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Vital root resection with MTA: a pilot study.

Kamran Tahmooressi, Peter Jonasson, Lars Heijl

    Swedish Dental Journal
    |July 29, 2016
    PubMed
    Summary
    This summary is machine-generated.

    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.

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    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.