Clinical and radiographic assessment of direct pulp capping and pulpotomy in young permanent teeth.

摘要: Seventy-six vital permanent incisors with complicated crown t’ractures in 72 children were assessed clinically and radiographically for the healing of pulp exposures treated by direct capping or pulpotomy. Thirty-eight these teeth had pinpoint exposures, complete roots, capping. Pulpotomy was treatment other 38 that incomplete root development, regardless size exposure. A success rate 92% observed which pulpotomy, 81.5% those ch’rect Traumatic injuries resulting exposure young patients present a challenge treatment. The immediate objective would be selection procedure designed to maintain vitality pulp.1 An exposed can capping, pulpectomy, depending on several factors such as: degree exposure, interval between accident examination, stage development. partial pulpotomy technique has been recently described as another choice successfully treating exposures. ~ exact indication not yet established. It is currently accepted this should only performed where confined small area, occurred more than few hours before, when there are no associated supporting structure2 Incompletely formed pulps trauma presented above conditions have also but considered choice. 4 rationale based assumption inflammation impaired vascularity caused superficial part coronal pulp, while radicular normal. 3 important emphasize first step endodontic therapy? When apicalroot formationis completed, conventional canal filling recommended, thus preveuting calcific degeneration obliteration canal2,~ This policy followed both general practitioners endodontists. Evidence long-term successful outcome Bodenham2 Krakov et al., suggested subsequent resulted completion indicated post core required adequately restore tooth2 purpose current investigation assess effect results Methods Materials study sample consisted 76 fracture children. These patients, whose age varied from 7 14 years, received emergency at Department Pedodontics Hadassah Faculty Dental Medicine Jerusalem. Preoperative examination revealed showed mobility slightly increased mobility, all them sensitive electric tester" stimulation. Pulp roots; ~Vitapulp: Pelton & Crane Company, Box 3664, Charlotte, NC. 240 PULPOTOMY Vs DIRECT PULP CAPPING: Fuks at. Sucessful follow up period months , Table 1. Distribution calcium hydroxide traumatized closed apices. Time elapsed Up 12 hrs. 13 24 1 days 5 Total Number