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Vital pulp therapy with mineral trioxide aggregate.
Bekir Karabucak1, David Li, Jung Lim
1School of Dental Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA. bekirk@mac.com
Summary
Mineral trioxide aggregate (MTA) successfully treated complicated crown fractures by preserving pulp vitality after partial pulpotomy. This dental treatment promoted continued tooth development in pediatric patients.
Area of Science:
- Dentistry
- Endodontics
- Pediatric Dentistry
Background:
- Complicated crown fractures pose a significant challenge in pediatric dentistry, often requiring interventions to maintain pulp vitality.
- Preserving the vitality of immature teeth with exposed pulps is crucial for continued root development and overall dental health.
Observation:
- This case report details the management of two pediatric patients with complicated crown fractures.
- Mineral trioxide aggregate (MTA) was employed as a direct pulp-capping agent following a partial pulpotomy procedure.
Findings:
- The application of MTA effectively preserved the vitality of the exposed pulpal tissues in both cases.
- Radiographic and clinical follow-ups confirmed the continued physiological development of the treated teeth.
Implications:
- Mineral trioxide aggregate presents a viable and successful treatment option for complicated crown fractures in immature teeth.
- This approach aids in maintaining pulp vitality, allowing for continued root maturation and potentially reducing the need for more invasive endodontic treatments.