[Home ] [Archive]    
:: Main :: About :: Current Issue :: Archive :: Search :: Submit ::
:: Volume 25, Issue 4 (10-2013) ::
J Islam Dent Assoc Iran 2013, 25(4): 260-265 Back to browse issues page
A 30-Month Follow-Up of Stepwise Excavation without Re-entry with Three Different Biomaterials: A Case Report
Sepideh Banava 1, Mohammad Safaie Yazdi2, Mahmood Safaie Yazdi3
1- Assistant Professor, Department of Restorative Dentistry, School of Dentistry, Islamic Azad University, Dental Branch, Tehran, Iran , sbanava@yahoo.com
2- Dentist
3- Endodontist
Abstract:   (13331 Views)

  Background and Aim: Restoration of deepdental caries without pulp exposure is usually challenging for dentists. In order to prevent pulp exposure and subsequent root canal therapy (RCT), indirect pulp capping is usually performed. Stepwise excavation (SE) is a conservative method that canreduce the incidence of pulp exposure and maintain tooth vitality without the need for RCT. Considering the high prevalence of dental caries among the Iranian population, knowledge about this treatment modality canbe beneficial for dentists .

  Case report : A 23 year-old patient with three deep carious lesions presented toour dental clinic. The teeth had normal responses to thermal tests and percussion. Due tothehighrisk ofpulp exposure following conventional complete excavation of caries, stepwise excavation treatment was done. Three different lining materials (calcium hydroxide, MTA, CEM cement) were used to cover the remaining caries. The teeth were restored using posterior restorative glass ionomer (Fuji9, GC, USA). The teeth were followed weekly inthe first month and then every six months up to 30 months clinically and radiographically. At30-month follow-up, the teethdid not show any sensitivity to cold or percussion,had no spontaneous nocturnal painor irreversible pulpitis symptoms and did not need RCT these signs were all indicative of asuccessful treatment .

 

