Comparison of the Success Rate of Two Pulpotomy Agents in Immature Permanent Teeth with Irreversible Pulpitis

Demircan B., Demir P.

III. PREVENT FROM CARIES SYMPOSIUM, İstanbul, Türkiye, 13 - 14 Kasım 2020, ss.26

  • Yayın Türü: Bildiri / Özet Bildiri
  • Basıldığı Şehir: İstanbul
  • Basıldığı Ülke: Türkiye
  • Sayfa Sayıları: ss.26
  • İnönü Üniversitesi Adresli: Evet

Özet

Abstract

Aim: In apexification and root canal treatment, physiological dentine deposition stops as a result of the extirpation of the pulp. Consequently, sufficient dentine thickness cannot be achieved in the root walls. Therefore, when pulp exposure occurs in immature permanent teeth, treatment approaches that will allow the protection of the vital pulp as much as possible should be preferred. This study aims to compare the success of amputations with MTA (mineral trioxide aggregate) and CEM (Calcium Enriched Material) in immature permanent teeth with irreversible pulpitis.

Materials and Methods: 15 immature permanent teeth with irreversible pulpitis were randomly divided into two treatment groups: Group1:MTA(n:8),Group2:CEM(n:7). Teeth were evaluated clinically and radiographically for 1,6,12 months. In clinical success criteria, percussion/palpation sensitivity, pain/mobility/fistula presence, tooth discoloration, and final restoration status were evaluated. In radiography; pulp obliteration, internal/external root resorption, apical radiolucency, increase/decrease in lamina dura width, presence of ankylosis, and root development were evaluated.

Results: 8 of 14 patients were male and 6 were female and the average age was 10.4±2.3.At the end of the follow-up period, one tooth from each group failed radiographically and root canal treatment was performed. 13 teeth were clinically asymptomatic during the follow-up period. The success rate was MTA 87.5%, CEM was 85.7% (p>0.05).

Conclusion:According to the results of this study, as a pulp capping material in immature permanent teeth with irreversible pulpitis, the success levels of coronal pulpotomy using MTA or CEM are the same. Considering the price-performance ratio, CEM is a much more advantageous and preferable material than MTA.

Keywords: Coronal pulpotomy; immature permanent teeth; mineral trioxide aggregate; calcium enriched material; irreversible pulpitis.