Abstract
This report is to present a clinical case of pulp preservation with atraumatic indirect pulp capping (AIPC) after exacerbation of caries and cavities due to repeated cessations of treatment. A 12 year old female patient initially visited our clinic with a chief complain concerning “a hole in the back tooth”. Although DMFT amounted to 14 and the overall oral condition was poorly maintained and early caries lesions and cavities were found, the patient complained of no spontaneous pain, so only oral photographs and x-rays were taken at the initial visit. At the second visit the patient was given tooth brush and dietary instructions, but she then repeatedly cancelled the following appointments. The patient finally revisited 8 months later with spontaneous pain; the cavity in upper right 5 was quite advanced, and pulp extirpation was unavoidable. Again she cancelled the appoints for a check-up and maintenance and came back with spontaneous pain in the back of right mandible 1 year and 3 months later; I applied AIPC to the deep cavity in lower right 7 with carboxylate cement and glass ionomer cement. It took her another 8 months to come back for a check-up, but further progress of the cavity in lower right 7 was not seen and pulp extirpation was avoided.
