Abstract
The current study presents a 17-year clinical report of stepwise excavation and indirect pulp capping in a lower right first molar, with great dentin destruction and a lack of dentin support of the cusps. At the first appointment, indirect pulp capping with calcium hydroxide and a temporary filling with zinc oxide cement were performed to minimize the risk of pulp exposure during excavation. After 45 days, the remaining carious tissue was removed and a restoration with glass-ionomer lining (Vitrebond) and resin composite (P-50) was performed. Satisfactory morphology and function of the restoration and pulp vitality were preserved for 17 years, thus indicating that stepwise excavation can be a good treatment alternative in selected cases.
Original language | English |
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Journal | Operative Dentistry |
Volume | 35 |
Issue number | 4 |
Pages (from-to) | 482-6 |
Number of pages | 5 |
ISSN | 0361-7734 |
DOIs | |
Publication status | Published - Jul 2010 |
Keywords
- Bisphenol A-Glycidyl Methacrylate
- Calcium Hydroxide
- Dental Caries
- Dental Cavity Lining
- Dental Cavity Preparation
- Dental Cements
- Dental Pulp Capping
- Dental Pulp Exposure
- Dental Restoration, Permanent
- Dental Restoration, Temporary
- Dentin
- Female
- Follow-Up Studies
- Glass Ionomer Cements
- Humans
- Molar
- Treatment Outcome
- Young Adult
- Zinc Oxide