Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2010 Apr;13(2):110-3.
doi: 10.4103/0972-0707.66724.

Management of recently traumatized maxillary central incisors by partial pulpotomy using MTA: Case reports with two-year follow-up

M Abarajithan  1 , N Velmurugan, D Kandaswamy
Affiliations
Case Reports

Management of recently traumatized maxillary central incisors by partial pulpotomy using MTA: Case reports with two-year follow-up

M Abarajithan et al. J Conserv Dent. 2010 Apr.

Abstract

In traumatized, young, permanent teeth, pulpotomy is classically undertaken to promote apexogenesis. The objective is to promote root development and apical closure. Once root end development and apical closure is achieved, the root canal treatment is completed. However, it has been suggested that mere pulp exposure does not cause pulpitis in the absence of bacteria. Recent studies have proposed that as long as a good seal is ensured, root canal treatment may not be necessary following pulpotomy. In this article we report two cases of traumatized, fully matured, maxillary permanent central incisors, which have been treated with mineral trioxide aggregate following partial pulpotomy, with a two-year follow-up.

Keywords: Partial pulpotomy; mineral trioxide aggregate; vital pulp therapy.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
(a) Preoperative photograph showing Ellis class III fracture in 21 with pulp exposure, (b) Preoperative radiograph revealing fracture in 21 with pulp involvement, (c) Partial pulpotomy performed in 21 and MTA placed over the exposed pulp, (d) Postoperative photograph, (e) Postoperative radiograph after two years showing no radiographic changes
Figure 2
Figure 2
(a) Preoperative photograph showing Ellis class III fracture in 21 with pulp exposure, (b) Preoperative radiograph revealing fracture in 21 with pulp involvement, (c) Partial pulpotomy performed in 21 and MTA placed over the exposed pulp, (d) Postoperative photograph, (e) Postoperative radiograph after two years showing no radiographic changes
See this image and copyright information in PMC

References

    1. Mejàre I, Cvek M. Partial pulpotomy in young permanent teeth with deep carious lesions. Endod Dent Traumatol. 1993;9:238–42. - PubMed
    1. Cohen S, Bums RC, editors. Pathways of the pulp. 9th ed. St. Louis: Mosby; 2005. The role of endodontics after dental traumatic injuries; pp. 616–8.
    1. Kakehashi S, Stanley HR, Fitzgerald RJ. The effects of surgical exposures of dental pulps in germfree and conventional laboratory rats. J South Calif Dent Assoc. 1966;34:449–51. - PubMed
    1. Barrieshi-Nusair KM, Qudeimat MA. A prospective clinical study of mineral trioxide aggregate for partial pulpotomy in cariously exposed permanent teeth. J Endod. 2006;32:731–5. - PubMed
    1. Accorinte Mde L, Holland R, Reis A, Bortoluzzi MC, Murata SS, Dezan E, Jr, et al. Evaluation of mineral trioxide aggregate and calcium hydroxide cement as pulp-capping agents in human teeth. J Endod. 2008;34:1–6. - PubMed

Publication types