الملخص
يعد التهاب اللب إصابة غير ردودة السبب الأكثر شيوعًا للمعالجة اللبية للأسنان الدائمة ، وهي خيار علاجي محافظ غير اجتياحي مقارنةً بالقلع .
تندر الدراسات فيما يتعلق بتدبير الأسنان الدائمة مكتملة الذروة المصابة بالتهاب لب باستخدام تقنيات المحافظة على حيوية اللب مثل بتر اللب . ومع ذلك ، فإن بتر اللب التاجي باستخدام المواد الحيوية الجديدة المعتمدة على سيليكات الكالسيوم يمكن أن يساهم في الحفاظ على حيوية اللب ويعزز الشفاء كما يعد اجراءً أقل اجتياحاً مقارنة بعلاج قناة الجذر. تم معالجة رحى أولى سفلية مصابة بالتهاب لب غير ردود لمريض يبلغ من العمر12 عامًا ببتر لب تاجي كامل باستخدام مادة ال Biodentine ثم تم ترميم السن بالكومبوزت تم إجراء الفحوصات السريرية والشعاعية في ستة واثني عشر شهراً . لم يبد المريض أية أعراض سريرية وكان السن خالياً من أية علامات سريرية أوشعاعية للالتهاب والانتان .
المراجع
1. Abarajithan, M., N. Velmurugan and D. Kandaswamy (2010). "Management of recently traumatized maxillary central incisors by partial pulpotomy using MTA: Case reports with two-year follow-up." Journal of conservative dentistry: JCD 13(2): 110.
2. Aguilar, P. and P. Linsuwanont (2011). "Vital pulp therapy in vital permanent teeth with cariously exposed pulp: a systematic review." Journal of endodontics 37(5): 581-587.
3. Akhlaghi, N. and A. Khademi (2015). "Outcomes of vital pulp therapy in permanent teeth with different medicaments based on review of the literature." Dental research journal 12(5): 406.
4. Asgary, S. and M. Eghbal (2010). "A clinical trial of pulpotomy vs. root canal therapy of mature molars." Journal of dental research 89(10): 1080-1085.
5. Asgary, S. and S. Ehsani (2009). "Permanent molar pulpotomy with a new endodontic cement: A case series." Journal of Conservative Dentistry 12(1): 31.
6. . Asgary, S., M. Fazlyab, S. Sabbagh and M. J. Eghbal (2014). "Outcomes of different vital pulp
therapy techniques on symptomatic permanent teeth: a case series." Iran Endod J 9(4)
7 Bender, I. (2000). "Pulpal pain diagnosis—a review." Journal of endodontics 26(3): 175-179.
8 Bjørndal, L. (2008). "The caries process and its effect on the pulp: the science is changing and so is our understanding." Journal of endodontics 34(7): S2-S5 .
9 Brizuela, C., A. Ormeño, C. Cabrera, R. Cabezas, C. I. Silva, V. Ramírez and M. Mercade (2017). "Direct Pulp Capping with Calcium Hydroxide, Mineral Trioxide Aggregate, and Biodentine in Permanent Young Teeth with Caries: A Randomized Clinical Trial." J Endod 43(11): 1776-1780
10 Chailertvanitkul, P., J. Paphangkorakit, N. Sooksantisakoonchai, N. Pumas, W. Pairojamornyoot, N. Leela-Apiradee and P. V. Abbott (2014). "Randomized control trial comparing calcium hydroxide and mineral trioxide aggregate for partial pulpotomies in cariously exposed pulps of permanent molars." Int Endod J 47(9): 835-842 .
11 Dammaschke, T., A. Nowicka, M. Lipski and D. Ricucci (2019). "Histological evaluation of hard tissue formation after direct pulp capping with a fast-setting mineral trioxide aggregate (RetroMTA) in humans." Clinical oral investigations 23(12): 4289-4299.
12 Dummer, P., R. Hicks and D. Huws (1980). "Clinical signs and symptoms in pulp disease." International Endodontic Journal 13(1): 27-35 .
13 Galler, K. M., W. Buchalla, K.-A. Hiller, M. Federlin, A. Eidt, M. Schiefersteiner and G.
Schmalz (2015). "Influence of root canal disinfectants on growth factor release from dentin.Journal of endodontics 41(3): 363-368.
