Article Sidebar
Views PDF: 150
VITAL PULP THERAPY USING CALCIUM SILICATE MATERIAL
Main Article Content
Abstract
Objectives: This study cases report aimed to evaluate the outcome of the partial pulpotomy using mineral trioxide aggregate (MTA) in mature cariously exposed permanent molars. Materials and methods: Eight permanent molar teeth with carious exposures in 8 patients > 18 years old were recruited. Preoperative pulpal and periapical diagnosis was established based on a history of presenting pain, results of cold testing, and radiographic signs. After informed consent, the tooth was anesthetized, isolated via a rubber dam, and disinfected with 3% sodium hypochlorite before caries removal. Partial pulpotomy was conducted by amputating 2 mm of the exposed pulp, hemostasis was achieved, and the MTA Angelus Repair HP (Angelus, Brazil) was placed into the cavity as the pulpotomy agent. Postoperative periapical digital radiographs were captured after placement of the permanent restoration. Clinical and radiographic assessment was completed after 1, 3, and 6 months postoperatively. Statistical analysis was performed using the descriptive statistics. Results: Clinical signs and symptoms suggestive of irreversible pulpitis were established in all teeth. MTA showed a higher tendency toward success. Conclusions: MTA partial pulpotomy sustained a good success rate over the 6-months follow-up in mature permanent teeth clinically diagnosed with irreversible pulpitis.
Article Details
Keywords
Partial pulpotomy, MTA, calcium silicate, vital pulp therapy
References
2. Pham KV, Tran TA: Effectiveness of MTA apical plug in dens evaginatus with open apices. BMC Oral Health 2021, 21(1):566.
3. Taha NA, Ahmad MB, Ghanim A: Assessment of Mineral Trioxide Aggregate pulpotomy in mature permanent teeth with carious exposures. Int Endod J 2017, 50(2):117-125.
4. Taha NA, Al-Rawash MH, Imran ZA: Outcome of full pulpotomy in mature permanent molars using 3 calcium silicate-based materials: A parallel, double blind, randomized controlled trial. International Endodontic Journal 2022, 55(5):416-429.
5. Taha NA, Khazali MA: Partial Pulpotomy in Mature Permanent Teeth with Clinical Signs Indicative of Irreversible Pulpitis: A Randomized Clinical Trial. Journal of endodontics 2017, 43(9):1417-1421.
6. Tran XV, Ngo LT, Boukpessi T: BiodentineTM Full Pulpotomy in Mature Permanent Teeth with Irreversible Pulpitis and Apical Periodontitis. Healthcare 2021, 9(6).