Stomatológ 2021, 31(2):46-51 | DOI: 10.69658/sto.2021.022

Pulpotomy using Portland cement in Mature Permanent Teeth with Irreversible Pulpitis

Sami Albatal¹, Chaza Kouchaji ORCID...^2,3, Marwan Al-Akkad ORCID...⁴, Radek Mounajjed ORCID...^5,6,*

¹ Master's student, Department of pedodontics, Faculty of dental medicine, Damascus University, Damascus, Syria

² Head of Syrian association of pedodontics, Damascus, Syria

³ Professor, Department of pedodontics, Faculty of dental medicine, Damascus University, Damascus, Syria

⁴ Ph.D. student, Institute of Dentistry and Oral Sciences, Palacky University Olomouc, Olomouc, Czech Republic

⁵ Private Clinician, DCM clinic, Hradec Kralove, Czech Republic

⁶ Research associate, Institute of Dentistry and Oral Sciences, Palacky University Olomouc, Olomouc, Czech Republic

This report describes performing a pulpotomy procedure for a child using Portland cement in a permanent molar with closed apices and irreversible pulpitis. A 9-year-old male patient complained of pain in right posterior tooth region for 4-5 days. After complete clinical and radiographic examination, the involved tooth was diagnosed with irreversible pulpitis. The treatment plan was to perform complete coronal pulpotomy followed by placement of Portland cement in the pulp chamber then to rebuild by composite resin restoration. Consequently, the coronal pulpal tissue was extirpated using a sharp spoon excavator. The pulp chamber was irrigated with sterile normal saline solution. A cotton soaked in sterile normal saline solution was applied to the orifices for 5 minutes. A 2mm layer of freshly mixed Portland cement was packed in the pulp chamber using plastic instruments, then GIC was applied. Finally, a composite restoration restored the coronal tooth structure. Observations showed complete disappearing of the signs and symptoms. Throughout both the diagnosis and the treatment, the patient's pain intensity was measured using the Wong-Baker Faces Pain Rating Scale.

In this case, Permanent tooth pulpotomy with Portland cement could help preserving the tooth pulp vitality and promoting healing and repair foregoing the more invasive root canal therapy procedure.

Keywords: Pulpotomy, Portland cement, Mature Permanent Teeth, Irreversible Pulpitis, Pain Rating Scale

Published: December 15, 2021  Show citation