None listed
Conditions
Brief summary
The aim of this study is to evaluate and compare the clinical and radiographic of MTA and biocerami (putty) in pulpotomy for primary and immature permanent molars over one week,three ,six,nine,twelve months regarding recovery failure,vitality of the pulp,root development,bone integrity,gingival response. Randomized controlled clinical trial.
Interventions
pulpotomy for primary molars with irreversible pulpitis, pulpotomy for immature permanent molars with irreversible and reversible pulpitis using Mineral trioxide aggregate( MTA ) and Bioceramic (putty) materials followed by stainless steel crowns. the primary molars was dividing in two groups,each group contains 20 primary molars according to the material using in pulpotomy. Immature permanent molars with irreversible pulpitis dividing into two groups according to material using in pulpotomy,each group contains 12 patient. Immature permanent molars with reversible pulpitis dividing into two groups according to material using in pulpotomy,each group contains 12 patient. After Proper local anesthesia was achieved and isolate the molar using rubber dam, the caries was removed, the pulp chamber was opened,the coronal pulp tissue were removed using sharp excavator,the Hemostasis was achieved using Cotton balls moistened with distilled water for five minutes in case of reversible pulpitis , but in cases of irreversible pulpitis Hemostasis was controlled by applying pressure using cotton balls moistened with sodium hypochloride at a concentration of 2.5% at intervals of two minutes until hemostasis is obtained, provided that the total time does not exceed 15 minutes,after that the selective material was applied followed by stainless steel crown. The researcher himself will do the procedures, Intervention time is about an hour. Place of work, Damascus University, Faculty of Dentistry, Department of Pediatric Dentistry. Follow-up and patient evaluation will be organized through archived records specific to a specific time in the records of the Department of Pediatric Dentistry.
Sponsors
Study design
Eligibility
Inclusion criteria
1_primary molas with irreversible pulpitis. 2_immuture permanent molars with irreversible and reversible pulptis. 3_cooperative patient. 4-Absence of symptoms and signs that indicate necrotic pulp( swelling, movement, fistula). 5_Parental approval. 6_Having two-thirds the length of the root in primary molars. 7_ absence of systemic diseases that affect healing. 8_Absence of radiographic symptoms and signs(internal or external resorption, calcification,periapical lesion). 9_Good oral hygiene.
Exclusion criteria
1_children with known systemic disease,mental disability or abnormal para-functional habits. 2_patient who had the behavioral rating ( definitely negative ) according to the Frankle behavior classification scale.