European Journal of Molecular & Clinical Medicine

Pulpotomy is a common therapy in pediatric dentistry, done in a primary molar
with severe caries, but without evidence of radicular pathology where the removal of caries
results in exposure to carious or mechanical pulp. To facilitate healing or an agent to repair
the underlying tissue, the pulpotomy technique involves coating pulp stumps with a pulpcapping
agent. Pulpotomy can be performed using different techniques including non
pharmacotherapeutic treatments such as electrosurgey and lasers or pharmacotherapeutic
approaches by dressing pulp tissue with different medicaments or biological materials such as
formocresol (FC), glutaraldehyde, ferric sulphate, freezed dried bone, bone morphogenic
protein (BMP), osteogenic protein, sodium hyochloride, calcium enriched mixture (CEM)
and enriched collagen solutions. Hence the aim of present review of literature is to discuss
various pulpotomy medicaments in detail

The purpose of our research was to assess the prognosis of the treatment performed using second generation platelet concentrates (PRF) and a new calcium silicate-based material (Biodentine) for coronal pulpotomy techniques.
Methodology: Pulpotomy procedure was carried out on 4 carious involved, permanent molars detected with acute irreversible pulpitis in 17- to 22-year-old patients. Taking into consideration the patient’s age and the condition of the underlying pulp tissue, PRF pulpotomy was planned in view of preserving the vitality of the intact radicular pulps. Regenerative procedures with second generation blood matrices were chosen to encourage
the recovery of the inflamed pulps. The follow-up examinations were conducted at 6, 12 and 24 months, revealing a better clinical and radiological result. Descriptive analysis was carried out to assess the prognosis all these teeth with subsequent follow ups.
Results: The clinical follow-up evaluation of the cases was met with a positive outcome. In addition, the digital radiographic examination (RVG) of the cases revealed an intact PDL space and a normal trabecular pattern of the bone. There was statistically significant dentinal barrier formation, which shows the healing reponse.
Conclusion: We can conclude that clinicians can safely rely upon advanced non-invasive, regenerative approaches to improve the standard of care delivered to the patients and can be considered as an alternative to conventional RCT.

There was a long-held perception that mature permanent teeth with pulp exposure has less favourable outcomes therefore root canal therapy as a treatment option has prevailed over others since the longest time. However, in the past decade we see a shift in the paradigm wherein maintaining the vitality and integrity of the pulp organ, elimination of microbes from the pulp- dentin complex and promoting regeneration of tissue has become the focus. This article throws light on materials used in vital pulp therapy procedure that helps attain protection towards the pulp - dentin complex