AIM:In this case series, it is aimed to report different endodontic approaches in permanent molars with irreversible pulpitis and open apex.
CASE:5 patients, aged between 8 and 13, applied to Atatürk University, Faculty of Dentistry, Department of Pedodontics with the complaint of spontaneous pain. On the radiographs taken from the patients, it was determined that the caries was related to the pulp and the apex was not closed. As a result of the clinical examination and the history taken from the patients, it was decided to treat the teeth with irreversible pulpitis. Direct capping, pulpotomy, regeneration and single-session apexification treatments were applied, taking into account the patient's symptoms, the depth of the caries, the color and duration of bleeding. Vital tissues were covered by using Mineral Trioxide Aggregate (MTA) on the exposed pulp in direct capping treatments and in root canal orifices in pulpotomy treatments. In accordance with the regeneration treatment protocol, the clot formed after disinfection and bleeding was covered with MTA. In the apexification treatment, the root canals of the tooth were filled with MTA. All teeth were restored with composite resin. During the follow-up, it was observed that radiolucent lesions healed, physiological root formation continued and teeth that became asymptomatic were functional.
CONCLUSION:In young permanent teeth, vital pulp treatments are applied to continue the vitality of the pulp, maintain root development and keep the inflamed pulped tooth in function. The success rate is high in vital pulp treatments using biomaterials. Long-term health and preservation of necrotic and open-apex teeth can be achieved by performing different endodontic treatments using MTA to promote root development.