Akademik Veri Yönetim Sistemi
IAPD20 Virtual, Porto, Portekiz, 13 - 17 Eylül 2020, ss.541
Introduction: Keeping the pulp of young permanent teeth vital is very important until the root development is
over.The aim of this treatment is to ensure the root development completed.
Case Report: A 9-year-old patient applied to our clinic with complaints of dental caries. Deep dentin caries was
detected in the lower right 1st molar tooth.In the clinical examination, it was determined that there was no
percussion sensitivity and spontaneous pain but cold sensitivity. On radiography, the root area was healthy. A pulp
perforation of more than 2 mm occurred during the procedure. Coronal pulp tissue was removed, the cavity was
cleaned with chlorhexidine, and after bleeding was controlled, the pulp was covered with MTA. A temporary
restoration was done with glass ionomer cement. 4 weeks later, no symptoms were observed in the tooth and
permanent restoration was performed with resin composite. On the 9th and 12th-month control radiographs, the root
development was seen to be continued.
Discussion: Total pulpotomy is a preferred method for young permanent teeth with vital root pulp in which the pulp
is exposed due to deep caries or trauma. Total pulpotomy can be done if the inflammation is spread to the depths of
the coronal pulp, the perforation area is large or more than one, the bleeding can be controlled during the procedure,
and the tooth is radiographically healthy.
Conclusion: Total pulpotomy is a successful method for the treatment of young permanent teeth that have vital root
pulp which are affected by deep caries or trauma.