Preserving pulp vitality. Report of a case.

Abstract

Introduction: Caries affects more than 80% of the world's population and 60%-90% of school children, meaning a great economic impact and quality of life. In the search to improve these aspects and the patient experience, minimal intervention dentistry is established, which reduces invasive dental interventions by around 80%. The treatment of a deep caries lesion focuses on selectively removing the tissue, maintaining the pulp floor tissue with the ability to remineralize and restore, achieving a peripheral seal. This prevents pulp damage and achieves a comfortable treatment for the patient. It is indicated for temporary and permanent teeth that are without pulp involvement. Case report: Male patient, 12 years old, active cavitated caries at 4.6, ICDAS 5, without pulp involvement, high cariogenic risk. It begins with dietary advice and oral hygiene instructions with fluoride paste. Considering the risk, the upcoming orthodontic treatment, and the lack of collaboration, selective removal, restoration with high-density glass ionomer, and therapeutic sealing of pits and fissures were performed. Since 2021, he attended check-ups every 3 months, achieving change in habits and control of the injury. Conclusion: Selective removal turns out to be a good technique for the treatment of deep lesions, it is biocompatible with dental tissue and, above all, patient-friendly. It implies fewer chair hours, which at a public level would mean a great impact considering the lack of dental hours.