Amputation of a Permanent Tooth with Symptoms of Irreversible Pulpitis and Pus Discharge from the Perforation Site Via MTA: A Case Report
Abstract
Until recently, it was accepted that vital pulp treatments would fail in permanent teeth diagnosed with "irreversible pulpitis" and that these teeth could only be treated with root canal treatment. Therefore, the traditional approach in permanent teeth diagnosed with irreversible pulpitis has mostly been root canal treatment. Similarly, in teeth where pus discharge was observed from the pulpal perforation area after caries removal, it was thought that the entire pulp tissue was infected, and root canal treatment was reported as necessary in these cases as well. However, for many years, the treatment decision in irreversible pulpitis cases with pulpal pus discharge was based on clinical symptoms that did not fully reflect the true inflammatory state of the pulp. Recent studies have shown that the histological status of the pulp and clinical symptoms do not always correspond to each other, and this has brought about a re-evaluation of vital pulp treatments. In particular, the developments in biocompatible and bioactive materials and the widespread clinical use of calcium silicate-based materials such as MTA have increased interest in these treatments. In addition, coronal pulpotomy; It is a more practical treatment option for the physician, a lower cost for the patient, and a faster procedure compared to root canal treatment. Therefore, it can be offered as an alternative approach to endodontic treatment in selected cases. The aim of this case presentation is to evaluate the clinical and radiographic results of total pulpotomy treatment with MTA (mineral trioxide aggregate) in a patient who presented to our clinic with severe pain and pus discharge from the pulpal perforation area.
Keywords
References
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Details
Primary Language
English
Subjects
Restorative Dentistry
Journal Section
Case Report
Authors
Zeynep Yılmaz
This is me
0009-0007-6823-6983
Türkiye
Publication Date
May 9, 2026
Submission Date
April 7, 2026
Acceptance Date
April 27, 2026
Published in Issue
Year 2026 Volume: 1 Number: 1