study aimed to illustrate the treatment outcomes of mineral trioxide
aggregate (MTA) pulpotomy in vital permanent teeth with carious pulp
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.
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.
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