MTA pulpotomy of human permanent molars with irreversible pulpitis

Abstract

The histological success of mineral trioxide aggregate (MTA) pulpotomy for treatment of irreversible pulpitis in human teeth as an alternative treatment was investigated in this study. Fourteen molars which had to be extracted were selected from patients 16-28 years old. The selection criteria include carious pulp exposure with a history of lingering pain. After isolation, caries removal and pulp exposure, MTA was used in pulpotomy treatment. Patients were evaluated for pain after 24 h. Two patients were lost from this study. Twelve teeth were extracted after 2 months and were assessed histologically. Recall examinations confirmed that none of the patients experienced pain after pulpotomy. Histological observation revealed that all samples had dentin bridge formation completely and that the pulps were vital and free of inflammation. Although the results favour the use of MTA as a pulpotomy material, more studies with larger samples and a longer recall period are suggested to justify the use of MTA for treatment of irreversible pulpitis in human permanent teeth.

Incorporation of anti-inflammatory agent into calcium hydroxide pulp capping material: An in vitro study of physical and mechanical properties

“…Mineral trioxide aggregate (MTA) has been proven to be successful in vital pulp therapy. It can stimulate thick dentinal bridge and appears to have particular promise as a pulp capping material [53][54][55] , even in cases of irreversible pulpitis [56][57][58] . However, MTA has slow setting time and high cost.…”

Shear bond strength of universal adhesive systems to a bioactive dentin substitute (Biodentine®) at different time intervals

“…Mineral trioxide aggregate (MTA) has become a material which attracted attention in vital pulp treatments with its proper biologic characteristics and favorable histological/clinical outcomes [1,2] . However, MTA has some critical disadvantages like the long setting time, high resolution during the setting process, staining potential in dental tissues and is difficult to use despite its favorable properties [3] .…”

Tissue Engineering: An Analogous Platelet Rich Fibrin for Coronal Pulpotomy in Revival of Pulp Tissue Vitality in Adult Molar with Pulpitis, a Case Report

“…Pulpotomies in young patients within the range from 16 to 28 years histological evaluation by Eghbal et al revealed in all the sample evaluated shows radicular pulp remaining vital, free from inflammation and was covered by complete dentinal bridge [25].…”

“…[5] In the early stage of pulp injury pulpotomy is performed as vital pulp therapy, the coronal pulpal tissue is surgically excavated from the pulp chamber and the remaining vital radicular pulp tissue is covered with a suitable biocompatible material for pulp protection from any injury and initiate healing and promote repair. [6] Calcium hydroxide was used after pulpotomy in 1929 by Hess. [7] pulp cells with dentinogenic potential induce dentinal bride formation following the placement of suitable biomaterial over the vital pulp, after removal of diseased infected coronal pulp.…”