A BSTRACT Objectives: To evaluate the long-term clinical and radiographic success of full pulpotomy as a definitive treatment for symptomatic irreversible pulpitis in mature permanent first molars among pediatric patients. Methods: A retrospective study of 51 patients (10–16 years) treated at Al Dhafra Hospitals, Abu Dhabi, UAE (2017–2023) was conducted. After coronal pulp removal, hemostasis was achieved with 5.25% sodium hypochlorite, and Mineral Trioxide Aggregate (MTA) was placed over pulp stumps. Definitive restorations were completed in the same visit. Patients were followed clinically and radiographically for up to seven years. Results: Of 51 treated molars, 49 (95.2%) remained asymptomatic with no radiographic pathology. One failure (1.96%) occurred due to coronal restoration loss, leading to pulp necrosis. No significant association was found between treatment success and variables such as age, sex, tooth type, or preoperative signs. Conclusion: Full pulpotomy using MTA shows excellent long-term success in mature permanent first molars with irreversible pulpitis, providing a biologically conservative and reliable alternative to root canal therapy.
Mansoori et al. (Sat,) studied this question.