Pulpotomy of permanent teeth: Are we there yet?

Title: Pulpotomy of permanent teeth: Are we there yet?

Abstract:

Pulpotomy, traditionally a treatment for primary teeth or immature permanent teeth, has gained attention as a minimally invasive alternative to root canal treatment (RCT) for managing pulpitis in mature permanent teeth. This presentation explores the evolving role of pulpotomy in endodontic practice, focusing on its application in cases of reversible and irreversible pulpitis. We review recent clinical evidence, including randomized controlled trials and systematic reviews, to evaluate the efficacy, success rates, and long-term outcomes of partial and full pulpotomy using contemporary bioactive materials such as mineral trioxide aggregate (MTA), calcium-enriched mixture (CEM), and hydraulic calcium silicate cements (HCSCs). The discussion addresses challenges in patient selection, diagnostic criteria, and procedural standardization, while highlighting the potential of pulpotomy to preserve pulp vitality, reduce treatment complexity, and improve patient-centred outcomes. By synthesizing current research and expert consensus, this presentation aims to answer whether pulpotomy is ready to redefine endodontic care for permanent teeth or if further evidence is needed to establish it as a standard of care.

Biography:

Enass Shamsy is a dentist and educator with over a decade of experience in clinical practice and academic teaching. She holds a master’s degree in Endodontics and Conservative Dentistry and a master’s in Medical Education. Shamsy has a strong background in curriculum development, student mentoring, and interdisciplinary collaboration, with a particular interest in endodontics, preventive dentistry, and public oral health. She has been actively involved in research related to dental education, endodontics materials and practice, and community-based oral health interventions, and has presented her work at national and international conferences. Dr Shamsy is currently engaged in educational and public health initiatives aimed at improving dental care delivery and patient outcomes.