Vital pulp therapy of a dens evaginatusâaffected tooth with an immature apex and inflamed pulpal and periapical tissue: a case report.
Gen Dent
; 68(3): 62-65, 2020.
Article
em En
| MEDLINE
| ID: mdl-32348246
ABSTRACT
Dens evaginatus (DE) is a developmental anomaly presenting as an enamel-covered tubercle on the occlusal surface of a premolar, particularly found in people of Asian descent. This case report describes partial pulpotomy in a mandibular premolar with a fractured evaginatus tubercle and endodontic infection. A 10.5-year-old girl of Asian descent was referred for endodontic evaluation and treatment because of local swelling and pain. Clinical examination suggested the presence of DE in a noncarious mandibular right second premolar with a diagnosis of symptomatic irreversible pulpitis and symptomatic apical periodontitis. On access, the pulp was hemorrhagic. A single-appointment mineral trioxide aggregate (MTA) pulpotomy and an immediate composite resin restoration were performed. Recall examinations at 3, 6, and 18 months verified periapical healing and root development without clinical symptoms. This case report suggests that MTA pulpotomy could be a viable alternative option for DE-affected immature teeth with pulpal and periapical inflammation.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Periodontite Periapical
/
Pulpite
Limite:
Child
/
Female
/
Humans
Idioma:
En
Revista:
Gen Dent
Ano de publicação:
2020
Tipo de documento:
Article