Batna Journal of Medical Sciences
Volume 13, Numéro 8, Pages 668-674
2026-07-30
Cervical Pulpotomy In Mature Permanent Molars With Irreversible Pulpitis: A Clinical Case Report Using Biodentine
Authors : Himeur Besma . Oudghiri Fouad .
Abstract
Cervical pulpotomy is a conservative endodontic treatment designed to manage irreversible pulpitis in mature permanent molars. The procedure involves removing the affected coronal pulp while preserving the vitality of the remaining radicular pulp, offering an effective alternative to more invasive treatments like full root canal therapy. This clinical case series investigates the use of Biodentine, a bioceramic material, for pulp capping in cervical pulpotomy. Biodentine has gained recognition for its excellent biocompatibility, sealing properties, and ability to stimulate dentinogenesis, making it a preferred choice for pulpotomy in mature teeth. Four clinical cases of mature permanent molars with irreversible pulpitis were treated using cervical pulpotomy with Biodentine, followed by composite resin restoration. Postoperative radiographs at 6- and 12-month follow-ups showed successful healing with no evidence of periapical pathology or pulp necrosis. The results demonstrate that Biodentine offers a reliable and effective solution for preserving tooth vitality in irreversible pulpitis, with outcomes comparable to conventional endodontic treatments.
Keywords
Cervical pulpotomy; Irreversible pulpitis; Permanent molars; Biodentine; Pulp capping; Endodontics; Conservative dentistry
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