ABSTRACT
Untreated extensive caries on young permanent molar teeth can lead to granulomatous redness tissue in the occlusal portion, known as pulp polyp, chronic hyperplastic pulpitis, or proliferative pulpitis. This condition results from the proliferative response of the young pulp tissue to chronic inflammation and may lead to calcification in some areas of the pulp. A tooth with pulpal pathosis (PP) shows difficulties in endodontic treatment and can be challenging for clinicians. A 15-year-old female complained of discomfort and bleeding while brushing on her left mandibular first molar. Clinical examination revealed a large cavity with granulomatous red tissue, percussion test, and vitality test showed positive. The test showed a large area of radiopaque material in the pulp chamber and the third coronal mesial root canal. Pulp polyp was removed using electrocauterization under local anesthesia. A rubber dam was used for the isolation. Pulp stone and calcification are removed with an ultrasonic tip and NaOCL 5.25% solution. Root canal treatment was prepared using a rotary instrument with the crown-down technique. Obturation was achieved with a warm vertical compaction technique and calcium hydroxide-based root canal sealer. The final restoration was restored with fiber-reinforced composite and composite paste. Early recognition of PP using radiograph examination and proper equipment leads to successful treatment of pulp polyps and calcification of the pulp in young permanent teeth. This case report showed successful endodontic treatment of PP with pulp stone and calcification in the coronal third mesial root canal.
