Vital pulp extirpation in the treatment of pulp inflammation

Abstract

Scientific adviser: Lidia Eni, MD, Associate Professor, Sofia Sirbu Department of Dentistry, Periodontology and Oral Pathology, Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova. Introduction. Inflammatory reactions in the dental pulp occur when pathogenic microorganisms in the decayed dentin reach the dental pulp. The invasion of microorganisms triggers pulp inflammation, which can vary in pain, extent and intensity. Vital pulp extirpation carried out under local anesthesia is performed in one visit and entails the complete removal of the coronal and radicular pulp after desensitizing it with anesthetic substances. Aim of study. To determine the effectiveness of the endodontic treatment of the dental pulp by the method of vital pulp extirpation. Methods and materials. 10 patients aged 35-45 years, with signs and symptoms of acute pulpitis were examined clinically and paraclinically. In association with the complex clinical examination, the method of vital pulp extirpation was applied under anesthesia in a single visit, which is an effective and qualitative method of treatment. Results. The study revealed the benefits of the dental pulp treatment in a single visit under anesthesia, vital pulp extirpation being used for endodontic treatment of pulp inflammation. Conclusion. Pulp treatment in one visit, using the surgical method of vital pulp extirpation under local anesthesia is an effective and qualitative complex therapeutic solution of endodontic treatment and restoration of the morpho-functional integrity of the tooth on the dental arch for a long time. The treatment is widely accessible and applicable among patients. Keywords: Acute pulpitis, endodontic system, dental crown lesion.