Clinical Success of MTA Vital Pulpotomy in Permanent Teeth with Carious Pulp Exposure: A Prospective Outcomes Study

Abstract

Background: Vital pulp therapy is becoming more popular in modern dentistry because it helps preserve the natural pulp of the tooth. Mineral trioxide aggregate (MTA) is widely used in pulpotomy procedures because of its good sealing ability, biocompatibility, and ability to promote healing. MTA vital pulpotomy is considered a conservative alternative to root canal treatment in permanent teeth with carious pulp exposure.

Materials and Methods: This prospective clinical study included patients with permanent teeth showing carious pulp exposure and signs of reversible or mild irreversible pulpitis. After removal of the infected coronal pulp, MTA was placed over the remaining healthy pulp tissue. The teeth were restored permanently and followed clinically and radiographically at 3, 6, and 12 months. Clinical signs, symptoms, and radiographic healing were recorded.

Results: Most treated teeth remained asymptomatic during the follow-up period. High clinical success was observed with reduction in pain and absence of swelling or tenderness. Radiographic examination showed maintained periapical health and evidence of dentin bridge formation in many cases.

Conclusion: MTA vital pulpotomy showed high clinical and radiographic success in permanent teeth with carious pulp exposure. It may be considered a reliable and conservative treatment option for preserving pulp vitality.