Induction of Root Development and Apical Closure in Permanent Mandibular Molar with Irreversible Pulpitis through Total Pulpotomy with Application of Mineral Trioxide Aggregate

SUMMARY: Loss of teeth vitality when root formation is incomplete, results in weaker structures leaving them prone to fractures and unfavourable long-term prognosis. Apexogenesis is currently the treatment of choice in immature teeth and is indicated in vital teeth without pulpal pathologies. The tr...

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Autores principales: Gomez,Felipe, Fuentes,Jorge, Saravia,Diego, Silva,Mónica
Lenguaje:English
Publicado: Universidad de La Frontera. Facultad de Medicina 2020
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2020000200144
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spelling oai:scielo:S0718-381X20200002001442020-02-27Induction of Root Development and Apical Closure in Permanent Mandibular Molar with Irreversible Pulpitis through Total Pulpotomy with Application of Mineral Trioxide AggregateGomez,FelipeFuentes,JorgeSaravia,DiegoSilva,Mónica apexogenesis pulpotomy mineral trioxide aggregate SUMMARY: Loss of teeth vitality when root formation is incomplete, results in weaker structures leaving them prone to fractures and unfavourable long-term prognosis. Apexogenesis is currently the treatment of choice in immature teeth and is indicated in vital teeth without pulpal pathologies. The treatment aims to eliminate the causal agent of the damage, and provide the necessary conditions to preserve vitality in the tooth and induce apical root closure. A 6-year-old male patient was treated at the Endodontics Clinic, Universidad de La Frontera upon complaining of acute pain in tooth 30. The tooth presented incomplete root development due to dental caries with pulp exposure and a diagnosis of irreversible symptomatic pulpitis. Total pulpotomy was performed with the application of Mineral Trioxide Aggregate and controlled at 1, 4, 6, 7 and 12 months, achieving root development and apical closure in the permanent molar. The result was comparable with studies that support this therapy in teeth with irreversible pulpitis. This work seeks to contribute to the existing evidence on the management of immature permanent teeth with irreversible pulpitis to induce root development and apical closure, and maintain pulp vitality.info:eu-repo/semantics/openAccessUniversidad de La Frontera. Facultad de MedicinaInternational journal of odontostomatology v.14 n.2 20202020-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2020000200144en10.4067/S0718-381X2020000200144
institution Scielo Chile
collection Scielo Chile
language English
topic apexogenesis
pulpotomy
mineral trioxide aggregate
spellingShingle apexogenesis
pulpotomy
mineral trioxide aggregate
Gomez,Felipe
Fuentes,Jorge
Saravia,Diego
Silva,Mónica
Induction of Root Development and Apical Closure in Permanent Mandibular Molar with Irreversible Pulpitis through Total Pulpotomy with Application of Mineral Trioxide Aggregate
description SUMMARY: Loss of teeth vitality when root formation is incomplete, results in weaker structures leaving them prone to fractures and unfavourable long-term prognosis. Apexogenesis is currently the treatment of choice in immature teeth and is indicated in vital teeth without pulpal pathologies. The treatment aims to eliminate the causal agent of the damage, and provide the necessary conditions to preserve vitality in the tooth and induce apical root closure. A 6-year-old male patient was treated at the Endodontics Clinic, Universidad de La Frontera upon complaining of acute pain in tooth 30. The tooth presented incomplete root development due to dental caries with pulp exposure and a diagnosis of irreversible symptomatic pulpitis. Total pulpotomy was performed with the application of Mineral Trioxide Aggregate and controlled at 1, 4, 6, 7 and 12 months, achieving root development and apical closure in the permanent molar. The result was comparable with studies that support this therapy in teeth with irreversible pulpitis. This work seeks to contribute to the existing evidence on the management of immature permanent teeth with irreversible pulpitis to induce root development and apical closure, and maintain pulp vitality.
author Gomez,Felipe
Fuentes,Jorge
Saravia,Diego
Silva,Mónica
author_facet Gomez,Felipe
Fuentes,Jorge
Saravia,Diego
Silva,Mónica
author_sort Gomez,Felipe
title Induction of Root Development and Apical Closure in Permanent Mandibular Molar with Irreversible Pulpitis through Total Pulpotomy with Application of Mineral Trioxide Aggregate
title_short Induction of Root Development and Apical Closure in Permanent Mandibular Molar with Irreversible Pulpitis through Total Pulpotomy with Application of Mineral Trioxide Aggregate
title_full Induction of Root Development and Apical Closure in Permanent Mandibular Molar with Irreversible Pulpitis through Total Pulpotomy with Application of Mineral Trioxide Aggregate
title_fullStr Induction of Root Development and Apical Closure in Permanent Mandibular Molar with Irreversible Pulpitis through Total Pulpotomy with Application of Mineral Trioxide Aggregate
title_full_unstemmed Induction of Root Development and Apical Closure in Permanent Mandibular Molar with Irreversible Pulpitis through Total Pulpotomy with Application of Mineral Trioxide Aggregate
title_sort induction of root development and apical closure in permanent mandibular molar with irreversible pulpitis through total pulpotomy with application of mineral trioxide aggregate
publisher Universidad de La Frontera. Facultad de Medicina
publishDate 2020
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2020000200144
work_keys_str_mv AT gomezfelipe inductionofrootdevelopmentandapicalclosureinpermanentmandibularmolarwithirreversiblepulpitisthroughtotalpulpotomywithapplicationofmineraltrioxideaggregate
AT fuentesjorge inductionofrootdevelopmentandapicalclosureinpermanentmandibularmolarwithirreversiblepulpitisthroughtotalpulpotomywithapplicationofmineraltrioxideaggregate
AT saraviadiego inductionofrootdevelopmentandapicalclosureinpermanentmandibularmolarwithirreversiblepulpitisthroughtotalpulpotomywithapplicationofmineraltrioxideaggregate
AT silvamonica inductionofrootdevelopmentandapicalclosureinpermanentmandibularmolarwithirreversiblepulpitisthroughtotalpulpotomywithapplicationofmineraltrioxideaggregate
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