Permanent molar pulpotomy with a new endodontic cement: A case series

Saeed Asgary,Sara Ehsani

doi:10.4103/0972-0707.53340

Saeed Asgary, Sara Ehsani

Open Access

https://doi.org/10.4103/0972-0707.53340

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Abstract

The aim of this case series was to determine the clinical and radiographic success rate of pulpotomy, with new endodontic cement (NEC), in human mature permanent molar teeth. Twelve molars with established irreversible pulpitis were selected from patients 14 – 62 years old. The selection criteria included carious pulp exposure with a positive history of lingering pain. After isolation, caries removal, and pulp exposure, pulpotomy with NEC was performed and a permanent restoration was immediately placed. At the first recall (+1 day) no patients reported postoperative pain. One wisdom tooth had been extracted after two months because of failure in coronal restoration. Eleven patients were available for the second recall, with a mean time of 15.8 months. Clinical and radiographic examination revealed that all teeth were functional and free of signs and symptoms. Histological examination of the extracted teeth revealed complete dentin bridge formation and a normal pulp. Although the results favored the use of NEC, more studies with larger samples and a longer recall period were suggested, to justify the use of this novel material for treatment of irreversible pulpitis in human permanent molar teeth.

Highlights

The aim of this case series was to determine the clinical and radiographic success rate of pulpotomy, with new endodontic cement (NEC), in human mature permanent molar teeth
Our results indicate that pulpotomy may be used as an alternative therapy for mature teeth with irreversible pulpitis
Mc Dougal et al, advocated pulpotomy as an interim form of management, as an alternative to extraction, for patients who wished to save teeth with irreversible pulpitis, but could not afford root canal therapy (RCT) at the time.[5]. They recommended that the use of such a treatment should not exceed a period of 12 months,[5] our study shows that pulpotomy can preserve teeth longer than

Summary

INTRODUCTION

Since the 1960s, studies have shown that the carious process is initiated by oral bacteria.[1]. All teeth demonstrated a hard tissue bridge formation within three months and were asymptomatic They suggested partial pulpotomy as an alternative treatment for pulpal exposure of deep carious lesions. In 2004, McDougal et al.,[5] selected 73 patients, 18–65 years of age, with irreversible pulpitis They restored their teeth after pulpotomy with either Caulk IRM or IRM base with glass ionomer core and followed up the patients for 12 months; assessing pain, integrity of restoration, and densitometric radiographic analysis.

Findings

DISCUSSION

CONCLUSION