Vital Pulpotomy on a Mature Upper Central Incisor Using Mineral Trioxide Aggregate: A Case Report with 2-year Follow-up

Traumatic dental injuries often involve pulp exposure, and vital pulp therapy (VPT) has shown promise in managing such cases. Objective: This case report evaluates the success of VPT in treating a traumatically injured mature permanent upper central incisor with an Ellis Class III fracture in a 31-year-old patient. A vital pulpotomy was performed using mineral trioxide aggregate (MTA) on the upper left central incisor, followed by glass ionomer cement restoration and a ceramic crown. Clinical and radiographic outcomes were assessed at 6 months and 2 years. At 6 months and 2 years posttreatment, the tooth exhibited no clinical symptoms or radiographic signs of failure, indicating successful pulp vitality maintenance. VPT with MTA is a viable treatment for mature permanent teeth with traumatic pulp exposure, provided meticulous clinical techniques are followed.