Carious Exposure versus Mechanical Exposure for MTA Pulpotomy in Primary TeethReportar como inadecuado

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BioMed Research International - Volume 2016 2016, Article ID 2753429, 6 pages -

Research ArticleDepartment of Pedodontics, Faculty of Dentistry, Ankara University, Ankara, Turkey

Received 22 August 2016; Accepted 24 October 2016

Academic Editor: Elizabeta Gjorgievska

Copyright © 2016 Burcu Nihan Çelik and Şaziye Sarı. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Introduction. The etiology of exposure determines pulpal response, making it crucial to distinguish between mechanical and carious exposure. This study clinically and radiographically evaluated the success of MTA pulpotomies conducted to treat carious and mechanical pulp exposure. Materials and Methods. This study was conducted with 50 mandibular primary molar teeth. Teeth were divided into 2 groups according to status of the exposure site, with teeth surrounded by carious dentin placed in a carious exposure group and those surrounded by sound dentin in a mechanical exposure group. MTA pulpotomies were performed for both groups. Treatment was followed up clinically and radiographically for 18 months. Results. Clinical and radiographic success rates at 18 months were 100% for both groups. Success rates did not vary significantly between the groups . Pulp canal obliteration was only seen in the carious exposure group, observed in 2 teeth 8.3%. Conclusion. The long term success rates achieved in this study indicate that MTA can be used as a vital pulpotomy material for the long term success in primary teeth with either mechanical or carious exposure. The findings of the present study highlight the fact that treatment prognosis is dependent upon diagnosis and selection of the appropriate materials for treatment.

Autor: Burcu Nihan Çelik and Şaziye Sarı



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