Stepwise Excavation in a Permanent Molar: 17-year Follow-up

作者:Lima F F; Pascotto R C*; Benetti A R
来源:Operative Dentistry, 2010, 35(4): 482-486.
DOI:10.2341/09-353-S

摘要

The current study presents a 17-year clinical report of stepwise excavation and indirect pulp capping in a lower right first molar, with great dentin destruction and a lack of dentin support of the cusps. At the first appointment, indirect pulp capping with calcium hydroxide and a temporary filling with zinc oxide cement were performed to minimize the risk of pulp exposure during excavation. After 45 days, the remaining carious tissue was removed and a restoration with glass-ionomer lining (Vitrebond) and resin composite (P-50) was performed. Satisfactory morphology and function of the restoration and pulp vitality were preserved for 17 years, thus indicating that stepwise excavation can be a good treatment alternative in selected cases.

  • 出版日期2010-8

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