Pulpotomy in Hypominerlized Permanent Molars.

The first permanent molars in children can sometimes develop a condition called molar-incisor hypomineralization (MIH), which affects the strength and quality of the tooth structure. These teeth are more prone to breakdown and tooth decay, which may lead to inflammation of the dental pulp (the living tissue inside the tooth). This study aims to evaluate the effectiveness of vital pulp therapy, a treatment designed to preserve the health of the pulp and maintain the tooth's function. The goal is to save the pulp tissue and reduce the need for more complex treatments such as root canal therapy.

Inclusion Criteria: * • The patient age \= 2/3 of dentine or exposing the pulp on the radiograph * The tooth should give positive response to cold sensibility testing * Clinical diagnosis of reversible/irreversible pulpitis based on the symptoms and results of cold testing. * The tooth is restorable, probing pocket depth and mobility are within normal limits * No signs of pulpal necrosis including sinus tract or swelling Exclusion Criteria: * • Medically compromised patient. * Non-restorable tooth. * Signs of pulpal necrosis including sinus tract or swelling. * Uncooperative children who could not be treated under local anesthesia. * No enough bleeding after the pulpotomy procedure. * Inability to achieve hemostasis within 8 min after the pulpotomy.