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KMID : 1035020140150010039
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Endodontics and Dental Rehabilitation
2014 Volume.15 No. 1 p.39 ~ p.39
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Coronectomy of a lower third molar in combination with vital pulp therapy: a case report
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Kim Young-Bin
Joo Woo-Hee
Min Kyung-San
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Abstract
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Coronectomy is a procedure that intentionally spares the vital root after removal of the crown of the lower third molar (LTM) to avoid damage to the inferior alveolar nerve (IAN). Vital pulp therapy is one option for managing exposed pulp tissue to reduce the risk of inflammation or necrosis. Mineral trioxide aggregate (MTA) has been widely used for vital pulp therapy. However, MTA may be washed out by irrigation or blood because of its long setting time. Recently, a MTA-derived fast-setting pozzolan cement (Endocem; Maruchi, Wonju, Korea) was introduced for pulp therapy. Thus, this case report discusses a coronectomy procedure in combination with vital pulp therapy using fast-setting cement. This case also highlights the formation of tertiary dentin, evidence of successful vital pulp therapy.
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