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Case Studies | Dentistry | Bulgaria | Volume 12 Issue 2, February 2023

Vital Pulp Therapy of Reversible Pulpitis with Chemical - Mechanical Excavation

Janet Kirilova

Abstract: Aim: The present paper aims to investigate direct pulp capping in treating Pulpitis Chronica Ulcerosa Incipiens by removing infected dentin with Brix 3000 (based on the enzyme papain), the treatment of dentin with gaseous ozone, and Biodentin has been applied as a pulp capping agent. Material and Methods: Patient PP (39 years old) was diagnosed with Pulpitis chronica ulcerosa incipient of tooth 45. The infected dentin was removed with Brix 3000[at]consist enzymepapain. The dentin was treated with gaseous ozone application for 24 seconds. Calcium silicate cement was put on the pulp communication. Results: After six months was shown preservation of tooth vitality. Conclusion: Within the follow - up of this clinical case, we found that using preparation based on the papain enzyme was conducive to preserving the vitality of the dental pulp under direct pulp capping. We combined it with the treatment of the dentine wound with gaseous ozone and calcium - silicate cement. Further studies are needed along these lines.

Keywords: regenerative dental medicine, direct pulp capping, ozone therapy, chemico - mechanical excavation, BRIX 3000

Edition: Volume 12 Issue 2, February 2023,

Pages: 81 - 83