Mineral trioxide aggregate pulpotomy for permanent molars with clinical signs indicative of irreversible pulpitis: a preliminary study

Qudeimat, Muawia A.; Alyahya, Asma; Hasan, Arshad; Barrieshi-Nusair, Kefah M.

doi:10.1111/iej.12614

Cited by 108 publications

(127 citation statements)

References 41 publications

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“…With the development of pulpotomy interventions, aimed at permanently maintaining part of the pulp in teeth with signs and symptoms of irreversible pulpitis (Qudeimat et al . , Taha & Khazali , Taha et al . ), there have been calls to consider new more representative ways to classify pulpitis (Hashem et al .…”

Section: Consensus‐based Recommendationsmentioning

confidence: 99%

European Society of Endodontology position statement: Management of deep caries and the exposed pulp

et al. 2019

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This position statement on the management of deep caries and the exposed pulp represents the consensus of an expert committee, convened by the European Society of Endodontology (ESE). Preserving the pulp in a healthy state with sustained vitality, preventing apical periodontitis and developing minimally invasive biologically based therapies are key themes within contemporary clinical endodontics. The aim of this statement was to summarize current best evidence on the diagnosis and classification of deep caries and caries‐induced pulpal disease, as well as indicating appropriate clinical management strategies for avoiding and treating pulp exposure in permanent teeth with deep or extremely deep caries. In presenting these findings, areas of controversy, low‐quality evidence and uncertainties are highlighted, prior to recommendations for each area of interest. A recently published review article provides more detailed information and was the basis for this position statement (Bjørndal et al. 2019, International Endodontic Journal, doi:). The intention of this position statement is to provide the practitioner with relevant clinical guidance in this rapidly developing area. An update will be provided within 5 years as further evidence emerges.

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Section: Consensus‐based Recommendationsmentioning

confidence: 99%

European Society of Endodontology position statement: Management of deep caries and the exposed pulp

et al. 2019

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“…It is traditionally recommended to use pulpotomy only in primary teeth or young permanent molars with immature apices. [5] Nevertheless, many recent studies[6789101112] have reported clinically acceptable success rates with pulpotomy in mature permanent teeth as well. As early as 1995, Caliskan[6] reported the successful management of 26 vital teeth with periapical involvement using calcium hydroxide (CH) pulpotomy.…”

Section: Introductionmentioning

confidence: 99%

“…In a study of 23 permanent molars in children with the age group of 7.6–13.6 years, Qudeimat et al . [7] found pulpotomy to be successful clinically and radiographically in all included teeth with symptoms of irreversible pulpitis. Taha et al .…”

Section: Introductionmentioning

confidence: 99%

“…[14] However, owing to disadvantages such as degradation over time, formation of tunnel defects beneath dentinal bridges, and poor sealing, CH is slowly losing its popularity as a first choice agent for pulpotomy. [14] Recent publications reveal an acceptable clinical success rate of MTA pulpotomy in carious-exposed mature permanent molars,[781516] but most of them are cohort studies without any control group. Issues have also been raised about the initial cytotoxicity and reduction in the size of pulp chamber due to the formation of reparative dentin deeper to CH or MTA.…”

Section: Introductionmentioning

confidence: 99%

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Comparative evaluation of platelet-rich fibrin, mineral trioxide aggregate, and calcium hydroxide as pulpotomy agents in permanent molars with irreversible pulpitis: A randomized controlled trial

Kumar¹,

Juneja²,

Duhan³

et al. 2016

Contemp Clin Dent

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Background:Pulpotomy has been proposed as an alternative for the management of irreversible pulpitis in permanent molars with closed apices.Aim:To compare the performances of calcium hydroxide (CH), mineral trioxide aggregate (MTA), and platelet-rich fibrin (PRF) as pulpotomy agents in mature permanent molars with irreversible pulpitis.Materials and Methods:Fifty-four permanent mandibular molars with carious exposure and symptoms of irreversible pulpitis were randomly allocated to three groups, and full pulpotomy was performed using CH, MTA, or PRF as pulpotomy agents. Pain intensity was recorded using numeric rating scale score at baseline, 24 h, 7 days, 6 months, and 1 year. Clinical and radiographic assessments were done at 6 months and 1 year.Statistical Analysis:Kruskal–Wallis test and Friedman test were used for intergroup and intragroup comparison of pain scores, respectively. The radiographic outcomes between the three study arms were compared using Chi-square test.Results:Clinical success rate was 94.4% at 7 days, which dropped to 85.4% at 12 months. All three agents were equally effective in providing pain relief at all the intervals tested, with no significant difference between them (P > 0.05 at all intervals). However, at 6 months and 12 months, 26.2% and 52.4% teeth depicted slight widening of periodontal ligament space. No significant difference was observed between the radiographic success rates observed with the three groups (P = 0.135 at 6 months, 0.717 at 12 months).Conclusion:Pulpotomy exhibited a high clinical success rate in mature molars with irreversible pulpitis and selection of biomaterial did not affect its outcome.

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“…[10][11][12] Studies performed in Europe, state that the probability of survival without any other intervention after MTA pulpotomy in mature permanent teeth is around 82%. 8 This means that survival without root canal treatment after MTA pulpotomy is possible in cases of irreversible pulpitis.…”

Section: Discussionmentioning

confidence: 99%

Pulpotomy; Assessment of Clinical Outcome in Mature Permanent Teeth Using Mineral Trioxide Aggregate

Saqib¹

2017

TPMJ

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ABSTRACT… Objectives:To assess the efficacy of mineral trioxide aggregate (MTA) pulpotomy in mature permanent teeth with irreversible pulpitis due to carious exposure. Place and Duration: The study was conducted in the Department of Operative Dentistry, Altamash Institute of Dental Medicine from 05-01-2016 to 05-07-2016. Methodology: A total of 70 teeth of 70 patients with irreversible pulpitis were treated with mineral trioxide aggregate (MTA) pulpotomy. The patients were re-evaluated after 2 months. All patients were asked whether they had experienced spontaneous pain, pain on chewing or pain stimulated by hot/cold and the treatment was counted as successful in case of no post-operative symptoms. Results: Efficacy of pulpotomy treatment with mineral trioxide aggregate in symptomatic mature permanent teeth with irreversible pulpitis and normal periapical periodontium was 88.57%. Conclusion: MTA pulputomy is a good alternative treatment for cases of irreversible pulpitis in permanent teeth with mature roots and normal apical periodontium. However, long term clinical trials and histological assessment is desirable. Key words:Pulpotomy, Mineral Trioxide Aggregate, Symptomatic Mature Permanent Teeth. Article Citation: Saqib M, Ahmed MA, Jouhar R, Hemani A, Ziaullah. Pulpotomy; assessment of clinical outcome in mature permanent teeth using mineral trioxide aggregate

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Mineral trioxide aggregate pulpotomy for permanent molars with clinical signs indicative of irreversible pulpitis: a preliminary study

Abstract: In children, MTA was associated with high clinical and radiographic success as a pulpotomy agent in permanent teeth with clinical signs and symptoms suggestive of irreversible pulpitis.

Cited by 108 publications

References 41 publications

European Society of Endodontology position statement: Management of deep caries and the exposed pulp

European Society of Endodontology position statement: Management of deep caries and the exposed pulp

Comparative evaluation of platelet-rich fibrin, mineral trioxide aggregate, and calcium hydroxide as pulpotomy agents in permanent molars with irreversible pulpitis: A randomized controlled trial

Pulpotomy; Assessment of Clinical Outcome in Mature Permanent Teeth Using Mineral Trioxide Aggregate

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