pulpotomy of symptomatic permanent teeth with carious exposure using mineral trioxide aggregate

introduction : to evaluate the clinical and radiographic outcomes of pulpotomy treatment with mineral trioxide aggregate (mta) in symptomatic mature permanent teeth with carious exposure. materials and methods: ten patients aged 27-54 years presented with 11 symptomatic permanent teeth ( n =11). each offending carious tooth was clinically and radiographically determined. we removed caries as conservatively as possible; however pulp exposure was inevitable. proroot mta pulpotomy was performed on these teeth. the patients were followed-up clinically and radiographically for 24-42 months. results: immediate relief of patients` symptoms occurred. moreover, teeth responses to the electric pulp tester were within normal range on follow-up appointment and the radiographs did not reveal any abnormality/lesion in the periapical areas. conclusion: pulpotomy using mta could be a good alternative for root canal therapy (rct) for managing symptomatic mature permanent teeth with carious exposure, however further large-scale multicenter clinical trials are highly encouraged to confirm this hypothesis.