title: Periapical healing after direct pulp capping with calcium-enriched mixture cement: a case report.
abstract: This article describes a successful direct pulp capping of a mature symptomatic mandibular second molar in a 14-year-old girl. The patient was referred with sensitivity to cold beverages and pain on chewing on the second left mandibular molar. Clinical examinations revealed extensive coronal caries and sensitivity to percussion. Radiographically, the tooth was mature and had a widened apical periodontal ligament (PDL) and a narrow periapical lesion. The concluding diagnosis was symptomatic irreversible pulpitis with symptomatic apical periodontitis. Treatment included caries removal under rubber dam isolation, capping of exposure sites with calcium-enriched mixture (CEM) cement, and permanent coronal restoration. At three-, 10-, and 15-month follow-up, the tooth was functional, had normal response to cold test, and did not have sensitivity to percussion. The PDL space regained its normal width, and the periapical lesion healed.
authors.affiliation: Iranian Center for Endodontic Research, Dental Research Center, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran. ansrt2@yahoo.com
authors.forename: S
authors.initials: S
authors.lastname: Asgary
authors.forename: A
authors.initials: A
authors.lastname: Nosrat
authors.forename: N
authors.initials: N
authors.lastname: Homayounfar
mesh_terms: D000293:Adolescent; D017610:Calcium Compounds / Q000627:therapeutic use*; D003723:Dental Amalgam / Q000737:chemistry; D003731:Dental Caries / Q000628:therapy; D003785:Dental Pulp Capping / Q000379:methods*; D003789:Dental Pulp Exposure / Q000628:therapy; D003793:Dental Restoration, Permanent / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008963:Molar / Q000473:pathology*; D010087:Oxides / Q000627:therapeutic use; D010485:Periapical Periodontitis / Q000628:therapy*; D010513:Periodontal Ligament / Q000473:pathology; D017553:Phosphorus Compounds / Q000627:therapeutic use; D057872:Pulp Capping and Pulpectomy Agents / Q000627:therapeutic use*; D011671:Pulpitis / Q000628:therapy*; D012822:Silicon Dioxide / Q000627:therapeutic use; D013457:Sulfur Compounds / Q000627:therapeutic use; D014945:Wound Healing / Q000502:physiology
chemical_list: D017610:Calcium Compounds; D010087:Oxides; D017553:Phosphorus Compounds; D057872:Pulp Capping and Pulpectomy Agents; D013457:Sulfur Compounds; C405951:sulfur monoxide; C012500:phosphorus pentoxide; D012822:Silicon Dioxide; D003723:Dental Amalgam; C016538:lime