EVALUATION OF OUTCOME OF FULL PULPOTOMY IN MATURE PERMANENT MOLARS WITH SYMPTOMATIC IRREVERSIBLE PULPITIS

Abstract

Objectives: To assess the outcome of full pulpotomy in patients with symptomatic irreversible pulpitis. Materials and Methods: This observational study was done at the Endodontics Department, Rehman College of Dentistry, Peshawar from April 2022 to April 2023. Eighty-four patients within the age range of 18-50 years with painful vital permanent molar were selected using purposive sampling. Full Pulpotomy procedure was performed. Treatment was completed in two visits. In the first visit, after taking an informed consent the tooth was anesthetized, and full pulpotomy was done. A cotton pellet soaked in 3% sodium hypochlorite (NaOCL) was used to achieve hemostasis. After achieving hemostasis, a 2-4mm of mineral trioxide aggregate was used to seal the root stumps and restored with glass ionomer cement. In the second visit, the glass ionomer cement was removed, and tooth was permanently restored using composite fi lling material. Outcome was evaluated in terms of pain and periapical changes at one week and six month post-operatively. The outcome was considered successful in case of no or mild pain and no periapical changes post-operatively. Data was entered using SPSS version 26.0. Results: In the present study 46.4% males and 53.6% females were included. The mean age was 34.04±10.524. Follow-up showed 95.2% success after one week and 89.3% after six months. No significant association of the outcome with age, gender and tooth type was found (p value > 0.05). Conclusion: Full pulpotomy was successful in patients with symptomatic irreversible pulpitis.