PULPOTOMY;

ASSESSMENT OF CLINICAL OUTCOME IN MATURE PERMANENT TEETH USING MINERAL TRIOXIDE AGGREGATE.

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.