Coronectomy of a lower third molar in combination with vital pulp therapy: a case report
김영빈, Joo Woo-Hee, 민경산,
소속 상세정보
김영빈 ( Kim Young-Bin ) - Jeonbuk National University School of Dentistry Department of Oral and Maxillofacial Surgery
( Joo Woo-Hee ) - Chonbuk National University School of Dentistry Department of Conservative Dentistry
민경산 ( Min Kyung-San ) - Chonbuk National University School of Dentistry Department of Conservative Dentistry
KMID : 1035020140150010039
Abstract
Coronectomy is a procedure that intentionally spares the vital root after removal of the crown of the lower third molar (LTM) to avoid damage to the inferior alveolar nerve (IAN). Vital pulp therapy is one option for managing exposed pulp tissue to reduce the risk of inflammation or necrosis. Mineral trioxide aggregate (MTA) has been widely used for vital pulp therapy. However, MTA may be washed out by irrigation or blood because of its long setting time. Recently, a MTA-derived fast-setting pozzolan cement (Endocem; Maruchi, Wonju, Korea) was introduced for pulp therapy. Thus, this case report discusses a coronectomy procedure in combination with vital pulp therapy using fast-setting cement. This case also highlights the formation of tertiary dentin, evidence of successful vital pulp therapy.
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