HIỆU QUẢ CHE TUỶ TRỰC TIẾP BẰNG VẬT LIỆU CALCIUM SILICATE (BIODENTINETM) TRÊN RĂNG VĨNH VIỄN CÓ VIÊM TUỶ KHÔNG HỒI PHỤC

Abstract

Objectives: Evaluation of effect of direct pulp capping using calcium silicate based material (Biodentine^TM) in mature permanent tooth with irreversible pulpitis. Methods: A 24-year-old female patient presented with a main complaint of severe spontaneous and lingering pain in tooth number 46, occurring several times over the previous two weeks. Based on the clinical and radiographic examinations, tooth was diagnosed with irreversible pulpitis. The tooth was anaesthetized before placement rubber dam for isolation. Decayed tissues were removed using a sterilized high-speed round bur under water coolant. The bleeding was arrested after about two minutes by gently pressing a sterile cotton pellet soaked in 2,5% sodium hypochlorite. The exposed pulp was capped with Biodentine^TM. The tooth was finally restored with resin composite after one month. Results: The patient reported the mild pain occurred for the first post treatment day, but pain was soon alleviated. Clinical and radiographic evaluation was completed at 6 months and 2 year postoperatively. The patient had no complaint about the tooth, positive responses to cold and electric pulp tests, and periapical radiographs showed no periapical lesion after one year. Conclusion: The direct pulp capping using Biodentine^TM in mature permanent tooth with irreversible pulpipis can be an alternative option to root canal therapy.