Case Report Of Complete Pulpotomy In Maxillary Second Premolar In Dental Practice In A 15 Year Old Patient.

The goal of this case report is to evaluate the outcomes of complete pulpotomy with mineral trioxide aggregate (MTA) in maxillary second premolar (#25). Clinically and radiographically a large carious lesion was visible under a resin restoration in the disto-occlusal area of the tooth without pulp involvement. The tooth presented the classic symptomatology and signs of reversible pulpitis. The intraoral radiograph also showed no alterations in the periapical area, no clinical and radiographic evidence of pulp degeneration, swelling or sinus tract, internal resorption,absorptions and no periapical bone destruction. During the percussion test no discomfort was noted, and the patient didn’t report night pain. Cold test was performed, using Endo ice refrigerant spray (Coltene) and showed no sign of pain after removal of stimulus. Caries and coronal inflamed pulp were removed with the use of a round-/large slow speed bur and bleeding was controlled with 2.5% of sodium hypochlorite. Later, the tooth was restored with GIC resin modified and progress of the tooth was radiographically followed up for 6 months, 1 year and then 2 years, where no periapical alterations or pain were noted.