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Published on: October 27, 2023
Long-term radiologic pulp evaluation after partial pulpotomy in young permanent molars
1The Barzilai Medical Center, Hahistadrut 2, Ashkelon 78278, Israel. elimas@post.tau.ac.il
Quintessence International (Berlin, Germany : 1985)
|July 1, 2011
Summary
Partial pulpotomy in young permanent molars shows a 93.9% success rate. Radiographic analysis reveals dentinal bridge formation and favorable pulp healing, supporting this procedure for deep caries in select cases.
Area of Science:
- Dentistry
- Pediatric Dentistry
- Endodontics
Background:
- Partial pulpotomy is a dental procedure for treating deep caries in young permanent molars.
- Assessing the long-term radiographic outcomes of partial pulpotomy is crucial for evaluating its efficacy.
Purpose of the Study:
- To evaluate the long-term pulpal and periapical radiographic appearance of permanent molars following partial pulpotomy.
- To determine the overall success rate and radiographic indicators of healing after this procedure.
Main Methods:
- Radiographic evaluation of 49 young permanent molars treated with partial pulpotomy.
- Comparison of treated teeth with their contralateral antimere teeth.
- Follow-up periods ranging from 7 to 154 months (mean 49 months).
Main Results:
- A 93.9% success rate was observed, with only 3 teeth exhibiting complications.
- Dentinal bridge formation occurred in 58.7% of cases; 30.4% showed normal pulp appearance.
- Six immature molars completed apexogenesis; no periapical pathoses or resorption were noted.
Conclusions:
- Long-term radiographic findings support partial pulpotomy as an effective treatment for young permanent molars with deep caries.
- The procedure is deemed warranted in carefully selected cases based on radiographic evidence of pulp healing.
