title: Vital Pulp Therapy of a Symptomatic Immature Permanent Molar with Long-Term Success.
abstract: Vital pulp therapy (VPT) is the preferred conservative treatment for preservation of symptomatic pulps in immature permanent teeth. The present case report summarizes VPT of an immature permanent molar with irreversible pulpitis associated with apical periodontitis in a 9-year-old boy. Cervical pulpotomy was performed and radicular pulp stumps were covered with calcium-enriched mixture (CEM) cement; the tooth was then restored with stainless steel crown. After a 50-month follow-up period, the pulpotomized molar was clinically functional and asymptomatic. Moreover, radiographic evaluation revealed evidence of complete root development as well as normal periodontal ligament around the roots. The successful outcome achieved through VPT using CEM biomaterial in the reported case suggests that this method may produce favorable outcome for vital immature permanent teeth with irreversible pulpitis and periapical disease.
authors: Student Research Committee, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.
authors: Sedigheh
authors: S
authors: Sabbagh
authors: Dental Material Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.
authors: Alireza
authors: A
authors: Sarraf Shirazi
authors: Iranian Center for Endodontic Research, Research Institute of Dental Sciences, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors: Mohammad Jafar
authors: MJ
authors: Eghbal
keywords: Apexogenesis; Calcium-Enriched Mixture; Immature Tooth; Irreversible Pulpitis; Pulpotomy; Vital Pulp Therapy