Alternative with bioactive material in primary molar pulpotomy

Abstract

Introduction: In cases of deep carious lesions with reversible pulpitis, pulpotomy is the treatment of choice in order to maintain the function and vitality of the remaining root pulp. The ideal characteristics of the material for pulpotomy include having bactericidal properties, being biocompatible, promoting healing of the root pulp, helping the regeneration of the dentin-pulp complex, and not interfering with the physiological processes of root resorption. Tricalcium silicate is one of the pulp regeneration materials for pulpotomy, with biocompatible properties of induction of reparative dentin development, maintenance of vitality and function of the pulp tissue. Objective: To present the treatment alternative with tricalcium silicate bioactive material in primary second molar pulpotomy with reversible pulpitis. Case presentation: A 5-year-old female patient who came to the clinic because she presented pain to stimuli in the lower left primary second molar. Intraoral examination revealed 75 with an occlusal-mesial-lingual carious lesion, brown, active, with a gray halo and open. Radiographically, a radiolucent area with enamel extension and 2/3 of dentin was observed. The diagnosis was ICDAS 6, reversible pulpitis and healthy periapical tissues of molar 75. As a treatment plan, pulpotomy was performed with bioactive material and chrome steel crown. Clinical and radiographic follow-up was performed at one month and six months asymptomatic and without radiographic lesion. Conclusions: Tricalcium silicate cement is an alternative for pulpotomy in primary dentition.