Mineral Trioxide Aggregate Pulpotomy for Permanent Molars with Clinical Signs Indicative of Irreversible Pulpitis: A Case Report
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 5
Abstract
The diagnosis and treatment of infected dental pulps exposed by caries in young permanent molars present a challenge. The current definition of irreversible pulpitis implies the presence of a severe degenerative process that will not heal and that, if left untreated, will result in pulpal necrosis followed by apical periodontitis. However, it is difficult to differentiate between reversible and irreversible pulpitis and is largely carried out on an empirical basis. Irreversible pulpitis is conventionally being treated by root canal treatment. But when caries and bacterial contamination can mostly be eliminated from the dentin-pulp complex, the inflamed pulp of a human permanent tooth with irreversible pulpitis may have a chance to return to a healthy and functional status after mineral trioxide aggregate pulpotomy. The ability to control bleeding after amputation of the infected pulp tissue has been proposed as an indicator for the extent of inflammation and the healing potential of the remaining pulp tissue. The pulpotomy treatment of mature tooth with symptoms of irreversible pulpitis using MTA as barrier has been presented in this article.
Authors and Affiliations
Dr Preshit Prakash More
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