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KMID : 1146620190080010035
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Journal of Korean Academy of Advanced General Dentistry
2019 Volume.8 No. 1 p.35 ~ p.42
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Minimally Invasive Caries Treatment of Mandibular Canine’s Inaccessible Class III Cavity Through Anterior Alignment Using Mini-Tube Appliance and Direct Pulp Capping: Case Report
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Chung Ja-Sil
Chung Hoi-Wung
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Abstract
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Deep caries treatment requires more and more considerations as modern dentistry has evolved to “minimally invasive” approach in which focus is on maximum conservation of healthy, natural tooth structure and preservation of tooth vitality. Deep caries, those with a lesion that reaches close to the pulp space on the radiograph, can be treated with either crown incorporated with endodontic treatment or direct restoration preserving pulp vitality as much as possible. In this case report, to approach deep caries with the minimally invasive concept, inaccessible class Ⅲ cavity of lower left canine was treated with direct pulp capping and direct restoration after regaining the interdental space through a mini-tube appliance (orthodontic MTA). In addition, the aims of this report are to discuss the efficacy of direct pulp capping (DPC) in vital permanent teeth with cariously exposed pulp and a better way to excavate deep caries to decrease the risk of pulp exposure.
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KEYWORD
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Direct pulp capping, Calcium hydroxide, Orthodontic MTA
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