THE PULP TREATMENT OF IMMATURE PERMANENT TEETH USING PARTIAL PULPOTOMY

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Journal of the Korean Academy of Pediatric Dentistry 1999;26(4):616-622.
Published online November 30, 1999.

THE PULP TREATMENT OF IMMATURE PERMANENT TEETH USING PARTIAL PULPOTOMY

Partial pulpotomy를 이용한 미성숙 영구치의 치수 치료 : 증례 보고

노승철, 김용수, 김정욱, 장기택, 한세현

서울대학교 치과대학 소아치과학교실

Abstract

The primary objective of pulp treatment is to maintain the integrity and health of the oral tissues. The most important and difficult aspect of pulp therapy is determining the health of the pulp, or its stage of inflammation, so that a decision can be made regarding the best form of treatment. Immature permanent teeth are good candidates for many pulp healing procedures, due to their rich blood supply, which is believed to enhance the pulp's ability to react successfully to various insults. Healing was considered to have taken place when the tooth fulfilled the following criteria: 1. Abscence of clinical symtoms 2. Radiographic evidence of dentin bridge formation 3. No intrapulpal or periapical pathosis was evident radiographically 4. Continued root development and closure of the apex in immature teeth 5. Normal dentin apposition in mature teeth 6. Positive response to electrical pulp test This presents a report of cases in which immature permanent teeth, pulp-exposed by caries or trauma, was treated successfully by partial pulpotomy.

Key Words: Immature permanent tooth, Partial pulpotomy