Direct Pulp Caping using Calcium Hydroxide Material: A Case Report

Abstract

This case report represents, the treatment of extensive carious lesion in a 8 years old male  patient and was treated by direct pulp capping by using calcium hydroxide. Upon clinical examination tooth number 36 showed deep caries. Therefore, on pulp vitality test cold test was carried out using Endo frost which showed a normal response comparing to the adjacent teeth. Tooth was not tender to percussion. Hence, it was diagnosed as reversible pulpitis with normal apical tissue.Radiographically it showed incomplete root formation for both roots, mesial and distal, absence of radiolucencies in the periapical region and no periodontal space widening. Direct pulp capping treatment was performed with calcium hydroxide. Following 6-12 months of the treatment, the clinical symptoms were resolved and a calcific bridge was found at the dentin over the pulp and calcium hydroxide interface that was indicative the evidence of reparative dentin formation.