Preserving Pulp Vitality With Full Pulpotomy Using Mineral Trioxide Aggregate in Permanent Molars Affected With Symptomatic Irreversible Pulpitis: A 12–24 Months Case Series

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.