# Preserving Vitality: A Case Report of Partial Pulpotomy in Dental Practice

## TL;DR

A partial pulpotomy using MTA successfully preserved a tooth with reversible pulpitis, showing no complications after one year.

## Contribution

Demonstrates the effectiveness of MTA in partial pulpotomy for preserving dental vitality in a clinical case.

## Key findings

- The patient remained asymptomatic with no periapical changes after six months and one year.
- Dentin bridge formation was observed, indicating successful healing.
- MTA proved effective in controlling bleeding and promoting tissue repair.

## Abstract

This paper aims to evaluate the outcomes of a partial pulpotomy with mineral trioxide aggregate (MTA) in a maxillary first premolar with reversible pulpitis symptoms and signs. An intraoral periapical radiograph revealed a deep pulp-involving carious lesion without any indications of a periapical lesion, no history of night pain, and no tooth tenderness when percussion was applied. Caries removal is done using a round bur, 2-3 mm of inflamed pulp from the crown portion was removed, and bleeding was controlled within four minutes using 2.5% sodium hypochlorite, over which MTA was placed. After the setting of MTA, resin-modified glass ionomer cement was placed over it, and the tooth was restored using composite. The patient was asymptomatic in six months and one-year follow-up with no periapical changes and showed dentin bridge formation. Careful case selection, a precise selection of biomimetic material, and long-term follow-up validate the success of the treatment.