IADR Abstract Archives
An Innovative Vital Pulp Therapy Approach on Permanent Mature Teeth
Objectives: Vital pulp therapy (VPT) has been recently suggested as an alternative clinical procedure to treat symptomatic mature permanent teeth presenting deep caries lesions, in order to maintain the pulp vitality over time and to avoid or post-pone root canal therapy (RCT). Therefore, the aim of the present study was to assess the success rate of mature permanent teeth underwent full pulpotomy.
Methods: Five systemically-healthy subjects presenting deep caries lesions approximating/involving the pulp of mature permanent teeth and with signs and symptoms of reversible pulpitis, underwent full pulpotomy using hydraulic calcium-silicate based cements. One week after treatment, presence of pain or signs and symptoms of pulp sufferance were evaluated and final restorations in composite resins were carried out. Dental elements were clinically and radiographically followed-up to assess the success rates over time. All treatments were performed at the Dental Clinic of University of Naples Federico II.
Results: The clinical cases were followed for different time intervals (3 to 12 months) and a 100% of clinical and radiographical success rate was reported. Some patients reported slight pain within 24 hours after treatment, treated by ibuprofen administration; none additional complications were observed.
Conclusions: Within the limitation of the present study, it could be concluded that VPT, especially full pulpotomy, should be considered as a valid non-invasive treatment in mature permanent teeth with signs and symptoms of reversible pulpitis. However, a larger sample size and a longer follow-up period are needed to confirm the preliminary obtained results.
Methods: Five systemically-healthy subjects presenting deep caries lesions approximating/involving the pulp of mature permanent teeth and with signs and symptoms of reversible pulpitis, underwent full pulpotomy using hydraulic calcium-silicate based cements. One week after treatment, presence of pain or signs and symptoms of pulp sufferance were evaluated and final restorations in composite resins were carried out. Dental elements were clinically and radiographically followed-up to assess the success rates over time. All treatments were performed at the Dental Clinic of University of Naples Federico II.
Results: The clinical cases were followed for different time intervals (3 to 12 months) and a 100% of clinical and radiographical success rate was reported. Some patients reported slight pain within 24 hours after treatment, treated by ibuprofen administration; none additional complications were observed.
Conclusions: Within the limitation of the present study, it could be concluded that VPT, especially full pulpotomy, should be considered as a valid non-invasive treatment in mature permanent teeth with signs and symptoms of reversible pulpitis. However, a larger sample size and a longer follow-up period are needed to confirm the preliminary obtained results.