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Original Research

Open Access

Vital pulp therapy following pulpotomy in immature permanent teeth with carious exposure

  • Shuguang Han1
  • Qixia Zhang1,*,

1Zhejiang University District, The Second Affiliated Hospital of Zhejiang University School of Medicine, 310009 Hangzhou, Zhejiang, China

DOI: 10.22514/jocpd.2023.054 Vol.47,Issue 5,September 2023 pp.65-72

Submitted: 19 December 2022 Accepted: 03 March 2023

Published: 03 September 2023

*Corresponding Author(s): Qixia Zhang E-mail:


This prospective cohort study aimed to evaluate the clinical outcomes of vital pulp therapy (VPT) with the use of iRoot BP Plus (Innovative Bioceramics, Vancouver, Canada) for immature permanent teeth of patients aged from 6 to 10 years with pulp exposure resulting from dental caries and determine the impact of preoperative factors on VPT. Forty-six immature permanent teeth with dental caries underwent pulpotomy using iRoot BP Plus following a standardized protocol. Postoperative follow-ups were conducted on the first 3, 6 and 12 months post-surgery, then annually afterward. Successful treatment outcomes were defined based on clinical and radiographic evaluations. Statistical analysis was performed using the Fisher exact test, with p < 0.05 considered for statistical significance. Forty-four patients included in this study were 8.48 ± 1.49 years old and were followed up for 6 to 36 months. The overall success rate of pulpotomy was found to be 90.9% (40/44). None of the physical examination findings and symptoms significantly affected VPT prognosis (p > 0.05). Immature permanent teeth with caries-induced pulp exposed in patients aged 6 to 10 years can be effectively treated with pulpotomy using iRoot sBP Plus.


Vital pulp therapy; Pulpotomy; Immature permanent teeth

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Shuguang Han,Qixia Zhang. Vital pulp therapy following pulpotomy in immature permanent teeth with carious exposure. Journal of Clinical Pediatric Dentistry. 2023. 47(5);65-72.


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