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Super Minimally Invasive Pulp Therapy for Severe Pulpitis: A Report of Two Cases.
Yuki Kojima1, Atsuki Yamaguchi2, Hiroyuki Inoue3
1Anesthesiology, Asahi General Hospital, Asahi, JPN.
Cureus
|August 28, 2023
Summary
Super minimally invasive pulp (SMIP) therapy successfully preserved tooth vitality in two patients with severe pulpitis. This innovative approach may revolutionize dental treatments by avoiding root fractures common in non-vital teeth.
Area of Science:
- Dentistry
- Endodontics
- Regenerative medicine
Background:
- Root fracture is a significant cause of tooth loss, particularly in non-vital teeth treated with pulpectomy.
- Preventive dentistry has reduced tooth loss from caries and periodontal disease, making root fracture a more prominent issue.
Observation:
- Two patients with severe pulpitis underwent Super Minimally Invasive Pulp (SMIP) therapy to maintain tooth vitality.
- Case 1: A 35-year-old male with severe spontaneous pain and cervical caries in tooth #34. Case 2: An 18-year-old female with deep caries and pulp exposure in tooth #46.
Findings:
- SMIP therapy was performed, with tooth #34 restored using glass ionomer cement and tooth #46 treated with mineral trioxide aggregate and composite resin.
- Both treated teeth maintained their vitality at the three-month follow-up.
- This is the first reported use of SMIP therapy for severe pulpitis.
Implications:
- SMIP therapy presents a novel, potentially paradigm-shifting treatment for pulpitis.
- Preserving pulp vitality through SMIP may reduce the incidence of root fractures and subsequent tooth loss.
- Further research into SMIP therapy could offer an alternative to conventional root canal treatments.
