Coronal Pulpotomy Technique Analysis as an Alternative to Pulpectomy for Preserving the Tooth Vitality, in the Context of Tissue Regeneration: A Correlated Clinical Study across 4 Adult Permanent Molars

Aim. (1) The aim of the clinical study revolves around the accurate diagnosis, proper case selection, and the management of acute irreversible pulpitis in permanent molars with closed apices using conservative and economical treatment modalities like vital pulpotomies with regenerative approaches ov...

Full description

Saved in:
Bibliographic Details
Main Authors: Raji Viola Solomon, Umrana Faizuddin, Parupalli Karunakar, Grandhala Deepthi Sarvani, Sevvana Sree Soumya
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2015/916060
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832554547282706432
author Raji Viola Solomon
Umrana Faizuddin
Parupalli Karunakar
Grandhala Deepthi Sarvani
Sevvana Sree Soumya
author_facet Raji Viola Solomon
Umrana Faizuddin
Parupalli Karunakar
Grandhala Deepthi Sarvani
Sevvana Sree Soumya
author_sort Raji Viola Solomon
collection DOAJ
description Aim. (1) The aim of the clinical study revolves around the accurate diagnosis, proper case selection, and the management of acute irreversible pulpitis in permanent molars with closed apices using conservative and economical treatment modalities like vital pulpotomies with regenerative approaches over conventional root canal procedures. (2) To evaluate the use of autologous substances such as platelet concentrates and calcium silicate based materials in promoting the healing and regeneration of the inflamed pulp. Summary. Vital pulpotomy was performed on 5 carious involved, permanent molars diagnosed with acute irreversible pulpitis in 17- to 22-year-old patients. Taking into consideration the patient’s age and the condition of the underlying pulp tissue, PRF pulpotomy was planned in view of preserving the vitality of the intact radicular pulps. Regenerative procedures with second generation blood matrices were chosen to encourage the recovery of the inflamed pulps. The systematic follow-up examinations performed at 3, 6, 9, 12, 18, 22, and 24 months revealed a successful clinical and radiological outcome. Within the limits of the present clinical study and correlating the success across the treated clinical cases, we safely conclude the potential scope of regenerative pulpotomy approaches in acute irreversible pulpitis in adult permanent teeth.
format Article
id doaj-art-1a148c6866a949779fcd0c1ae59611fc
institution Kabale University
issn 2090-6447
2090-6455
language English
publishDate 2015-01-01
publisher Wiley
record_format Article
series Case Reports in Dentistry
spelling doaj-art-1a148c6866a949779fcd0c1ae59611fc2025-02-03T05:51:09ZengWileyCase Reports in Dentistry2090-64472090-64552015-01-01201510.1155/2015/916060916060Coronal Pulpotomy Technique Analysis as an Alternative to Pulpectomy for Preserving the Tooth Vitality, in the Context of Tissue Regeneration: A Correlated Clinical Study across 4 Adult Permanent MolarsRaji Viola Solomon0Umrana Faizuddin1Parupalli Karunakar2Grandhala Deepthi Sarvani3Sevvana Sree Soumya4Department of Conservative Dentistry and Endodontics, Panineeya Institute of Dental Sciences and Research Center, Kamala Nagar, Dilsukhnagar, Telangana 5000060, IndiaDepartment of Conservative Dentistry and Endodontics, Panineeya Institute of Dental Sciences and Research Center, Kamala Nagar, Dilsukhnagar, Telangana 5000060, IndiaDepartment of Conservative Dentistry and Endodontics, Panineeya Institute of Dental Sciences and Research Center, Kamala Nagar, Dilsukhnagar, Telangana 5000060, IndiaDepartment of Conservative Dentistry and Endodontics, Panineeya Institute of Dental Sciences and Research Center, Kamala Nagar, Dilsukhnagar, Telangana 5000060, IndiaDepartment of Conservative Dentistry and Endodontics, Panineeya Institute of Dental Sciences and Research Center, Kamala Nagar, Dilsukhnagar, Telangana 5000060, IndiaAim. (1) The aim of the clinical study revolves