Keywords: Stepwise excavation, liner, MTA, calcium hydroxide, CEM cement, pulp exposure, caries removal
Full-Text [PDF 383 kb]   (1758 Downloads)    
Type of Study: Case Report | Subject: Restorative Dentistry
References
1. Roberson TM, Heyman H, Swift EM, Sturde-vant CM. Sturdevant’s art & science of opera-tive dentistry. 5th ed. USA: Mosby; 2006, 67-114.
2. Schwartz R, Summitt J, Robbins JW, Santos J. Fundamentals of operative dentistry, 3rd ed. USA: Quintessence; 2001,81-86.
3. Kidd EA. How ‘Clean’ must a cavity be before res-toration? Caries Res. 2004 May-Jun;38(3):305-13.
4. Ricketts DN, Kidd EA, Innes N, Clarkson J. Complete or ultraconservative removal of de-cayed tissue in unfilled teeth. Cochrane Data-base Syst Rev. 2006 Jul 19;(3):CD003808.
5. Biorndal L, Larsen T. Changes in cultivable flo-ra in deep carious lesions following a stepwise excavation procedure. Caries Res. 2000 Nov-Dec; 34(6):502-8.
6. Leksell E, Ridell K, Cvek M, Mejare I. Pulp ex-posure after stepwise versus direct complete excavation of deep carious lesions in young posterior permanent teeth. Endod Dent Trau-matol. 1996 Aug;12(4):192-19.
7. Maltz M, Olivera EF, Fontanella V, Carminatti G. Deep caries lesions after incomplete dentine caries removal: 40-Month follow-up study. Car-ies Res. 2007; 41(6):493-6.
8. Olivera EF, Carminatti G, Fontanella V, Maltz M. The monitoring of deep caries lesions after incomplete dentine caries removal: results after 14-18 month. Clin Oral Investig. 2006 Jun;10(2):134-9.
9. Bjørndal L, Larsen T, Thylstrup A. A clinical and microbiological study of deep carious le-sions during stepwise excavation using long treatment intervals. Caries Res. 1997;31(6):411-7.
10. Maltz M, Oliveira EF, Fontanella V, Bianchi R. A clinical, microbiologic, and radiographic study of deep caries lesions after incomplete caries removal. Quintessence Int. 2002 Feb;33(2):151-9.
11. Ricketts DN, Pitts NB. Novel operative treat-ment options. Monogr Oral Sci. 2009;21:174-87.
12. Ricketts D. Management of the deep carious lesion and the vital pulp dentine complex. Br Dent J. 2001 Dec 8; 191(11):606-10.
13. Banava S. [Stepwise Excavation: A conserva-tive community-based dental. Treatment of deep caries to inhibit pulpal exposure.] Iranian J Publ Health. 2011 Fall; 40(3):140. (Persian)
14. Hayashi M, Fujitani M, Yamaki C, Momoi Y. Ways of enhancing pulp preservation by stepwiseexcavation-A systematic review. J Dent. 2011 Feb; 39(2):95-107.
15. Bjørndal L, Reit C, Bruun G, Markvart M, Kjældgaard M, Näsman P, et al. Treatment of deep caries lesions in adults: randomized clini-cal trials comparing stepwise vs. direct complete excavation, and direct pulp capping vs. partial pulpotomy. Eur J Oral Sci. 2010 Jun;118(3):290-7.
16. Maltz M, Garcia R, Jardim JJ, de Paula LM, Yamaguti PM, Moura MS, et al. Random-ized trial of partial vs. stepwise caries removal: 3-year Follow-up. J Dent Res. 2012 Nov;91(11):1026-31.
17. Heitmann T, Unterbrink G. Direct pulp cap-ping with a dentinal adhesive resin system: A pilot study. Quintessence Int. 1995 Nov;26(11):765-70.
18. Witherspoon DE, Small JC, Harris GZ. Mineral trioxide aggregate pulpotomies: A case series Outcome assessment. J Am Dent Assoc. 2006 May;137(5):610-8.
19. Parirokh M, Torabinejad M. Mineral Trioxide Aggregate: A Comprehensive literature review-part I: Chemical, physical, and antibacterial properties. J Endod. 2010 Jan;36(1):16-27.
20. Asgari S, Shahabi S, Jafarzadeh T, Amini S, Kheirieh S. [The properties of a new endodontic ma-terial.] J Endod. 2008 Aug; 34(8):990-3. (Persian)
21. Asgari S, Eghbal MJ, Parirokh M, Ghoddusi J, Kheirieh S, Brink F. [Comparison of mineral trioxide. aggregate’s composition with portland cements and a new endodontic cement.] J En-dod. 2009 Feb;35(2): 243-50. (Persian)
22. Banava S, Heshmat H. [Dental Cements: Where, how, when? 1st ed.] Iran: Mir; 2011, 131-8. (Persian)
23. Bjørndal L. Indirect pulp therapy and stepwise excavation. J Endod. 2008 Jul;34(7 Suppl):S29-33.
24. Belobrov I, Parashos P. Treatment of tooth discoloration after the use of white mineral tri-oxide aggregate. J Endod. 2011 Jul; 37(7):1017-20.
25. Banava S, Fattah M, Kharazi Fard MJ, Sa-faie T, Askarzadeh S, Safaie Yazdi M, etal. [Clinical comparison of dental caries by DMFT and ICDAS systems.] Islamic Dent Ass of IRAN. (JIDA) 2012 Summer; 24(2):176-83. (Persian)
26. Monari V, Oliveira Lima Y, Rodrigues JA. Avoiding pulp exposure in deep caries lesions: Stepwise excavation technique. RGO Rev Gaucha Odontol Porto Alegre. 2011, 59;(4):633-38.
27. Banava S, Janfeshan Z, Saghiri M. [Invitro comparison of primary setting time and surface porosity in two brands of MTA.] The J Islamic Dent Ass IRAN (JIDA). 2012 Winter; 24(4):271-276. (Persian)
28. GC company. EQUIA brochure. 2013. Available: http://www. gcamerica.com/products/ operatory/ equia/ GCA_EQUIA_Brochure.pdf,March08, 2013.
29. Banava S, Inanloo H, Ahoran M. [Antibacte-rial effect of new posterior glass ionomer ce-ment (EQUIA System), resin modified glass ionomer, composite resin, and amalgam on streptococcus mutans and lactobacillus acidoph-ilus in different times.] [Thesis]. Tehran: Azad Dental Faculty, Azad University; 2012. (Per-sian)
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA


XML     Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Banava S, Safaie Yazdi M, Safaie Yazdi M. A 30-Month Follow-Up of Stepwise Excavation without Re-entry with Three Different Biomaterials: A Case Report. J Islam Dent Assoc Iran. 2013; 25 (4) :260-265
URL: http://jidai.ir/article-1-1511-en.html


Volume 25, Issue 4 (10-2013) Back to browse issues page
Journal of Islamic Dental Association of Iran

AWT IMAGE

This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly

Persian site map - English site map - Created in 0.05 seconds with 32 queries by YEKTAWEB 3925