Endodontic treatment of vital pulp tissue.
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Biomedical subjects
Publications and source records attributed to B A Niemiec.
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A two-year-old spayed/female Miniature Pinscher was treated for mobility of the left and right mandibular first molar teeth. Periodontal probing and intraoral dental radiographs indicated severe periodontal attachment loss. It was determined that both teeth had endodontic-periodontal lesions based on restoration of periodontal attachment and partial resolution of radiolucent periapical lesions following treatment which emphasized endodontic therapy.
Subjective owner assessment of the success of vital pulp therapy was performed for complicated crown fracture (n = 9) and crown reduction (n = 54) of canine teeth in dogs and cats. Our results documented that owners are not able to accurately determine the outcome of vital pulp therapy. Objective assessment of vital pulp therapy for teeth receiving crown reduction indicated maintenance of vitality in 28 of 28 (100%) teeth. Subjective and objective assessments of vital pulp therapy performed > 7-days following complicated crown fracture indicated 9 of 9 (100%) teeth were non-vital. A poor prognosis for maintenance of tooth vitality is warranted for vital pulp therapy of complicated crown fractures with prolonged pulp exposure regardless of the age of the patient. Whereas, an excellent prognosis can be provided for vital pulp therapy following crown reduction. Semiannual, postoperative oral and radiographic examinations are recommended for a minimum of 2-years to assess vitality in all teeth receiving vital pulp therapy.
A five-year-old spayed/female Border Collie was presented with a crown-root fracture of the maxillary left fourth premolar. Surgical endodontic, and restorative techniques were performed to maintain the tooth. Re-examination 18-months following therapy indicated a successful outcome with no radiographic signs of periapical pathology.