Management of Furcal Perforation/Involvement in a Primary Molar With Irreversible Pulpitis Using Tampon Pulpotomy: A 18‐Month Healing Case Report

TL;DR

A child's damaged baby molar with serious pulp inflammation was successfully treated with a special filling technique, avoiding the need for extraction.

Contribution

This case report demonstrates successful long-term healing of a furcal perforation in a primary molar using tampon pulpotomy with calcium-enriched mixture cement.

Findings

Tampon pulpotomy with calcium-enriched mixture cement promoted radiographic healing over 18 months.

The technique allowed retention of the primary molar instead of extraction.

The treatment was effective in managing irreversible pulpitis with furcal involvement.

Abstract

Successful management of furcal perforation in a primary molar with irreversible pulpitis can be achieved using tampon pulpotomy with calcium‐enriched mixture cement. This conservative, biologically based technique promotes long‐term tooth retention and radiographic healing, offering an alternative to extraction in complex pediatric cases.

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