4.1 Article

Maintaining Tooth Vitality With Super Minimally Invasive Pulp Therapy

Journal

CUREUS JOURNAL OF MEDICAL SCIENCE
Volume 14, Issue 9, Pages -

Publisher

CUREUS INC
DOI: 10.7759/cureus.29712

Keywords

inflammation; minimally invasive; ultrasound-guided trigeminal nerve block; pulpitis; infection

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Tooth loss is a predictor of decreased longevity in aging humans. This report proposes a novel therapy for treating pulpitis, which combines antibiotics, steroids, and ultrasound-guided trigeminal nerve block (UGTNB) to protect the dental pulp. This new treatment could improve tooth longevity and oral health.
In aging humans, tooth loss is a predictor of decreased longevity. Tooth loss is mainly caused by dental caries and periodontal disease. Pulpitis refers to inflammation of the dental pulp caused by bacterial infection secondary to dental caries. It is accompanied by severe toothache and has infectious disease-associated pathophysiology. Pulpitis is mainly treated by pulpectomy, which is aimed at removing the infected dental pulp and controlling pain by removing nociceptive nerve fibers. However, teeth without dental pulp have a poor prognosis. In this report, we proposed a novel super minimally invasive pulp therapy for treating pulpitis without pulpectomy, which combines antibiotics, steroids, and ultrasound-guided trigeminal nerve block (UGTNB) to protect the dental pulp. UGTNB is used as an analgesic for severe pain, antibiotics for pulp infections, and steroids as antiinflammatory drugs. This novel therapy could improve the longevity of the tooth and thereby oral health.

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