PMC10329758_01
Illustrations of the periapical radiographs of the reported maxillary left second molar throughout the treatment process: A) In the preoperative radiograph, mesial recurrent caries can be observed, which extended to the pulp chamber; B) The initial treatment of miniature pulpotomy (MP) and composite restoration; C) Afterwards, the patient experienced pain and discomfort leading to the subsequent full pulpotomy (FP) procedure performed 11 months later; D) The one-year follow-up radiograph demonstrates a functional tooth with a normal periodontal ligament; E) Remarkably, the ten-year follow-up radiograph shows the long-term successful outcome of vital pulp therapy, utilizing a calcium-enriched mixture (CEM) biomaterial
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F1
Radiographic evaluation demonstrated mesial recurrent caries extending deeply into the dental pulp (Figure 1A). The exposed pulp area was sealed with a ~2 mm thickness of CEM cement. The remaining cavity was then restored with resin composite material (Z250; 3M/ESPE, St Paul, MN, USA) (Figure 1B). The coronal cavity was then filled with the resin composite material (Figure 1C). At the 12-month follow-up, the tooth remained asymptomatic and functional (Figure 1D). Ten years later, during a recall examination, the tooth continued to be symptom-free, functional, and exhibited a normal periodontal ligament (PDL) response (Figure 1E).