14 Giuliani, V., M. Nieri, R. Pace and G. Pagavino (2010). "Effects of pH on surface hardness and microstructure of mineral trioxide aggregate and Aureoseal: an in vitro study." J Endod 36(11):
1883-1886.
15 Han, L. and T. Okiji (2011). "Uptake of calcium and silicon released from calcium silicate-based endodontic materials into root canal dentine." Int Endod J 44(12): 1081-1087.
16 Han, L. and T. Okiji (2013). "Bioactivity evaluation of three calcium silicate‐based endodontic materials." International endodontic journal 46(9): 808-814.
17 Hench, L. L. (1991). "Bioceramics: from concept to clinic." Journal of the american ceramic society 74(7): 1487-1510.
18 Hørsted, P., B. Søndergaard, A. Thylstrup, K. El Attar and O. Fejerskov (1985). "A retrospective study of direct pulp capping with calcium hydroxide compounds." Dental Traumatology 1(1): 29-34.
19 . Koch, K. and D. Brave (2009). "The increased use of bioceramics in endodontics." Dentaltown10: 39
20 Koubi, G., P. Colon, J. C. Franquin, A. Hartmann, G. Richard, M. O. Faure and G. Lambert (2013). "Clinical evaluation of the performance and safety of a new dentine substitute, Biodentine, in the restoration of posterior teeth - a prospective study." Clin Oral Investig 17(1): 243-249.
21 Laurent, P., J. Camps and I. About (2012). "BiodentineTM induces TGF‐β1 release from human pulp cells and early dental pulp mineralization." International endodontic journal 45(5): 439-448.
22 . Loushine, B. A., T. E. Bryan, S. W. Looney, B. M. Gillen, R. J. Loushine, R. N. Weller, D. H. Pashley and F. R. Tay (2011). "Setting properties and cytotoxicity evaluation of a premixed bioceramic root canal sealer." Journal of endodontics 37(5): 673 .677
23 Massler, M. (1978). "Preserving the exposed pulp: a review." The Journal of Pedodontics 2(3): 217-227.
24 Rajasekharan, S., L. C. Martens, R. Cauwels and R. P. Anthonappa (2018). "Biodentine™ material characteristics and clinical applications: a 3 year literature review and update." Eur Arch Paediatr Dent 19(1): 1-22.
25
26 Parirokh, M. and M. Torabinejad (2010). "Mineral trioxide aggregate: a comprehensive literature review—part III: clinical applications, drawbacks, and mechanism of action." Journal of endodontics 36(3): 400-413 .
27 Rajasekharan, S., L. C. Martens, R. Cauwels and R. P. Anthonappa (2018). "Biodentine™material characteristics and clinical applications :a 3 year literature review and update." Eur Arch Paediatr Dent 19(1): 1-22.
28 Ricucci, D., S. Loghin and J. F. Siqueira, Jr. (2014). "Correlation between clinical and histologic pulp diagnoses." J Endod 40(12): 1932-1939 .
29 Schmalz, G. and A. J. Smith" .)2014( Pulp development, repair, and regeneration: challenges of the transition from traditional dentistry to biologically based therapies." J Endod 40(4 Suppl): S25.
30 Simon, S., M. Perard, M. Zanini, A. J. Smith, E. Charpentier, S. X. Djole and P. J. Lumley (2013). "Should pulp chamber pulpotomy be seen as a permanent treatment? Some preliminary thoughts." Int Endod J 46(1): 79-87.
31 Song, M., M. Kang, H. C. Kim and E. Kim (2015). "A randomized controlled study of the use of ProRoot mineral trioxide aggregate and Endocem as direct pulp capping materials." J Endod 41(1): 11-15.
32 Shokouhinejad N, Nekoofar MH, Ashoftehyazdi K, Zahraee S, Khoshkhounejad M. Marginal adaptation of new bioceramic materials and mineral trioxide aggregate: a scanning electron microscopy study. Iran Endod J. 2014 Spring;9(2):144-8. Epub 2014 Mar 8. PMID: 24688585; PMCID: PMC3961837.
