Volume 25, Issue 107, January, 2021

Vital pulp therapy (apexogenesis) of irreversible inflamed pulp (with pulp polyp) in immature permanent molar using calcium hydroxide and iodoform paste (Metapex): A rare Case report

Ahmed O Shami^1♦, Malak O Alsuhaymi², Mohammed A Faqeeh³, Ibrahim Y Fageeh¹, Mohammed S Alamoudi⁴, Ahmad R Alzaylaei⁴

¹Dental Intern, College of Dentistry; Jazan University, Jazan; KSA
²Dental Intern, College of Dentistry; Aljouf University, Skaka city, KSA
³General Dental Practitioner, King Abdul Aziz Medical City Hospital, National Guards Health Affairs, Jeddah, KSA
⁴Dental Intern, Alfaraby Dental School, Jedah, KSA

^♦Corresponding author
Dental Intern, College of Dentistry; Jazan University, Jazan; KSA; Email: A-shami@outlook.sa

ABSTRACT

Introduction: This case report describe the use of calcium hydroxide and iodoform paste in inducing the apex development in Vital Pulp Therapy (apexogenesis) in permanent lower molar having pulp polyp. Methods: Pulpotomy of coronal pulp of immature permanent molar was done and the remaining pulp was capped with calcium hydroxide and iodoform paste (metapex) after achieving the stop of bleeding. Tooth was restored with conventional GIC. Results: Ten months clinical and radiographic follow-up revealed successful preservation of pulpal re-vitality after re-examination of vitality sign of the pulp with continued root development in the treated tooth. Conclusion: Depending on the result of this case report, metapex may be an alternative option for pulpotomy treatment of immature irreversible inflamed permanent molars.

Keywords: Apexification, Calcium hydroxide, immature tooth

Medical Science, 2021, 25(107), 157-162

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