around the accurate diagnosis, proper case selection, and the management of acute irreversible pulpitis in permanent molars with closed apices using conservative and economical treatment modalities like vital pulpotomies with regenerative approaches over conventional root canal procedures. (2) To evaluate the use of autologous substances such as platelet concentrates and calcium silicate based materials in promoting the healing and regeneration of the inflamed pulp. Summary. Vital pulpotomy was performed on 5 carious involved, permanent molars diagnosed with acute irreversible pulpitis in 17- to 22-year-old patients. Taking into consideration the patient’s age and the condition of the underlying pulp tissue, PRF pulpotomy was planned in view of preserving the vitality of the intact radicular pulps. Regenerative procedures with second generation blood matrices were chosen to encourage the recovery of the inflamed pulps. The systematic follow-up examinations performed at 3, 6, 9, 12, 18, 22, and 24 months revealed a successful clinical and radiological outcome. Within the limits of the present clinical study and correlating the success across the treated clinical cases, we safely conclude the potential scope of regenerative pulpotomy approaches in acute irreversible pulpitis in adult permanent teeth.http://dx.doi.org/10.1155/2015/916060
spellingShingle Raji Viola Solomon
Umrana Faizuddin
Parupalli Karunakar
Grandhala Deepthi Sarvani
Sevvana Sree Soumya
Coronal Pulpotomy Technique Analysis as an Alternative to Pulpectomy for Preserving the Tooth Vitality, in the Context of Tissue Regeneration: A Correlated Clinical Study across 4 Adult Permanent Molars
Case Reports in Dentistry
title Coronal Pulpotomy Technique Analysis as an Alternative to Pulpectomy for Preserving the Tooth Vitality, in the Context of Tissue Regeneration: A Correlated Clinical Study across 4 Adult Permanent Molars
title_full Coronal Pulpotomy Technique Analysis as an Alternative to Pulpectomy for Preserving the Tooth Vitality, in the Context of Tissue Regeneration: A Correlated Clinical Study across 4 Adult Permanent Molars
title_fullStr Coronal Pulpotomy Technique Analysis as an Alternative to Pulpectomy for Preserving the Tooth Vitality, in the Context of Tissue Regeneration: A Correlated Clinical Study across 4 Adult Permanent Molars
title_full_unstemmed Coronal Pulpotomy Technique Analysis as an Alternative to Pulpectomy for Preserving the Tooth Vitality, in the Context of Tissue Regeneration: A Correlated Clinical Study across 4 Adult Permanent Molars
title_short Coronal Pulpotomy Technique Analysis as an Alternative to Pulpectomy for Preserving the Tooth Vitality, in the Context of Tissue Regeneration: A Correlated Clinical Study across 4 Adult Permanent Molars
title_sort coronal pulpotomy technique analysis as an alternative to pulpectomy for preserving the tooth vitality in the context of tissue regeneration a correlated clinical study across 4 adult permanent molars
url http://dx.doi.org/10.1155/2015/916060
work_keys_str_mv AT rajiviolasolomon coronalpulpotomytechniqueanalysisasanalternativetopulpectomyforpreservingthetoothvitalityinthecontextoftissueregenerationacorrelatedclinicalstudyacross4adultpermanentmolars
AT umranafaizuddin coronalpulpotomytechniqueanalysisasanalternativetopulpectomyforpreservingthetoothvitalityinthecontextoftissueregenerationacorrelatedclinicalstudyacross4adultpermanentmolars
AT parupallikarunakar coronalpulpotomytechniqueanalysisasanalternativetopulpectomyforpreservingthetoothvitalityinthecontextoftissueregenerationacorrelatedclinicalstudyacross4adultpermanentmolars
AT grandhaladeepthisarvani coronalpulpotomytechniqueanalysisasanalternativetopulpectomyforpreservingthetoothvitalityinthecontextoftissueregenerationacorrelatedclinicalstudyacross4adultpermanentmolars
AT sevvanasreesoumya coronalpulpotomytechniqueanalysisasanalternativetopulpectomyforpreservingthetoothvitalityinthecontextoftissueregenerationacorrelatedclinicalstudyacross4adultpermanentmolars