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Abstract
After 2 yrs' follow-up, mineral trioxide aggregate (MTA) appeared suitable for this purpose.
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Barrieshi-Nusair KM, Qudeimat MA. J Endod 2006; 32: 731–735
Partial pulpotomy (PP: removal of 2-3 mm of inflamed coronal pulp) has been reported with high success rates. MTA is a very bland material which does not have the caustic and toxic effects of calcium hydroxide and induces pulp cell proliferation. In this study PP was performed using MTA for 31 molar teeth with deep carious exposures in 23 patients aged 7-13 yrs. There were 2 dropouts with 3 treated teeth.
Radiographic dentine bridges were present in 18 teeth at follow-up after 1-2 yrs. All 7 teeth with initially open apices had evidence of continued root maturation. In 22 teeth, vitality tests were positive. In the 6 teeth with no response, there were no pain problems. No periradicular bone resorption or root resorption or calcification was detected in any tooth followed up. The authors suggest PP with MTA is a reliable technique in young cariously eposed teeth.
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A prospective clinical study of mineral trioxide aggregate for partial pulpotomy in cariously exposed permanent teeth. Br Dent J 202, 325 (2007). https://doi.org/10.1038/bdj.2007.231
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DOI: https://doi.org/10.1038/bdj.2007.231