APEXOGENESIS OF AN IMMATURE PERMANENT MOLAR WITH THE USE OF Er,Cr:YSGG LASER AND MINERAL TRIOXIDE AGGREGATE

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Apexogenesis in young permanent teeth helps maintain the vitality of the pulp and aims at continued root dentin deposition. This allows continued root formation and apex closure leading to roots that are not weakened or likely to fracture due to thin root canal walls. This case report examines vital pulp therapy for a patient reporting signs and symptoms of irreversible pulpitis with her lower first mandibular molar. The tooth demonstrated incompletely formed root apices with normal periradicular tissues. Er,Cr:YSGG laser was used in conjunction with MTA to perform therapeutic pulpotomy and induce apexogenesis. The 17-month follow-up of the case demonstrated clinical and radiographic success with absence of any signs and symptoms, continued root end formation and increased root dentin thickness.