Discrete pulp canal calcification in a case of full pulpotomy: A 2-year follow-up case report

Pulpotomy is recognized as a promising treatment option, especially for immature permanent teeth, as it prevents the unnecessary removal of radicular pulp tissue. The aim of the study was to evaluate the clinical and radiographic outcome of full pulpotomy using Biodentine in the young permanent tooth with symptomatic irreversible pulpitis. Full pulpotomy with Biodentine was performed on a 15-year-old male patient diagnosed with irreversible pulpitis in tooth #47. Follow-up was done at 6 months, 1 year, and 2 years postoperatively. The patient was asymptomatic throughout the follow-ups. 12-month postoperative radiograph revealed periapical healing and apical closure. 24-month radiographic follow-up revealed complete healing of the periapical lesion, but discrete pulp canal calcifications were also seen. Pulpotomy can be used successfully in the management of carious pulp exposure of fully erupted immature teeth to maintain pulp vitality and root maturation.