33 Simon, S., A. J. Smith, P. J. Lumley, P. R. Cooper and A. Berdal (2012). "The pulp healing process: from generation to regeneration." Endodontic Topics 26 .56 -41 :)1(
34 Taha, N. A. and M. A. Khazali (2017). "Partial Pulpotomy in Mature Permanent Teeth with
Clinical Signs Indicative of Irreversible Pulpitis: A Randomized Clinical Trial." J Endod 43(9)
35 Zanini, M., J. M. Sautier, A. Berdal and S. Simon (2012). "Biodentine induces immortalized murine pulp cell differentiation into odontoblast-like cells and stimulates biomineralization." Journal of endodontics 38(9): 1220-1226
36 Zhang, H., Y. Shen, N. D. Ruse and M. Haapasalo (2009). "Antibacterial activity of endodontic sealers by modified direct contact test against Enterococcus faecalis." Journal of endodontics 35(7): 1051-10.55
2. Aguilar, P. and P. Linsuwanont (2011). "Vital pulp therapy in vital permanent teeth with cariously exposed pulp: a systematic review." Journal of endodontics 37(5): 581-587.
3. Akhlaghi, N. and A. Khademi (2015). "Outcomes of vital pulp therapy in permanent teeth with different medicaments based on review of the literature." Dental research journal 12(5): 406.
4. Asgary, S. and M. Eghbal (2010). "A clinical trial of pulpotomy vs. root canal therapy of mature molars." Journal of dental research 89(10): 1080-1085.
5. Asgary, S. and S. Ehsani (2009). "Permanent molar pulpotomy with a new endodontic cement: A case series." Journal of Conservative Dentistry 12(1): 31.
6. . Asgary, S., M. Fazlyab, S. Sabbagh and M. J. Eghbal (2014). "Outcomes of different vital pulp
therapy techniques on symptomatic permanent teeth: a case series." Iran Endod J 9(4)
7 Bender, I. (2000). "Pulpal pain diagnosis—a review." Journal of endodontics 26(3): 175-179.
8 Bjørndal, L. (2008). "The caries process and its effect on the pulp: the science is changing and so is our understanding." Journal of endodontics 34(7): S2-S5 .
9 Brizuela, C., A. Ormeño, C. Cabrera, R. Cabezas, C. I. Silva, V. Ramírez and M. Mercade (2017). "Direct Pulp Capping with Calcium Hydroxide, Mineral Trioxide Aggregate, and Biodentine in Permanent Young Teeth with Caries: A Randomized Clinical Trial." J Endod 43(11): 1776-1780
10 Chailertvanitkul, P., J. Paphangkorakit, N. Sooksantisakoonchai, N. Pumas, W. Pairojamornyoot, N. Leela-Apiradee and P. V. Abbott (2014). "Randomized control trial comparing calcium hydroxide and mineral trioxide aggregate for partial pulpotomies in cariously exposed pulps of permanent molars." Int Endod J 47(9): 835-842 .
11 Dammaschke, T., A. Nowicka, M. Lipski and D. Ricucci (2019). "Histological evaluation of hard tissue formation after direct pulp capping with a fast-setting mineral trioxide aggregate (RetroMTA) in humans." Clinical oral investigations 23(12): 4289-4299.
12 Dummer, P., R. Hicks and D. Huws (1980). "Clinical signs and symptoms in pulp disease." International Endodontic Journal 13(1): 27-35 .
13 Galler, K. M., W. Buchalla, K.-A. Hiller, M. Federlin, A. Eidt, M. Schiefersteiner and G.
Schmalz (2015). "Influence of root canal disinfectants on growth factor release from dentin.Journal of endodontics 41(3): 363-368.
14 Giuliani, V., M. Nieri, R. Pace and G. Pagavino (2010). "Effects of pH on surface hardness and microstructure of mineral trioxide aggregate and Aureoseal: an in vitro study." J Endod 36(11):
1883-1886.
15 Han, L. and T. Okiji (2011). "Uptake of calcium and silicon released from calcium silicate-based endodontic materials into root canal dentine." Int Endod J 44(12): 1081-1087.
16 Han, L. and T. Okiji (2013). "Bioactivity evaluation of three calcium silicate‐based endodontic materials." International endodontic journal 46(9): 808-814.
