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Year : 2022  |  Volume : 10  |  Issue : 1  |  Page : 1-5

Treatment outcomes of pulpotomy using bioceramic materials in permanent posterior teeth with carious exposure

Department of Conservative Dentistry and Endodontics, Government Dental College, Trivandrum, Kerala, India

Correspondence Address:
Dr. Savitha Sriraman
Room 38, Government Dental College, Medical College, Trivandrum 695011, Kerala.
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/INJO.INJO_37_21

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Background and Objectives: Pulpotomy is a highly successful treatment modality in primary teeth with carious exposure. With the advent of new bioceramic materials and our advanced knowledge of pulp biology, there is successful clinical use of pulpotomy in permanent teeth also. This study was conducted to assess the treatment outcome following pulpotomy using bioceramic materials in carious exposed permanent posterior teeth based on clinical evaluation at 3, 6, and 12 months follow-up and radiographic evaluation at 12 months or any time during the follow-up period if symptomatic. Clinically visible coronal discoloration and diffuse calcification were also assessed. Materials and Methods: Sixty-eight patients of the age group 12–50 years satisfying the inclusion criteria were enrolled in the current study. Pulpotomy medicaments used were Biodentine and MTA. Sodium hypochlorite was used for hemostasis. Permanent restoration given was composite. Follow-up intervals were 3, 6, and 12 months. Outcome evaluation was based on clinical and radiographic criteria. The association of success or failure with the selected covariates was done using the χ2 test. Results: For the follow-up period as far as 12 months, 47 of the 55 teeth showed successful outcomes (85.5% clinical and radiographic success), and the recall rate was 80.8%. No obvious crown discoloration or diffuse calcification was noted in any of the cases. Age, sex, tooth type, and pre-operative symptoms had no effect on the outcome. Type of bioceramic material and time to stop bleeding had statistically significant effects on outcome. Conclusion: In light of the observations in the present study, it can be concluded that pulpotomy is a successful treatment alternative to root canal treatment in vital permanent teeth with carious exposure in indicated cases. More clinical studies with a larger sample size and longer follow-up periods are required to refine the case selection criteria followed for pulpotomy procedure.

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