Semptomatik Daimi Molar Dişlerde Koronal Pulpotomi: 2 Yıl Takipli Vaka Serisi

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Kalkınç R. B., Cömert E., Alkaç Ekici B. E., Akkoç S.

18th Congress of the European Academy of Paediatric Dentistry, Liverpool, İngiltere, 1 - 04 Temmuz 2026, ss.126, (Özet Bildiri)

  • Yayın Türü: Bildiri / Özet Bildiri
  • Doi Numarası: 10.1007/s40368-026-01219-6
  • Basıldığı Şehir: Liverpool
  • Basıldığı Ülke: İngiltere
  • Sayfa Sayıları: ss.126
  • Kütahya Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

 

BACKGROUND:
Complete pulpotomy is a vital pulp therapy approach involving removal of coronal pulp tissue while preserving the radicular pulp to maintain pulp vitality. This case series presents the clinical management of moderate pulpitis in mature and immature permanent molars treated with complete pulpotomy.

CASE REPORT:

Seven systemically healthy patients presented with moderate pulpitis in seven permanent molars with mature and immature apices. Clinical examination revealed deep dentin caries and provoked pain in all cases. Two patients reported spontaneous pain, and none had soft-tissue findings. Radiographic evaluation revealed widening of the periodontal ligament space in four cases.

TREATMENT:

Following the administration of local anaesthesia and rubber-dam isolation, caries removal was performed, which resulted in pulp exposure. A decision was made to proceed with a complete pulpotomy due to the condition of the pulp tissue and the inability to achieve haemostasis during the partial pulpotomy attempt. Haemostasis was obtained using sterile saline solution, followed by disinfection with 2% sodium hypochlorite. MTA was applied over the pulp tissue, covered with a resin-modified glass-ionomer cement, and restored with composite resin.

FOLLOW-UP: 
Clinical and radiographic evaluations were conducted at 6, 12, and 24 months. All cases remained asymptomatic, with no clinical or radiographic pathology. Continued root development was observed in immature teeth.

CONCLUSION:
Complete pulpotomy may be considered a conservative treatment technique for deeply carious teeth, even with spontaneous pain and complete apical maturation, provided that appropriate case selection and ideal isolation are ensured.

 

Keywords: Apexogenesis; Complete pulpotomy; Moderate pulpitis; Vital pulp therapy