Induction of Root Development and Apical Closure in Permanent Mandibular Molar with Irreversible Pulpitis through Total Pulpotomy with Application of Mineral Trioxide Aggregate

Felipe Gomez; Jorge Fuentes; Diego Saravia & Mónica Silva

Summary

Loss of teeth vitality when root formation is incomplete, results in weaker structures leaving them prone to fractures and unfavourable long-term prognosis. Apexogenesis is currently the treatment of choice in immature teeth and is indicated in vital teeth without pulpal pathologies. The treatment aims to eliminate the causal agent of the damage, and provide the necessary conditions to preserve vitality in the tooth and induce apical root closure. A 6-year-old male patient was treated at the Endodontics Clinic, Universidad de La Frontera upon complaining of acute pain in tooth 30. The tooth presented incomplete root development due to dental caries with pulp exposure and a diagnosis of irreversible symptomatic pulpitis. Total pulpotomy was performed with the application of Mineral Trioxide Aggregate and controlled at 1, 4, 6, 7 and 12 months, achieving root development and apical closure in the permanent molar. The result was comparable with studies that support this therapy in teeth with irreversible pulpitis. This work seeks to contribute to the existing evidence on the management of immature permanent teeth with irreversible pulpitis to induce root development and apical closure, and maintain pulp vitality.

KEY WORDS: apexogenesis, pulpotomy, mineral trioxide aggregate.

How to cite this article

GOMEZ, F.; FUENTES, J.; SARAVIA, D. & SILVA, M. Induction of root development and apical closure in permanent mandibular molar with irreversible pulpitis through total pulpotomy with application of mineral trioxide aggregate. Int. J. Odontostomat., 14(2):144-149, 2020.