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Periapical healing after direct pulp capping with calcium-enriched mixture cement: a case report
S Asgary1, A Nosrat, N Homayounfar
1Iranian Center for Endodontic Research, Dental Research Center, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran. ansrt2@yahoo.com
Operative Dentistry
|May 24, 2012
Summary
Direct pulp capping using calcium-enriched mixture (CEM) cement successfully treated a symptomatic irreversible pulpitis and apical periodontitis in a young patient. The treated molar remained functional with complete radiographic healing at 15 months.
Area of Science:
- Dentistry
- Endodontics
- Pediatric Dentistry
Background:
- Direct pulp capping is a dental procedure to preserve pulp vitality.
- Symptomatic irreversible pulpitis and apical periodontitis require effective treatment strategies.
- Calcium-enriched mixture (CEM) cement is a biomaterial used in pulp capping.
Observation:
- A 14-year-old girl presented with a symptomatic mature mandibular second molar.
- Clinical findings included extensive caries, percussion sensitivity, and radiographic signs of apical periodontitis.
- Diagnosis was symptomatic irreversible pulpitis with symptomatic apical periodontitis.
Findings:
- Direct pulp capping with CEM cement was performed after caries removal.
- The treated tooth showed no sensitivity to percussion and a normal response to cold testing post-treatment.
- Radiographic follow-up at 3, 10, and 15 months demonstrated healing of the periapical lesion and normalization of the periodontal ligament space.
Implications:
- Direct pulp capping with CEM cement can be a successful treatment for mature teeth with irreversible pulpitis and apical periodontitis.
- This conservative approach preserves tooth vitality and function.
- CEM cement demonstrates favorable outcomes in promoting periapical healing and maintaining periodontal health.
