PARTIAL PULPOTOMY TREATMENT IN YOUNG PERMANENT TEETH

Abstract

ABSTRACT Partial pulpotomy is a treatment method used to reach healthy pulp tissue by removal of the inflamed pulp tissue in 1-3 mm depth from the caries exposed teeth. Pulpal bleeding should be controlled using bactericidal agents, such as sodium hypochlorite or chlorhexidine, and then the pulp tissue should be covered with a biocompatible material, such as MTA. MTA should be placed on the exposed area and the surrounding dentate with a thickness of at least 1.5 mm and resin modified glass ionomer cement should be applied on it. The tooth must be restored permanently. The remaining pulp tissue after partial pulpotomy should be vital and no adverse signs or symptoms, such as swelling, pain, or tenderness, should be observed after treatment. Radiographically, internal or external root resorption, periapical radiolucency, abnormal calcification, or other pathological changes should not be observed, root development in immature teeth should continue, and the apex should be closed.

Keywords

• Pulpotomy
• Permanent tooth
• MTA

GENÇ DAİMİ DİŞLERDE PARSİYEL PULPOTOMİ TEDAVİSİ

Abstract

ÖZ Parsiyel pulpotomi tedavisi, çürükle ekspoze olmuş dişlerde inflame pulpa dokusundan 1-3 mm derinliğinde kaldırılarak sağlıklı pulpa dokusuna ulaşmak için uygulanan bir tedavi yöntemidir. Pulpal kanama sodyum hipoklorit veya klorheksidin gibi bakterisid ajanlar kullanılarak konrol altına alınmalıdır, daha sonra pulpa dokusu MTA gibi biyouyumlu bir materyal ile kapatılmalıdır. MTA ekpoze alana ve çevresindeki dentine en az 1.5 mm kalınlığında yerleştirilmeli ve üzerine rezin modifiye cam iyonomer siman uygulanmalıdır. Diş daimi olarak restore edilmelidir. Parsiyel pulpotomi sonrasında kalan pulpa dokusu vital olmalıdır ve tedavi sonrasında şişlik, ağrı, hassasiyet gibi semptom ve bulgular gözlenmemelidir. Radyografik olarak internal veya eksternal kök rezorpsiyonu, periapikal radyolüsensi, anormal kalsifikasyon veya diğer patolojik değişiklikler gözlenmemelidir ayrıca immatür dişlerde kök gelişimi devam etmeli ve apeks kapanmalıdır.

Keywords

• Pulpotomi
• Daimi diş
• MTA

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