhao S, Sloan AJ, Murray PE, Lumley PJ, Smith AJ. Ultrastructural localisation of TGF-beta exposure in dentine by chemical treatment. Histochem J, 2000; 32, 489-494.
23. Smith AJ. Vitality of the dentin-pulp complex in health and disease: growth factors as key mediators. J Dent Educ, 2003; 67, 678-689.
24. Pameijer C, Norval G. Pulp Capping with an Experimental Hemostatic Agent and Calcium Hydroxide. J Dent Res, 2002; 81, 237.
25. Kumar Y, Lohar J, Bhat S, Bhati M, Gandhi A, Mehta A. Comparative evaluation of demineralization of radicular dentin with 17% ethylenediaminetetraacetic acid, 10% citric acid, and MTAD at different time intervals: An in vitro study. J Int Soc Prev Community Dent, 2016; 6, 44-48.
26. Mohammad SG, Raheel SA, Baroudi K. Histological Evaluation of Allium sativum Oil as a New Medicament for Pulp Treatment of Permanent Teeth. J Contemp Dent Pract, 2015;16, 85-90.
27. Safavi KE, Nichols FC. Effect of calcium hydroxide on bacterial lipopolysaccharide. J Endod, 1993; 19, 76-78.
28. Mitchell DF, Shankwalker GB. Osteogenic potential of calcium hydroxide and other materials in soft tissue and bone wounds. J Dent Res, 1958;37, 1157-1163.
29. Witherspoon DE, Small JC, Harris GZ. Mineral trioxide aggregate pulpotomies: a case series outcomes assessment. J Am Dent Assoc, 2006; 137, 610-618.
30. Tagger M, Tagger E. Pulp capping in monkeys with Reolit and Life, two calcium hydroxide bases with different pH. J Endod, 1985; 11, 394-400.
31. Sciaky I, Pisanti S. Localization of calcium placed over amputated pulps in dogs' teeth. J Dent Res, 1960; 39, 1128-1132.
32. Holland R, De Souza V, De Mello W, Nery MJ, Bernabe PF, Otoboni Filho JA. Permeability of the hard tissue bridge formed after pulpotomy with calcium hydroxide: a histologic study. J Am Dent Assoc, 1979; 99, 472-475.
33. Foreman PC, Barnes IE. Review of calcium hydroxide. Int Endod J, 1990;23(6): 283-297.
34. Mejare I, Cvek M. Partial pulpotomy in young permanent teeth with deep carious lesions. Endod Dent Traumatol, 1993; 9, 238-242.
35. Mejare I, Cvek M. Partial pulpotomy in young permanent teeth with deep carious lesions. Endod Dent Traumatol, 1993; 9, 238-242.
36. Camilleri J, Pitt Ford TR. Mineral trioxide aggregate: a review of the constituents and biological properties of the material. Int Endod J, 2006; 39, 747-754.
37. Barrieshi-Nusair KM, Hammad HM. Intracoronal sealing comparison of mineral trioxide aggregate and glass ionomer. Quintessence Int, 2005;36, 539-545.
38. Tziafas D, Pantelidou O, Alvanou A, Belibasakis G, Papadimitriou S. The dentinogenic effect of mineral trioxide aggregate (MTA) in short-term capping experiments. Int Endod J, 2002; 35, 245-254.
39. Ruparel NB, Teixeira FB, Ferraz CC, Diogenes A. Direct effect of intracanal medicaments on survival of stem cells of the apical papilla. J Endod, 2012; 38, 1372-1375.
40. Singh H, Kaur M, Markan S, Kapoor P. Biodentine: A promising dentin substitute. J Interdiscipl Med Dent Sci, 2014; 2: 140.
41. Soni HK. Biodentine Pulpotomy in Mature Permanent Molar: A Case Report. J Clin Diagn Res, 2016; 10, 09-11.
42. Smith AJ, Lesot H. Induction and regulation of crown dentinogenesis: embryonic events as a template for dental tissue repair? Crit Rev Oral Biol Med, 2001; 12, 425-437.
43. Huang FM, Yang SF, Zhao JH, Chang YC. Platelet-rich fibrin increases proliferation and differentiation of human dental pulp cells. J Endod, 2010; 36, 1628-1632.
44. Keswani D, Pandey RK, Ansari A, Gupta S. Comparative evaluation of platelet-rich fibrin and mineral trioxide aggregate as pulpotomy agents in permanent teeth with incomplete root development: a randomized controlled trial. J Endod, 2014; 40, 599-605.
45. Bhagat D, Sunder RK, Devendrappa SN, Vanka A, Choudaha N. A comparative evaluation of ProRoot mineral trioxide aggregate and Portland cement as a pulpotomy medicament. J Indian Soc Pedod Prev Dent, 2016; 34, 172-176.
46. Elliott RD, Roberts MW, Burkes J, Phillips C. Evaluation of the carbon dioxide laser on vital human primary pulp tissue. Pediatr Dent, 1999; 21, 327-331.
47. Folwaczny M, Aggstaller H, Mehl A, Hickel R. Removal of bacterial endotoxin from root surface with Er:YAG laser. Am J Dent, 2003;16, 3-5.
48. Olivi G, Genovese MD. Erbium Chromium Laser in Pulp Capping Treatment. J Oral Laser Applications, 2006;6, 291-299.
49. Moritz A, Schoop U, Goharkhay K, Sperr W. The CO2 laser as an aid in direct pulp capping. J Endod, 1998; 24, 248-251.
50. Yazdanfar I, Gutknecht N, Franzen R. Effects of diode laser on direct pulp capping treatment : a pilot study. Lasers Med Sci, 2015; 30, 1237-1243.
51. Tozar KN, Erkmen Almaz M. Evaluation of the efficacy of erbium, chromium-doped yttrium, scandium, gallium, and garnet laser in partial pulpotomy in permanent immature molars: a randomized controlled trial. J Endod 2020;46(5):575–583.

There are 51 citations in total.

Details

Primary Language	English
Subjects	Dentistry
Journal Section	Review
Authors	Kamile Nur Tozar 0000-0002-1801-9127 Merve Erkmen Almaz 0000-0001-6766-2023
Publication Date	April 27, 2022
Submission Date	May 22, 2021
Published in Issue	Year 2022 Volume: 9 Issue: 1

Cite

Vancouver	Tozar KN, Erkmen Almaz M. PARTIAL PULPOTOMY TREATMENT IN YOUNG PERMANENT TEETH. Selcuk Dent J. 2022;9(1):308-14.

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