title: Stepwise excavation in a permanent molar: 17-year follow-up.
abstract: The current study presents a 17-year clinical report of stepwise excavation and indirect pulp capping in a lower right first molar, with great dentin destruction and a lack of dentin support of the cusps. At the first appointment, indirect pulp capping with calcium hydroxide and a temporary filling with zinc oxide cement were performed to minimize the risk of pulp exposure during excavation. After 45 days, the remaining carious tissue was removed and a restoration with glass-ionomer lining (Vitrebond) and resin composite (P-50) was performed. Satisfactory morphology and function of the restoration and pulp vitality were preserved for 17 years, thus indicating that stepwise excavation can be a good treatment alternative in selected cases.
authors.forename: Fernanda Ferruzzi
authors.initials: FF
authors.lastname: Lima
authors.forename: Renata Corrêa
authors.initials: RC
authors.lastname: Pascotto
authors.forename: Ana Raquel
authors.initials: AR
authors.lastname: Benetti
mesh_terms: D017438:Bisphenol A-Glycidyl Methacrylate / Q000737:chemistry; D002126:Calcium Hydroxide / Q000627:therapeutic use; D003731:Dental Caries / Q000628:therapy*; D003736:Dental Cavity Lining; D003737:Dental Cavity Preparation / Q000379:methods*; D003738:Dental Cements / Q000627:therapeutic use; D003785:Dental Pulp Capping / Q000379:methods; D003789:Dental Pulp Exposure / Q000517:prevention & control; D003793:Dental Restoration, Permanent / Q000379:methods; D003794:Dental Restoration, Temporary / Q000379:methods; D003804:Dentin / Q000473:pathology; D005260:Female; D005500:Follow-Up Studies; D005899:Glass Ionomer Cements / Q000627:therapeutic use; D006801:Humans; D008963:Molar / Q000473:pathology*; D016896:Treatment Outcome; D055815:Young Adult; D015034:Zinc Oxide / Q000627:therapeutic use
chemical_list: D003738:Dental Cements; D005899:Glass Ionomer Cements; C065771:P50 composite resin; C067790:Vitrabond; D017438:Bisphenol A-Glycidyl Methacrylate; D002126:Calcium Hydroxide; D015034:Zinc Oxide