Vital Pulp Therapy in Mature Permanent Teeth - A Case Report

成熟恆牙之活髓治療－病例報告

謝明君(Ming-Chun Hsieh) ； 蔣孟達(Meng-Ta Chiang) ； 陳穎吾(Ying-Wu Chen) ； 孔令瑜(Ling-Yu Kung) ； 邱國洲(Kuo-Chou Chiu)

《中華民國家庭牙醫學雜誌》 14卷1期 (2019/06) Pp. 31-36

https://doi.org/10.6566/JFD.201906_14(1).0004

摘要

There is a new trend to manage traumatic pulp exposure permanent tooth with a closed apex. Vital pulp therapy is now more popular with the development of new biocompatible dental materials. We reported a case of a 25-year-old female patient with a complicated crown fracture of the maxillary permanent central incisors, which have been treated with vital pulp therapy using Biodentine several hours after traumatic pulp exposure. The teeth were assessed clinically and radiographically during routine follow up. No spontaneous pain was observed; the pulp remained its vitality and no periapical pathosis with five-months followed. Vital pulp therapy using Biodentine could be a treatment option for cases with traumatized permanent teeth combined pulp exposure.

關鍵字

vital pulp therapy ； Biodentine ； complicated crown fracture

並列摘要

近來在根尖已經閉合的成熟恆牙，發生外傷性牙髓暴露的治療有新的趨勢。牙科生物相容材料的發展，使得活髓治療愈受重視。在此報告一位25歲女性，因牙齒外傷前來就診，經診斷為雙側上顎恆門齒複雜性牙冠斷裂。門診使用Biodentine做活髓治療，並安排後續回診追蹤。五個月後，沒有觀察到自發性疼痛，牙髓測試為陽性，且放射學檢查沒有根尖病變。

並列關鍵字

活髓治療 ； 複雜性牙冠斷裂