Preserving Pulp Vitality With Full Pulpotomy Using Mineral Trioxide Aggregate in Permanent Molars Affected With Symptomatic Irreversible Pulpitis: A 12-24 Months Case Series.
| Title: | Preserving Pulp Vitality With Full Pulpotomy Using Mineral Trioxide Aggregate in Permanent Molars Affected With Symptomatic Irreversible Pulpitis: A 12-24 Months Case Series. |
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| Authors: | Chandwani ND; Department of Dentistry All India Institute of Medical Sciences Nagpur Maharashtra India.; Gayke A; Department of Dentistry All India Institute of Medical Sciences Nagpur Maharashtra India.; Deshmukh R; Department of Dentistry All India Institute of Medical Sciences Nagpur Maharashtra India.; Karobari MI; Department of Conservative Dentistry and Endodontics, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences Saveetha University Chennai Tamil Nadu India.; Department of Restorative Dentistry & Endodontics, Faculty of Dentistry University of Puthisastra Phnom Penh Cambodia. |
| Source: | Clinical case reports [Clin Case Rep] 2026 Mar 08; Vol. 14 (3), pp. e72244. Date of Electronic Publication: 2026 Mar 08 (Print Publication: 2026). |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: John Wiley & Sons Country of Publication: England NLM ID: 101620385 Publication Model: eCollection Cited Medium: Print ISSN: 2050-0904 (Print) Linking ISSN: 20500904 NLM ISO Abbreviation: Clin Case Rep Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Original Publication: Chichester, UK : John Wiley & Sons |
| Abstract: | Maintaining and preserving the remaining pulp vitality is the latest minimally invasive and conservative treatment option. In-depth knowledge of pulp inflammation and its reparative process has enhanced the adaptation of full pulpotomy as a vital pulp therapy. The growing research in dental biomaterials over the last 30-50 years has led to increased interest in such therapy. In this series of three case presentations, the clinical and radiographic outcomes at 12 to 24 months following a mineral trioxide aggregate (MTA) full pulpotomy in permanent molars with symptoms of irreversible pulpitis were evaluated. After caries removal from the affected molars, amputation of the inflamed pulp to the canal orifice was performed under rubber dam isolation and magnification. Mineral Trioxide Aggregate was placed over the healthy radicular pulp after complete hemostasis, followed by placement of permanent restoration. The patients were recalled for clinical and radiographic follow-up at intervals of 12-24 months. Throughout the follow-up periods, all teeth demonstrated a successful outcome with a distinct healing pattern and a disappearance of signs and symptoms. Hence, MTA pulpotomy could be considered a practical treatment approach for teeth affected by irreversible pulpitis.; (© 2026 The Author(s). Clinical Case Reports published by John Wiley & Sons Ltd.) |
| Competing Interests: | The authors declare no conflicts of interest. |
| Contributed Indexing: | Keywords: mineral trioxide aggregate; pulpitis; pulpotomy; vital pulp therapy |
| Entry Date(s): | Date Created: 20260310 Date Completed: 20260310 Latest Revision: 20260310 |
| Update Code: | 20260310 |
| PubMed Central ID: | PMC12967645 |
| DOI: | 10.1002/ccr3.72244 |
| PMID: | 41804473 |
| Database: | MEDLINE |
Journal Article