DRendo - Full (pulp chamber) pulpotomy in a mandibular second molar скачать в хорошем качестве

DRendo - Full (pulp chamber) pulpotomy in a mandibular second molar

Continuing the discussion on Vital Pulp Therapy, I am sharing a video showing the treatment of a mandibular second molar with the diagnosis of irreversible pulpitis. You will see that a full pulpotomy was the treatment of choice in this case, with the surgical procedures brought to the level of the orifices. You will notice that, after removal of the roof, the pulp tissue in the chamber, although partly vital, appeared detached from the pulp chamber walls. I have histological evidence (not published yet) that this clinical feature is associated with severe inflammatory reactions, degenerative changes, and bacterial colonization. The pulpotomy level was brought to the canal orifices, where ideal conditions of the pulp wound were observed. The wounds were capped with a pre-mixed tricalcium silicate cement, and the re-entry after one year showed that the surgical sites had beautifully healed through the deposition of a mineralized tissue, with ideal clinical and radiographic conditions. Viewers are referred to the following publications: Ricucci D, Loghin S, Siqueira JF Jr. Correlation between clinical and histologic pulp diagnoses. J Endod 2014; 40:1932-9. Ricucci D, Loghin S, Lin L, Spångberg LSW, Tay F. Is hard tissue formation in the dental pulp after the death of the primary odontoblasts a regenerative or a reparative process? J Dent 2014; 42:1156-70. Ricucci D, Siqueira JF Jr, Li Y, Tay FR. Vital pulp therapy: histopathology and histobacteriology-based guidelines to treat teeth with deep caries and pulp exposure. J Dent 2019; 86:41-52. Ricucci D, Grande NM, Plotino G, Tay FR. Histologic response of human pulp and periapical tissues to tricalcium silicate-based materials - a series of successfully treated cases. J Endod 2020; 46:307-17. Ricucci D, Siqueira JF Jr, Rôças IN, Lipski M, Shiban A, Tay FR. Pulp and dentine responses to selective caries excavation: A histological and histobacteriological human study. J Dent. 2020 Sep;100:103430. doi: 10.1016/j.jdent.2020.103430.