# Pulpotomy for the Management of Irreversible Pulpitis in Mature Teeth

## TL;DR

This case report shows that pulpotomy using MTA can effectively treat irreversible pulpitis in a young patient, with no complications after one year.

## Contribution

The paper introduces a new classification scheme for pulp states and emphasizes the importance of case selection in adult pulpotomy outcomes.

## Key findings

- Pulpotomies using MTA showed no visible anomalies in radiographs after 12 months.
- The treated tooth remained functional and symptom-free during follow-up.
- Combining pulse oximetry, EPT, and cold testing helped confirm the pulp's state.

## Abstract

Strict protocols for evaluating the pulp's preoperative state should be developed, along with a new classification scheme for the different pulp states, as case selection plays a major role in the effectiveness of adult pulpotomy. In this case report, a male patient, age 15, who had a carious lower left first molar underwent pulpotomy. The pulp's initial state was ascertained by pulse oximetry, electric pulp testing (EPT), and cold testing. The final diagnosis was symptomatic irreversible pulpitis. A 12-month follow-up period following the placement of mineral trioxide aggregate (MTA) (MTA Angelus Angelus, Londrina, Brazil; Clinician’s Choice, New Milford, CT) and tooth-colored composite restoration revealed no visible anomalies in the postoperative radiographs, and the tooth remained functional and free of symptoms.