Mineral trioxide aggregate pulpotomy: An ideal treatment option for management of talon cusp.

Mineral trioxide aggregate pulpotomy: An ideal treatment option for management of talon cusp.
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DOI:
10.4103/0976-237x.107453
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发表时间:
2012-10
影响因子:
1.2
通讯作者:
Shah N
Shah N
中科院分区:
其他
文献类型:
--
作者:
Kumar V;Chawla A;Logani A;Shah N

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目的探讨三氧化矿物质复合物(MTA)预防性治疗爪尖畸形的临床效果。爪尖是根管治疗中的一个疑难问题,尤其是当它引起美观和功能问题时,临床医生对其治疗具有挑战性。治疗范围从定期逐渐减少到彻底清除,然后进行活髓/牙髓治疗。MTA具有优良的上级性能,已取代氢氧化钙作为盖髓材料。一名12岁男孩报告了牙齿不规则的投诉。临床及影像学检查显示上颌左中切牙有爪尖。根治性切除爪尖和MTA活髓切断术。随访4年,牙髓活力试验阳性,影像学无明显改变,强调MTA活髓切断术在爪尖治疗中的应用。
To use mineral trioxide aggregate (MTA) in prophylactic management of talon cusp. Talon cusp is an endodontic oddity that possesses a treatment challenge to the clinician, especially when it causes esthetic and functional problems. Management ranges from periodic gradual reduction to radical removal followed by vital pulp/endodontic therapy. MTA has replaced calcium hydroxide as pulp capping material because of its superior properties. A 12-year-old boy reported with a complaint of irregular teeth. Clinical and radiographic examination revealed talon cusp on maxillary left central incisor. Radical removal of talon cusp and MTA pulpotomy was performed. The 4-year follow-up showed the positive pulp vitality test without any radiographic changes, emphasizing the use of MTA pulpotomy in successful management of talon cusp.