PULPOTOMÍA CON UN CEMENTO BIOCERÁMICO BIOACTIVO EN UN DIENTE PERMANENTE JOVEN CON TRAUMATISMO DENTAL: REPORTE DE CASO
Objective: To describe the conservative clinical approach to an inmature permanent anterior tooth with traumatic pulp exposure treated total pulpotomy using a mineral-trioxide-aggregate-derived bioceramic cement (Neoputty), in order to maintain pulpal vitality and allow continued root development. C...
| Autores: | , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2025 |
| País: | Perú |
| Institución: | Sociedad Peruana de Odontopediatría |
| Repositorio: | Odontología pediátrica |
| Idioma: | español |
| OAI Identifier: | oai:op.spo.com.pe:article/330 |
| Acceso en línea: | https://op.spo.com.pe/index.php/odontologiapediatrica/article/view/330 |
| Access Level: | acceso abierto |
| Palabra clave: | Tooth injuries pulpotomy biocompatible materials. Lesiones dentales pulpotomía materiales biocompatibles |
| Sumario: | Objective: To describe the conservative clinical approach to an inmature permanent anterior tooth with traumatic pulp exposure treated total pulpotomy using a mineral-trioxide-aggregate-derived bioceramic cement (Neoputty), in order to maintain pulpal vitality and allow continued root development. Case report: A 9-year-9-month-old male patient presented 72 hours after suffering dental trauma. The patient’s mother reported sensitivity to cold and pain during mastication. Intraoral examination revealed a complicated crown fracture with pulp exposure and tenderness to percussion affecting the upper left permanent central incisor (tooth 21). Radiographic assessment revealed the crown fracture with pulpal involvement, periodontal ligament widening and an open apex. A total pulpotomy was performed using a bioactive bioceramic material (NeoPutty), followed by clinical and radiographic follow-ups at 2, 5, and 8 months. The treated tooth remained asymptomatic, exhibited no discoloration, and demonstrated appropriate apical development. Conclusion: Total pulpotomy proved to be an effective conservative treatment option for a young permanent tooth with traumatic pulp exposure, preserving pulpal vitality and promoting physiological apexogenesis. |
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