What is the probable pathology when immature permanent molars are treated with Ledermix pulp capping?

When immature permanent molars are treated with Ledermix pulp capping, the probable pathology indicated is necrosis of the pulp. Ledermix is an anti-inflammatory paste that contains both a corticosteroid and an antibiotic, primarily used in pulpal therapies to control inflammation and infection.

However, the use of Ledermix in pulp capping can lead to situations where the pulp does not heal as intended. In cases of deep caries or pulp exposure, the effectiveness of the treatment can be limited, particularly in immature teeth where the pulp is still developing and may be more susceptible to injury or necrosis due to such interventions.

If necrosis occurs, the vitality of the pulp is compromised, resulting in a lack of responsiveness to thermal stimuli and possibly leading to further complications, such as periapical disease. While other options suggest inflammatory responses or the preservation of normal pulp vitality, the use of Ledermix specifically in immature molars often results in a compromised pulp, which aligns with the outcome of pulp necrosis.