Pulpotomy for an Immature Permanent Tooth With Symptomatic Irreversible Pulpitis Using Cold Ceramic

Area of Science:

• Dentistry
• Biomaterials Science

Background:

• Recent advances in biomaterials have increased interest in pulpotomy for irreversible pulpitis.
• Pulpotomy is being explored as an alternative to root canal therapy, particularly in immature permanent teeth.

Purpose of the Study:

• To describe a case of pulpotomy in an immature permanent tooth with symptomatic irreversible pulpitis.
• To evaluate the 9-month follow-up outcomes of this pulpotomy procedure.

Main Methods:

• A 9-year-old female diagnosed with symptomatic irreversible pulpitis underwent pulpotomy.
• Cold ceramic was utilized as a biomaterial barrier.
• The procedure aimed to preserve pulp vitality and allow for continued root development.

Main Results:

• Radiographic and clinical examinations at 3, 6, and 9 months showed evidence of dentin bridge formation.
• Continued root development was observed.
• The tooth exhibited normal responses to cold and electric pulp tests throughout the follow-up period.

Conclusions:

• Pulpotomy is a potentially effective treatment for irreversible pulpitis in immature permanent teeth.
• The procedure can preserve healthy pulp tissue, facilitating ongoing root maturation.
• This approach may be advantageous when irreversible pulpitis does not affect the entire pulp chamber.