And better handling qualities than MTA [17]. CEM has demonstrated to manage root resorption and stimulate dentinal bridge formation [17, 18]. This case report describes the clinical and radiographic outcomes of pulpotomy utilizing ZOE, MTA and CEM cement for 3 immature permanent molars inside a single patient.ABSTRACThe objective of vital pulp therapy (VPT) should be to preserve and sustain healthier pulp tissue which has been compromised by trauma, caries, or restorative procedures. This really is necessary in young adults who’ve teeth with incomplete root development. The preservation of radicular pulp tissue in these teeth makes it possible for continuing apical maturation[1]. Components investigated in VPT contain calcium hydroxide, formocresol, zinc oxide eugenol (ZOE), mineral trioxide aggregate (MTA) and calcium enriched mixture (CEM) cement. ZOE is definitely an antimicrobial agent and a nontoxic material for pulp cells with great functioning and setting time [2, 3]. This material doesn’t lead to diffuse calcification of canals. Mineral trioxide aggregate has numerous favorable qualities that make it a appropriate material for VPT. The physicochemical properties of MTA allow it to set within the presence of blood or moisture [4]. It includes a favorable biocompatibility [57] and very good marginal adaptation [4, 8, 9]. MTA also induces difficult tissue formation [10, 11]. Nevertheless, MTA is highly-priced and has poor handling qualities, a lengthy setting time and no predictable antimicrobial activity [12, 13]. Calcium enriched mixture (CEM) cement has clinical applications equivalent to MTA. The biological response ofTCase ReportAn 8yearold boy was referred for the department of Endodontics of Mashhad Faculty of Dentistry using a chief complaint of discomfort in the course of chewing in addition to a history of surgery to right a cleft palate. There were no issues inside the patient’s healthcare history. Dental examination revealed the very first upper permanent molars and first right reduce permanent molar had massive carious lesions. The involved teeth responded to vitality test with severe lingering pain and have been asymptomatic to percussion and palpation. Radiographic examination showed immature apices with no apical lesion (Figures 1A, 2A, 3A, 4A). Depending on the clinical/radiographic assessment and severe coronal breakdown, a remedy of coronal pulpotomies for the impacted molars was selected. Beneath neighborhood anesthesia with 2 lidocaine and 1:80,000 epinephrine and rubber damIEJ Iranian Endodontic Journal 2013;eight(three):145ZOE, MTA and CEM cement in VPTFigure 1. First suitable mandibular permanent molar periapical radiograph (ZOE case); A) Initial radiograph; B) Postoperative radiograph; C)Seven months recall with SS crown; D) 18 months recallFigure two.55685-58-0 web First right maxillary permanent molar periapical radiograph (MTA case); A) Initial radiograph; B) Postoperative radiograph; C) Sevenmonths recall with SS crown, D) 18 months recallisolation, the caries with the 1st suitable mandibular molar have been excavated.105751-18-6 Chemical name Coronal pulp was removed having a highspeed sterile round diamond bur (Maillefer, Tulsa, OK, USA) with water cooling.PMID:23514335 Hemorrhage was controlled with sterile cotton pellets and 5.25 NaOCl. Zinc oxide powder plus eugenol (Kemdent, SwinDon, HT, UK) was placed around the exposed pulp (Figure 1b) and also the cavity was sealed temporarily with Cavit (Asia Chemi Teb Co., Tehran, Iran). Exactly the same procedure was performed for the very first upper molars. Inside the correct upper molar, MTA powder (ProRoot MTA; Dentsply, Tulsa Dental, Tulsa, OK, USA) was mixed with distilled water.