title: Treatment Outcomes of Mineral Trioxide Aggregate Pulpotomy in Vital Permanent Teeth with Carious Pulp Exposure: The Retrospective Study.
abstract: BACKGROUND
  This study aimed to illustrate the treatment outcomes of mineral trioxide aggregate (MTA) pulpotomy in vital permanent teeth with carious pulp exposure.
  
  
  METHODS
  MTA pulpotomy was performed in 66 vital permanent teeth with carious pulp exposure including teeth with signs and symptoms of irreversible pulpitis and the presence of periapical radiolucency. Patients were assessed for clinical and radiographic outcomes by 2 examiners. The relationship between treatment outcomes and factors was analyzed by means of univariate analysis and binary logistic regression.
  
  
  RESULTS
  Fifty patients (a total of 55 teeth) attended the follow-up examination. The age of the patients ranged from 7-68 years old (mean = 29 years old). For the follow-up period as far as 62 months, 48 teeth showed successful outcomes (success rate = 87.3%). Teeth with clinical signs of irreversible pulpitis and the presence of periapical radiolucency could be treated successfully by MTA pulpotomy with success rates of 84% and 76%, respectively.Three of 7 failed cases required pulpectomy after MTA pulpotomy to relieve painful pulpitis. Four other failed cases were asymptomatic, and failure was detected from radiographic examination. The relationship between treatment outcomes and treatment factors could not be detected statistically.
  
  
  CONCLUSIONS
  Teeth with carious pulp exposure can be treated successfully by MTA pulpotomy. Clinical signs of irreversible pulpitis and the presence of periapical radiolucency should not be considered as a contraindication for pulpotomy.
authors.affiliation: Department of Operative Dentistry, Chulalongkorn University, Bangkok, Thailand. Electronic address: linspairoj@gmail.com.
authors.forename: Pairoj
authors.initials: P
authors.lastname: Linsuwanont
authors.affiliation: Department of Operative Dentistry, Chulalongkorn University, Bangkok, Thailand.
authors.forename: Kongthum
authors.initials: K
authors.lastname: Wimonsutthikul
authors.affiliation: Department of Operative Dentistry, Chulalongkorn University, Bangkok, Thailand.
authors.forename: Uht
authors.initials: U
authors.lastname: Pothimoke
authors.affiliation: Department of Pediatric Dentistry, Chulalongkorn University, Bangkok, Thailand.
authors.forename: Busayarat
authors.initials: B
authors.lastname: Santiwong
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D017607:Aluminum Compounds / Q000627:therapeutic use*; D017610:Calcium Compounds / Q000627:therapeutic use*; D002648:Child; D003731:Dental Caries / Q000473:pathology / Q000601:surgery*; D003764:Dental Materials / Q000627:therapeutic use*; D003782:Dental Pulp / Q000473:pathology; D004338:Drug Combinations; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010087:Oxides / Q000627:therapeutic use*; D011671:Pulpitis / Q000601:surgery; D011672:Pulpotomy / Q000379:methods*; D012189:Retrospective Studies; D017640:Silicates / Q000627:therapeutic use*; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D017607:Aluminum Compounds; D017610:Calcium Compounds; D003764:Dental Materials; D004338:Drug Combinations; D010087:Oxides; D017640:Silicates; C086631:mineral trioxide aggregate
keywords: Carious pulp exposure; irreversible pulpitis; mineral trioxide aggregate pulpotomy; periapical radiolucency; vital permanent teeth