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Direct pulp capping of carious immature tooth using bioactive material: A case report
Marouane Ouni1,2, Ines Kallel1,3,4, Nabiha Douki1,3,4
1Department of Dental Medicine, Sahloul Hospital, Sousse, Tunisia.
SAGE Open Medical Case Reports
|April 11, 2022
Summary
Direct pulp capping with Biodentine successfully preserved pulp vitality in an immature molar, promoting dentine bridge formation and continued root development over six months.
Area of Science:
- Dentistry
- Biomaterials Science
- Regenerative Endodontics
Background:
- Managing deep carious lesions in immature teeth while preserving pulp vitality presents a significant clinical challenge.
- Bioactive cements offer a promising approach for treating such cases, particularly in direct pulp capping procedures.
Observation:
- A case report details the management of an extensive carious lesion with pulp exposure on an immature mandibular molar.
- Direct pulp capping was performed using Biodentine, a calcium silicate-based cement.
Findings:
- A 6-month clinical and radiographic follow-up confirmed the tooth's vitality.
- Evidence of dentine bridge formation within the pulp chamber and continuous root development was observed.
- Biodentine demonstrated efficacy in inducing hard tissue formation, protecting the pulp complex.
Implications:
- Biodentine serves as an effective pulp capping material, preserving the biological and functional activities of the pulp.
- This case highlights the potential of bioactive cements in regenerative endodontics for immature teeth.
- The discussion will cover indications, benefits, and drawbacks of various direct pulp capping procedures and biomaterials.
