316 - Success of Vital Pulp Therapy on Immature First Permanent Molars

Abstract:

Purpose: To determine the factors that led to successful vital pulpotomy treatment of cavitated carious lesions in first permanent molars (FPMs) among pediatric patients treated at the University of Illinois Chicago College of Dentistry (UIC COD), Chicago, IL

Methods: A retrospective chart audit of patients aged 5-16 years who had at least one FPM that had vital pulpotomy treatment at the UIC COD between January 1, 2016 and March 1st, 2023. Data was collected on patient demographics (age, gender, race, etc.), the tooth treated (treatment type, root status, etc.) and follow-up visits. Successful treatment was determined by absence of symptoms or pathology at follow-up visits and no need for retreatment.

Results: A total of 254 patients were treated: [Age-mean(SD) = 8.64(1.64)]. Two hundred and sixty-eight treated teeth were assessed that met the inclusion criteria, where 43% had complete root development. Pulp therapy performed included Cvek (2%), partial pulpotomy (17%), and full pulpotomy (81%). Most treated teeth (77%) were restored with GI on the day of treatment. Around 50% of the treated molars received SSC as final restoration with 1/3 delivered on the day of treatment. Successful treatment was observed in 104 FPM teeth treated. Two thirds of the patients were cooperative and treated under N2O. No correlation was detected between the success rate of pulp therapy and root development or definitive restoration within 6 months period (p >0.05).

Conclusions:   The results suggest that success of pulpotomy treatment is independent of root development and type of restoration post treatment.

Identify Supporting Agency and Grant Number: IRB and/or ACC Protocol # STUDY2023-0452