J Korean Acad Pediatr Dent.  2021 May;48(2):176-183. 10.5933/JKAPD.2021.48.2.176.

Preoperative Factors of Immature First Permanent Molars Treated with Vital Pulp Therapy

• Lim H
• Lee E
• Park S
• Jeong T
• Shin J

• KMID: 2516427
• DOI: http://doi.org/10.5933/JKAPD.2021.48.2.176

Abstract

This study aimed to analyze the preoperative factors of immature first molars treated with vital pulp therapy and to find out their correlation in pediatric patients. From May 2014 to January 2020, 523 patients and 1,242 immature first molars were investigated. Factors including age, sex, tooth location, Molar-incisor hypomineralization (MIH), caries cavity location, and history of previous restoration were evaluated. As a result of the study, the vital pulp therapy group had 5.56 times more MIH, 3.39 times more mesial cavities, and 8.73 times more distal cavities. In order to avoid vital pulp therapy in immature first molar, early diagnosis and active management of MIH and preventive treatment of mesial and distal caries are necessary after its immediate eruption.