PDF(Pubmed)
Abstract：
The current case study evaluated the effect of vital pulp therapy on a human dental pulp after a long-term period using micro-computed tomography (MCT) for the first time. In the presented report, the successful outcomes of full pulpotomy using calcium-enriched mixture (CEM) cement on an irreversible pulpitis case were documented clinically/radiographically over 5 years. Due to an unrestorable crown fracture at the 5-year recall, the tooth was extracted and evaluated by MCT; the images showed that CEM pulpotomy allowed the dental pulp to create complete dentinal bridges without pulp canal obliteration (PCO). These MCT results showed that CEM pulpotomy, as a bio-regenerative treatment, caused no negative consequence of PCO or calcific metamorphosis on dental pulp over the long term.
摘要：
当前的案例研究首次使用微型计算机断层扫描（MCT）评估了长期牙髓治疗对人体牙髓的影响。在提交的报告中，在临床/影像学上记录了使用富钙混合物(CEM)骨水泥对不可逆牙髓炎病例进行全牙髓切除术的成功结局超过5年.由于5年召回时无法恢复的冠部骨折，拔除牙齿并通过MCT进行评估;图像显示，CEM牙髓切除术使牙髓能够形成完整的牙本质桥，而没有牙髓管闭塞（PCO）。这些MCT结果显示CEM牙髓切除术，作为一种生物再生疗法，长期不会对牙髓造成PCO或钙化变质的负面影响。
