Original scientific paper
Clinical and histological examination of young permanent teeth after vital amputation of the pulp
Nives Mesić-Par
; School of Dental Medicine, University of Zagreb, Zagreb, Croatia
Ančica Pećma-Hrnčević
; School of Dental Medicine, University of Zagreb, Zagreb, Croatia
Stanko Stipetić
; School of Dental Medicine, University of Zagreb, Zagreb, Croatia
Abstract
Nowadays the vital pulpotomy is applied as the most biological therapy method in the therapy of complicated fractures of young permanent teeth. When vhe process of apexogenesis and apexification is completed, the extirpation of the radicular pulp is recommended, as there are doubts that degenerative and pathological changes might have occurred in the very pulp. The aim of this research was to histologically analyse the pulp of such teeth. To this purpose thirteen samples of human pulp, which were extirpated from clinically healthy teeth, were analysed; these teeth were successfully treated by means of vital amputation. The results showed that within these pulps there were no changes such as inflamed cells, calcification, changes in the number of cells and in the amount of collagen fibres, to a much greater extent than what would
he found in intact teeth or in teeth treated conservatively. From the above we can draw conclusions, as well as use it as guidance in pratical work: in cases of successful therapy of fractured young permanent teet the vital extirpation of the pulp as preventive measure is not justified. Such a tooth has to be watched clinically and radiographically throughout a longer period of time.
Keywords
Complicated fractures; young permanent teeth; vital pulpotomy apexification; histologically analyse of the pulp
Hrčak ID:
101164
URI
Publication date:
15.12.1990.
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