Evaluation Of MTA In Pulpotomy With Microscope: An Original Research

Abstract

Aim: This study aimed to assess the histological outcomes of mineral trioxide aggregate (MTA) pulpotomy as an alternative treatment for irreversible pulpitis in human teeth. A total of 20 teeth, obtained from patients aged 15–30 years, were included in the study. The teeth were selected based on specific criteria, which included the presence of carious lesions with pulp exposure and a history of persistent pain. Following isolation of the teeth, caries removal, and pulp exposure, MTA was employed in the pulpotomy procedure.

Methods: The patients in this study were monitored for pain symptoms 24 hours after the pulpotomy procedure. Unfortunately, 4 patients were lost to follow-up and their data could not be included in the final analysis. However, recall examinations of the remaining patients confirmed that none of them reported any pain after the pulpotomy treatment. The histological examination revealed that all the samples exhibited complete dentin bridge formation, indicating a successful healing response. Furthermore, the pulps of these teeth appeared to be vital and devoid of any signs of inflammation.

Results: The biocompatibility and ability of MTA to stimulate reparative processes, enhanced sealing properties, and potentially bactericidal effects contribute to the potential for long-term success in preserving pulp vitality and promoting the overall health of the tooth. In our current investigation, the pulpotomy procedures conducted using MTA on teeth with carious exposures exhibited a 100% success rate during the entire 24-month follow-up period.

Conclusion: The results of this study underscore the importance of selecting the appropriate material for vital pulpotomy procedures. MTA emerges as a highly reliable choice, demonstrating excellent success rates and favorable treatment outcomes.