To evaluate the clinical and radiographic outcomes of pulpotomy treatment with mineral trioxide aggregate (MTA) in symptomatic mature permanent teeth with carious exposure. Methods.Twenty-three cases in 18 patients were treated with MTA pulpotomy procedures in an endodontic private practice. Pulpotomy using MTA could be a good alternative for root canal therapy (RCT) for managing symptomatic mature permanent teeth with carious exposure, however further large … Smaïl-Faugeron V, Glenny AM, Courson F, Durieux P, Muller-Bolla M, Fron Chabouis H. Cochrane Database Syst Rev. Carious exposure of immature first permanent molar is a widespread issue faced in paediatric dentistry. METHODOLOGY:Fifty-two permanent molar teeth with fully developed roots and vital pulps in 43 patients aged 11-51 years were included. 2007 Jun;8(2):99-104. doi: 10.1007/BF03262577. 2014 Nov;42(11):1390-5. doi: 10.1016/j.jdent.2014.06.007. Dental Pulp. Case report: A 13 year old boy presented with an immature and grossly carious 37. This paper reviews the application of partial pulpotomy in immature permanent teeth and provides -. Currently available procedures include direct pulp capping, complete pulpotomy and partial pulpotomy. Studies show that human permanent teeth with carious pulpal exposures can result in a high clinical success rate when treated with pulpotomy and direct pulp capping with mineral trioxide aggregate (MTA pulpotomy). Epub 2012 Feb 6. Twenty-seven mature permanent first molars and 2 premolars (in 25 patients) with carious exposure were treated using MTA pulpotomy. Harty’s Endodontics in Clinical Practice. 1978;4(8):232–7. reported the success rates of 100% in one year and 92.7% at three years in their study with regard to outcome of MTA pulpotomy in mature permanent teeth in which pulp was exposed due to caries . To perform vital pulpotomy with MTA on primary teeth with carious complications. To test the clinical results on 6 and 12 months after MTA pulpotomy. Epub 2013 Dec 24. Four trained and calibrated practitioners performed the same clinical procedure for all patients. 2. Moreover, teeth responses to the electric pulp tester were within normal range on follow-up appointment and the radiographs did not reveal any abnormality/lesion in the periapical areas. Outcomes of vital pulp therapy in permanent teeth with different medicaments based on review of the literature. Pulpotomy of symptomatic permanent teeth with carious exposure using mineral trioxide aggregate. Results: MTA partial pulpotomy should be considered in the treatment of symptomatic young permanent teeth. HHS J Endod. However, if pulp exposure is sensible and non-symptomatic (i.e., presumably healthy), minimally invasive techniques should be considered for the man-agement of pulp exposure in vital teeth [14]. Biodentine is one of Conclusion: Please enable it to take advantage of the complete set of features! Each offending carious tooth was clinically and radiographically determined. 2017 Feb;43(2):225-230. doi: 10.1016/j.joen.2016.10.027. This site needs JavaScript to work properly. Immediate failure occurred in one tooth. A pulpotomy is a common dental procedure used in pediatric dentistry to help save primary or permanent teeth that are severely decayed or cracked. complete pulpotomy in mature teeth with carious exposures demonstrating variable pulpal conditions using MTA Angelus over a 3-year period. All of the authors provided treatment.  |  Pulpal bleeding must be controlled by irrigation with a bacte- riocidal agent such as sodium hypochlorite or chlorhexidine68-70 Smaïl-Faugeron V, Glenny AM, Courson F, Durieux P, Muller-Bolla M, Fron Chabouis H. Cochrane Database Syst Rev. International Endodontic and periapical rarefaction was present in 14 teeth. New approaches in vital pulp therapy in permanent teeth. The indication of this pulpotomy procedure is when pulp exposure occurs during caries removal in a primary tooth with a normal pulp or reversible pulpitis or after a traumatic pulp exposure. Dental Pulp Exposure; Endodontic; Mineral Trioxide Aggregate; Permanent Dentition; Pulpotomy, Root Canal Therapy. disadvantages of vital pulp therapy with MTA in primary teeth. Patients were assessed for clinical and radiographic outcomes by 2 examiners. Epub 2015 Dec 10. The purpose of this paper was to report the five-year success of Biodentine™ partial pulpotomy in a young permanent molar, with signs and symptoms indicative of irreversible pulpitis and periapical lesion, in a nine-year-old girl. Preoperative pulpal and periapical diagnosis was established. When a tooth has a carious exposure deep enough that it affects the coronal pulp, or “nerve” of the tooth, it can lead to pulpitis. After complete removal of the caries and control of bleeding, then direct application of freshly mixed MTA-Anglus on sterile glass slap. Coronal pulpotomy for cariously exposed permanent posterior teeth with closed apices: A systematic review and meta-analysis. After 18 months, success in both groups was high, with all roots showing continuous development and only 3 of 25 teeth in each group having symptoms or questionable signs of failure. Materials and methods Fifty-two permanent molar teeth meeting the inclu-sion criteria with the fully developed roots (in terms Mineral trioxide aggregate pulpotomy Taha et al. Keywords: Pulpotomy, Immature permanent teeth, Pulp exposure, Randomized controlled trials, Systematic reviews Background Immature permanent teeth, also known as young permanent teeth, are used to describe teeth with incomplete root forma-tion.  |  Conclusion: Pulpotomy using MTA could be a good alternative for root canal therapy (RCT) for managing symptomatic mature permanent teeth with carious exposure, however further large-scale multicenter clinical trials are highly encouraged to confirm this hypothesis. mature permanent teeth. Then, the coronal tissue is amputated, and the remaining radicular tissue is judged to be vital without suppuration, pus, necrosis, or excessive bleeding which cannot be controlled by a moist cotton pellet (with saline) … LR4 respectively. The tooth was anaesthetized using … Blinded clinical and radiographic evaluations were performed at 6 and 12 months after operation for signs of success or failure. The majority of teeth (91%) had clinical radiographic success rates of pulpotomy in permanent signs and symptoms consistent with a diagnosis of molars with clinical signs and symptoms suggestive of symptomatic irreversible pulpitis and symptomatic irreversible pulpitis using mineral trioxide aggregate apical periodontitis (78%). Guide to Clinical Endodontics. Patients were assessed … The following case reports describe the technique of Biodentine Pulpotomy in mature permanent teeth following carious pulpal exposure. The estimated success rate was 90%. Pulpal expo-sures were … All of the patients had been referred to the practice for diagnosis and treatment of a symptomatic tooth. Pulpotomy using MTA could be a good alternative for root canal therapy (RCT) for managing symptomatic mature permanent teeth with carious exposure, however further large … Materials And Methods Ten patients aged 27-54 years presented with 11 symptomatic permanent teeth (n=11). Iran Endod J. Epub 2016 Jan 30. Pulp revascularization in immature permanent tooth with apical periodontitis using mineral trioxide aggregate 2013 Jan;23(1):56-63. doi: 10.1111/j.1365-263X.2012.01224.x. Even after carious pulp exposure of symptomatic permanent molars, the pulp can heal, as it has been shown in several studies using MTA , and CEM cement as pulp-capping biomaterials. Partial pulpotomy for carious exposures. 4th Edition. The LR5 was treated first as it was the most symptomatic. Ten patients aged 27-54 years presented with 11 symptomatic permanent teeth (n=11). Assessment of Mineral Trioxide Aggregate pulpotomy in mature permanent teeth with carious exposures. The recall Aim To assess the outcome of mineral trioxide rate ranged from 92% at 3 months to 80.3% at aggregate (MTA) complete pulpotomy in permanent 3 years, with an overall 100% clinical and 97.5% teeth with carious exposures. COVID-19 is an emerging, rapidly evolving situation. pulpotomy (PP) treatment using MTA as pulp capping agent in treatment of primary teeth with pulp exposure after direct complete excavation. Immature permanent teeth are prone to caries and trauma which can cause exposure and degeneration of pulp. MTA pulpotomy as an alternative to root canal treatment in children's permanent teeth in a dental public health setting. Previous studies have shown that outcomes of CEM pulpotomy in mature molars with irreversible pulpitis are comparable with outcomes of MTA pulpotomy and of root canal treatment [11, 20]. However, emerging scientific evidence has shown that such teeth treated with pulpotomy as a first line of treatment provides increasingly predictable results. NLM Would you like email updates of new search results? Age of patients ranged from 10- to 15-years (mean=13.2±1.74-years). Three teeth presented with clinical symptoms of pain and radiographic evidence of periradicular pathology that indicated root canal treatment (RCT) or extraction. Asgary and Ehsani compared the treatment outcomes of Pulpotomy with a Calcium-Enriched Material (PCEM) and conventional RCT procedure in mature molars with irreversible pulpitis. This study clinically and radiographically evaluated the success of MTA pulpotomies conducted to treat carious and mechanical pulp exposure. ographic outcome of a series of cases involving the use of MTA in pulpotomy procedures. Summary. Methods.Twenty-three cases in 18 patients were treated with MTA pulpotomy procedures in an endodontic private practice. -. AIM:To assess the outcome of mineral trioxide aggregate (MTA) complete pulpotomy in permanent teeth with carious exposures. Saeki K, Fujita Y, Shiono Y, Morimoto Y, Maki K. Case Rep Med. Pulpotomy in caries-exposed immature permanent molars using calcium-enriched mixture cement or mineral trioxide aggregate: a randomized clinical trial. The overall success rate of MTA partial pulpotomy was 89.3%; Cumulative success rates of the three HSCs were not statistically different when analyzed by Cox proportional hazard regression analysis. 1995;28(3):172–6. CONCLUSIONS: Pulpotomy is a prospective substitute for root canal treatment in managing permanent teeth with carious pulp exposures, even in permanent teeth with irreversible pulpitis. Pulp treatment for extensive decay in primary teeth. s study also supports this argument. Pulp revascularization in immature permanent tooth with apical periodontitis using mineral trioxide aggregate. After complete removal of the caries and control of bleeding, then direct application of freshly mixed MTA-Anglus on sterile glass slap. Epub 2014 May 14. 2009 Aug 8;207(3):E5; discussion 128-9. doi: 10.1038/sj.bdj.2009.665. # 300. 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