528 - Vital Pulp Therapy Treatment in Hypomineralized Permanent Molars: Case Report

Molar incisor hypomineralization is a very common condition in permanent dentition, with varying degrees of severity and different treatment options. Vital pulp therapy is an endodontic procedure performed on permanent teeth exhibiting caries with pulpal injury but without complete apical closure, seeking to safeguard vitality and function of the dental pulp. The aim of this report is to describe this treatment in two first permanent molars with severe hypomineralization, where treatment success was achieved.

Male patient, 7 years old, frankl 3, first phase of mixed dentition, high cariogenic risk, determined by cariogenic diet and bad hygiene. Gingivitis, multiple caries, incisor molar hypomineralization, with loss of tooth 3.6 due to it, and deep dentin caries in teeth 1.6 and 2.6.

The treatment was evaluated with an orthodontist and endodontist, and it was decided to perform vital pulp therapies by a specialist. The portion of the infected coronal pulp was removed, and the space was filled with a bioceramic material, using biodentine in this case. The rehabilitation was done using CAD/CAM, performing an intraoral scan and subsequently placing indirect inlays.

This case demonstrates that it is crucial to be aware of the various treatment options for teeth affected by hypomineralization, as the prevalence of this condition is increasing. Treatments can vary widely, and a continuous multidisciplinary approach is essential to determine the best course of action for our patients, always striving to provide the best possible treatment.

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