Stepwise excavation in a permanent molar: 17-year follow-up

Fernanda Ferruzzi Lima, Renata Corrêa Pascotto, Ana Raquel Benetti

2 Citations (Scopus)

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 languageEnglish
JournalOperative Dentistry
Volume35
Issue number4
Pages (from-to)482-6
Number of pages5
ISSN0361-7734
DOIs
Publication statusPublished - 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

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