ArticleClinical case reports2026
Five-Year Success of Endodontics Plus Vital Pulp Therapy in a Symptomatic Maxillary Molar: A Case Report.
Article in Clinical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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3 authors.
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Abstract
This case report details the integration of nonsurgical endodontic treatment (NSET) and vital pulp therapy (VPT) for symptomatic irreversible pulpitis (SIP) and symptomatic apical periodontitis (SAP) in a mature maxillary molar, with 5-year follow-up. A 23-year-old female presented with sensitivity in tooth #26 due to extensive distal caries. Initial pulpotomy with Five Mineral Oxides (5MO) failed after 1 month, revealing SIP/SAP. Selective NSET was performed on buccal canals (MB1, MB2, DB), while 5MO preserved vitality in the palatal canal. Buccal canals were obturated; the tooth was restored with amalgam. Annual follow-ups over 60 months showed no symptoms, intact periodontal ligament spaces, and transient sensibility response in the palatal canal on electric pulp testing a flexible treatment plan Selective NSET plus VPT provided long-term clinical and radiographic success in this case, suggesting a conservative, biology-based alternative to full pulpectomy in selected multirooted teeth with localized pathology.
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