title: Pulpotomy of symptomatic permanent teeth with carious exposure using mineral trioxide aggregate.
abstract: BACKGROUND
  To evaluate the clinical and radiographic outcomes of pulpotomy treatment with mineral trioxide aggregate (MTA) in symptomatic mature permanent teeth with carious exposure.
  
  
  METHODS
  Ten patients aged 27-54 years presented with 11 symptomatic permanent teeth (n=11). Each offending carious tooth was clinically and radiographically determined. We removed caries as conservatively as possible; however pulp exposure was inevitable. ProRoot MTA pulpotomy was performed on these teeth. The patients were followed-up clinically and radiographically for 24-42 months.
  
  
  RESULTS
  Immediate relief of patients` symptoms occurred. Moreover, teeth responses to the electric pulp tester were within normal range on follow-up appointment and the radiographs did not reveal any abnormality/lesion in the periapical areas.
  
  
  CONCLUSIONS
  Pulpotomy using MTA could be a good alternative for root canal therapy (RCT) for managing symptomatic mature permanent teeth with carious exposure, however further large-scale multicenter clinical trials are highly encouraged to confirm this hypothesis.
authors.affiliation: Faculty of Dentistry, Damascus University, Damascus, Syria.
authors.forename: Imad Hassan
authors.initials: IH
authors.lastname: Barngkgei
authors.forename: Esam Saleh
authors.initials: ES
authors.lastname: Halboub
authors.forename: Roula Safouh
authors.initials: RS
authors.lastname: Alboni
keywords: Dental Pulp Exposure; Endodontic; Mineral Trioxide Aggregate; Permanent Dentition; Pulpotomy, Root Canal Therapy