Main Article Content
Abstract
RÉSUMÉ
Lors d’une lésion carieuse profonde, induisant une inflammation pulpaire irréversible, la thérapeutique indiquée est la biopulpotomie ou l’apexification, si nécrose pulpaire sur une dent permanente immature. Soucieux de préserver l’intégrité pulpaire, cette étude s’est proposée d’observer l’efficacité des ciments tricalciques en coiffage indirect, chez un patient de 15 ans dont la 47 présentait une inflammation pulpaire irréversible. Un coiffage indirect avec un ciment tricalcique, puis une restauration définitive au composite a été réalisé. Trois mois plus tard, nous observions un silence clinique total. Ainsi, le coiffage indirect est une option thérapeutique, à condition d’utiliser un ciment tricalcique sur une dent immature.
ABSTRACT
In the case of a deep carious lesion leading to irreversible pulpal inflammation, the indicated treatment is biopulpotomy or apexification, if pulpal necrosis occurs on an immature permanent tooth. To safeguard pulpal integrity, this study set out to observe the efficacy of indirect capping with tricalcium cement in a 15-year-old patient with irreversible pulpal inflammation on 47. Indirect capping with tricalcium cement was carried out, followed by a definitive composite restoration. Three months later, we observed complete clinical silence. Indirect capping is therefore a therapeutic option, provided that tricalcium cement is used on an immature tooth.
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References
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- Ricucci D, Loghin S, Siqueira JF. Correlation between clinical and histologic pulp diagnoses. Journal of endodontics-Elsevier. 2014; 40(12): 1932-9.
References
Fejerskov O, Kidd E, Nyvad B, Baelum V. Dental Caries : The Disease and its clinical management. 2nd Edition. Blackwell Munksgaad Ltd: Oxford, 2008; 19-48.
Petersen PE. The world oral health report-Continuous improvement of oral health in the 21st century- The approach of the World Health Organization global oral health program. Community dentistry and oral epidemiology. 2003; 31, 3-24.
Petersen PE, Bourgeois D, Ogawa H, Estupinan-Day S, Ndiaye C.The global burden of oral diseases and risks to oral health. Bulletin of the World Health Organization. 30 Sept 2005; 83(9): 661-669.
World Health Organization/Oral health country/ Area profile program. 2023 Dec 11. Available from: http: //www.mahse/Capp.
Lupi-Péguria L, Bourgeois D, Muller-Bolla M. Épidémiologie de la carie. 23 Dec 2016 ; 28-155-C-10.
Manière-Ezvan A. Dents permanentes immatures : Quelle décision thérapeutique ? Réalités cliniques. 15 Dec 2012 ; Vol 23, no 4.
Bjordal. Ped. Dent. 2008 ; 30(3) : 225-29.
Semennikova K, Pradelle-Plasse N, Colon P. Les ciments tricalciques. BMC (Biomatériaux cliniques), l’information dentaire no 2. 15 Octobre 2018 (page 10-19).
Ngo H C, Opsahl-Vital S. Intervention minimale en cariologie. La place des ciments verre ionomère. Réalités cliniques. 2012 ; Vol 23, no3 : pp. 235-242.
Momoi Y, Hayashi M, Fujitani M, Fukushima M. et al. Clinical guidelines for treating caries in adults following a minimal intervention policy, evidence and consensus base report. Journal of Dentistry (JD)- Elsevier. 2012; 40: 95-105.
Alleman DS, Magen P. A systematic approach to deep caries removal end points: the peripheral seal concept in adhesive dentistry. Quintessence International, 2012; 43: 197-208.
Kuoch P, Bonte E. Endoperiodontal lesions and Chicago’s new classification of periodontal and peri-implant diseases and conditions. J. Contemp. Dent. Pract. 2020; 21(7): 798-802.
Ricucci D, Loghin S, Siqueira JF. Correlation between clinical and histologic pulp diagnoses. Journal of endodontics-Elsevier. 2014; 40(12): 1932-9.