17 Hench, L. L. (1991). "Bioceramics: from concept to clinic." Journal of the american ceramic society 74(7): 1487-1510.
18 Hørsted, P., B. Søndergaard, A. Thylstrup, K. El Attar and O. Fejerskov (1985). "A retrospective study of direct pulp capping with calcium hydroxide compounds." Dental Traumatology 1(1): 29-34.
19 . Koch, K. and D. Brave (2009). "The increased use of bioceramics in endodontics." Dentaltown10: 39
20 Koubi, G., P. Colon, J. C. Franquin, A. Hartmann, G. Richard, M. O. Faure and G. Lambert (2013). "Clinical evaluation of the performance and safety of a new dentine substitute, Biodentine, in the restoration of posterior teeth - a prospective study." Clin Oral Investig 17(1): 243-249.
21 Laurent, P., J. Camps and I. About (2012). "BiodentineTM induces TGF‐β1 release from human pulp cells and early dental pulp mineralization." International endodontic journal 45(5): 439-448.
22 . Loushine, B. A., T. E. Bryan, S. W. Looney, B. M. Gillen, R. J. Loushine, R. N. Weller, D. H. Pashley and F. R. Tay (2011). "Setting properties and cytotoxicity evaluation of a premixed bioceramic root canal sealer." Journal of endodontics 37(5): 673 .677
23 Massler, M. (1978). "Preserving the exposed pulp: a review." The Journal of Pedodontics 2(3): 217-227.
24 Rajasekharan, S., L. C. Martens, R. Cauwels and R. P. Anthonappa (2018). "Biodentine™ material characteristics and clinical applications: a 3 year literature review and update." Eur Arch Paediatr Dent 19(1): 1-22.
25
26 Parirokh, M. and M. Torabinejad (2010). "Mineral trioxide aggregate: a comprehensive literature review—part III: clinical applications, drawbacks, and mechanism of action." Journal of endodontics 36(3): 400-413 .
27 Rajasekharan, S., L. C. Martens, R. Cauwels and R. P. Anthonappa (2018). "Biodentine™material characteristics and clinical applications :a 3 year literature review and update." Eur Arch Paediatr Dent 19(1): 1-22.
28 Ricucci, D., S. Loghin and J. F. Siqueira, Jr. (2014). "Correlation between clinical and histologic pulp diagnoses." J Endod 40(12): 1932-1939 .
29 Schmalz, G. and A. J. Smith" .)2014( Pulp development, repair, and regeneration: challenges of the transition from traditional dentistry to biologically based therapies." J Endod 40(4 Suppl): S25.
30 Simon, S., M. Perard, M. Zanini, A. J. Smith, E. Charpentier, S. X. Djole and P. J. Lumley (2013). "Should pulp chamber pulpotomy be seen as a permanent treatment? Some preliminary thoughts." Int Endod J 46(1): 79-87.
31 Song, M., M. Kang, H. C. Kim and E. Kim (2015). "A randomized controlled study of the use of ProRoot mineral trioxide aggregate and Endocem as direct pulp capping materials." J Endod 41(1): 11-15.
32 Shokouhinejad N, Nekoofar MH, Ashoftehyazdi K, Zahraee S, Khoshkhounejad M. Marginal adaptation of new bioceramic materials and mineral trioxide aggregate: a scanning electron microscopy study. Iran Endod J. 2014 Spring;9(2):144-8. Epub 2014 Mar 8. PMID: 24688585; PMCID: PMC3961837.
33 Simon, S., A. J. Smith, P. J. Lumley, P. R. Cooper and A. Berdal (2012). "The pulp healing process: from generation to regeneration." Endodontic Topics 26 .56 -41 :)1(
34 Taha, N. A. and M. A. Khazali (2017). "Partial Pulpotomy in Mature Permanent Teeth with
Clinical Signs Indicative of Irreversible Pulpitis: A Randomized Clinical Trial." J Endod 43(9)
35 Zanini, M., J. M. Sautier, A. Berdal and S. Simon (2012). "Biodentine induces immortalized murine pulp cell differentiation into odontoblast-like cells and stimulates biomineralization." Journal of endodontics 38(9): 1220-1226
36 Zhang, H., Y. Shen, N. D. Ruse and M. Haapasalo (2009). "Antibacterial activity of endodontic sealers by modified direct contact test against Enterococcus faecalis." Journal of endodontics 35(7): 1051-10.55