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[Article Of Journal] 2014 EJD : Coronectomy of a lower third molar in combination with vital pulp theraphy
Coronectomy of a lower third molar in combination with vital pulp theraphy
Young-Bin Kim, Woo-Hee Joo, Kyung-San Min
Coronectomy is a procedure that intentionally spares the vital root after removal of the crown of the lower third molar to avoid damage to the inferial alveolar nerve. Vital pulp therapy is one option for managing exposed pulp tissue to reduce the risk of pulpal inflammation or necrosis. Among various dental materials, mineral trioxide aggregate (MTA) has been successfully used for vital pulp therapy. Thus, this case report discusses a coronectomy procedure in combination with vital pulp therapy using MTA. This case also attempts to highlight the formation of tertiary dentin, evidence of successful vital pulp therapy.
This case indicates that coronectomy in combination with MTA can be a safe and effective method. Furthermore, in some situations, delayed extraction can be performed safely after sufficient root migration