Title: MTA pulpotomy for deep caries in MIH affected first molars: Clinical benefits
Abstract:
Molar Incisor Hypomineralization (MIH) affects approximately 13–14?% of children worldwide, making it a common challenge in pediatric dentistry. First permanent molars with MIH are particularly vulnerable due to their porous enamel and dentin, which allow bacteria and their toxins to penetrate easily. This often leads to chronic pulp inflammation (pulpitis), even before extensive cavities are clinically apparent. Preserving pulp vitality in these teeth is essential to prevent pain, maintain function, and avoid complex restorations. Mineral Trioxide Aggregate (MTA) pulpotomy offers a minimally invasive, biologically driven solution that promotes pulp healing and long-term survival, even in deep carious lesions. This presentation highlights the clinical rationale, demonstrates practical techniques, and reviews evidence showing how MTA pulpotomy can transform the management of MIH-affected molars, prioritizing preservation over extraction and improving outcomes for young patients.


