Mineral Trioxide Aggregate (MTA) As a Pulpotomy Agent in Developing Permanent Teeth: A Case Report

Introduction: Traumatic injuries or caries to developing permanent teeth may prevent theintegrity of root maturation and finally result in pulp necrosis, vital pulp therapy (VPT) is asuitable treatment for these teeth. This article describes a successful apexogenesis report of anine year old boy with impact trauma to the mandibular left first molar which causedcomplicated crown fracture, pulp exposure and thereupon spontaneous pain.Methods: Cervical pulpotomy was performed and the remaining pulp was capped with mineraltrioxide aggregate (MTA). Afterwards the crown was restored using a stainless steel crown, thepatient was followed up using radiographic images and clinical examinations 6 and 12 monthsafter the treatment.Findings: The follow up documents indicated that the tooth maturation was completed, the apexwas developed and a calcified barrier was formed right above the remaining vital pulp and noother endodontic treatments were needed.Conclusion: Regarding to the excellent healing potential of the immature vital pulp and usingMTA as medicated filling matter, clinical and radiographic documents represent MTA as asuccessful pulpotomy agent in immature permanent teeth.

Keywords:

Apexogenesis , Mineral Trioxide Aggregate , Open apex , Pulpotomy , Trauma