Success Rate of Pulpotomy in Cariously Exposed Mature Permanent Teeth Using Mineral Trioxide Aggregate
Keywords:
Pulpotomy, Mineral Trioxide Aggregate (MTA), Permanent Teeth, Dental Caries, PulpitisAbstract
OBJECTIVES
This study aimed to determine the success rate of pulpotomy in cariously exposed mature permanent teeth using mineral trioxide aggregate.
METHODOLOGY
A cross-sectional study was conducted at the Department of Operative Dentistry, Ibn-e-Sina Hospital, Multan, over nine months from July 1, 2023, to March 31, 2024. A consecutive 114 patients with irreversible Pulpitis were enrolled after informed consent. Following rubber dam isolation and local anaesthesia, coronal caries and pulp were removed; hemostasis was achieved with 5.25% sodium hypochlorite (NaOCl). A 2-4 mm layer of mineral trioxide aggregate (MTA) was placed over canal orifices, followed by temporary CAVIT restoration. After 24 hours, definitive amalgam restoration was completed. Immediate and six-month postoperative radiographs were used to assess the periapical status. SPSS v25 was used for data analysis. Medians and interquartile ranges are reported for non-normal data, and frequencies and percentages are reported for categorical variables.
RESULTS
The median patient age was 30.5 years (IQR, 21-36); 55.3% were 30 years or older, and 50.9% were female. The median symptom duration was 2 days (IQR, 1-3). Right-sided (50.9%), maxillary (52.6%), and molar teeth (53.5%) predominated. Overall, MTA pulpotomy succeeded in 88.6% of cases. Stratified analysis demonstrated higher success in patients <30 years (96.1% vs. 82.5%, p=0.036), maxillary compared to mandibular teeth (95% vs. 81.5%, p=0.036), and those treated within 48 hours of symptom onset (100% vs. 68.3%, p <0.01).
CONCLUSION
Pulpotomy with MTA in adults presenting with recent irreversible Pulpitis yields high mid-term success, particularly in younger patients, maxillary teeth, and early interventions.
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Copyright (c) 2025 Sheeza Manan, Ambreen Azad , Qurat Ul Ain, Sharina Naz, Mustafa Sajid
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