Please activate JavaScript!
Please install Adobe Flash Player, click here for download
ePaper created 2017-11-24, 11:00:53 | version 1.38.0
| case report pulp capping Fig. 6 Fig. 7 Fig. 8 Fig. 9 Fig. 10 Fig. 11 reconstruction of the occlusal surface was prepared with the materials formerly used for the reconstruc- tion of the tooth wall (Fig. 11). Posttreatment The posttreatment radiographs of the tooth are shown in Figure 12. The behaviour of the pulp during the procedure gave a main reason to qualify it for the conservative treatment and the observation (for about three months). In comparison with analogical cavities treated with the use of Biodentine, but with- out the use of laser, in the two years’ period of obser- vation (with a particular focus on the lack of any ail- ments and discomfort after the anaesthesia stops), this case allows to expect tooth viability mainte- nance and the standardisation of the peri apical tis- sues image during the X-ray control. Conclusion The use of laser increased control over the clean- ing of the most damaged portions of the dentine in order to prevent further exposure, or in case they occur, reduce the associated risk for the pulp. The application of laser in the preparation of the exposed pulp makes reaching the state of homeo- stasis easier, additionally disinfecting the surface layer of the pulp._ After preparation of the whole cavity, a piece of the temporary filling previously pressed into the chamber was removed by means of endodontic hand tools (Figs. 6 & 7). The pulp behaviour during the entire visit (correct pink colour of the visible fragment of the pulp, small serous effusion without anaerobic infec- tion after the temporary filling removal, small pulp bleeding after removal of the foreign body from the chamber, and spontaneous termination of effusion and bleeding) resulted in, after the patient gave his consent to the treatment plan, an attempt to biolog- ical treatment. Er:YAG laser was applied on the exposed pulp (pa- rameters shown in Figure 4) with the tip hold in 5 mm distance from the pulp in order to “defocus” the beam (to reduce the intensity of radiation). Then, the pulp was covered with Biodentine (Figs. 8–10). After the time necessary for Biodentine to harden, composite contact Pawel Roszkiewicz Dental practice “PLUS” Brzozowa 41 05-080 Laski, Poland Fig. 12 Fig. 6: Pulp exposure after removal of dental dressing. Fig. 7: Removing the material from the chamber. Fig. 8: The cavity is ready for the application of Biodentine on the exposed pulp. Fig. 9: The core of the tooth rebuild with Biodentine. Caries visible on the occlusal surface. Fig. 10: The tooth is ready for the restoration. Fig. 11: Preliminary occlusal adjustment of the restoration. Fig. 12: RTG image after the treatment. 20 roots 4 2017