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Vital root resection with MTA: a pilot study
Swedish Dental Journal
|July 29, 2016
Summary
Vital root resection with mineral trioxide aggregate (MTA) pulp capping shows promise for furcation-involved maxillary molars. Most teeth remained vital after 12 months, indicating a potentially conservative treatment option.
Area of Science:
- Endodontics
- Periodontics
- Restorative Dentistry
Background:
- Furcation involvement in maxillary molars presents complex treatment challenges.
- Maintaining tooth vitality is a primary goal in endodontic and periodontal therapy.
Purpose of the Study:
- To evaluate the clinical outcome of vital root resection followed by immediate pulp capping with MTA.
- To assess the long-term vitality of furcation-involved maxillary molars treated with this conservative approach.
Main Methods:
- A pilot clinical study involving seven teeth in six patients with degree II furcation involvement.
- Treatment consisted of vital root resection and direct pulp capping with MTA.
- Follow-up was conducted over a 12-month period.
Main Results:
- Six out of seven treated teeth remained clinically vital throughout the 12-month study period.
- Only one tooth required conventional root canal therapy after the 6-month evaluation.
- No further endodontic or periodontal treatment was needed for the remaining vital teeth at 12 months.
Conclusions:
- Vital root resection combined with MTA pulp capping appears to be a viable conservative treatment for furcation-involved maxillary molars.
- Further research with larger sample sizes in randomized clinical trials is warranted to confirm these findings.
