Health Condition 1: K040- Pulpitis
Conditions
Interventions
Intervention1: coronal pulpotomy using NeoPutty MTA: Pulpotomy performed in primary molars with clinical symptoms of irreversible pulpitis using NeoPutty as a pulpotomy material, followed by definitiv
Sponsors
christian dental college, ludhiana, Punjab
Eligibility
Inclusion criteria
Inclusion criteria: Every child under study should be healthy without any underlying significant medical condition. Children under the study should be between 3-9 years of age. Deciduous molars exhibiting clinical symptoms typical of irreversible pulpitis are selected in the study. Pre-operative radiograph should show no furcal radiolucency, or even if it is present, it should be less than half the vertical distance from tooth furcation to the periapical areas of the tooth After de-roofing the pulp chamber, on evaluating the pulpal status only the healthy pulpal tissue which shows uniformly reddish pinkish vascular tissue is considered to be suitable for study. Radicular pulp which wraps up bleeding or shows haemostasis within 6-minutes of coronal pulpotomy willl be included in the study. Care will be taken that all the primary molars selected for the study should be in a condition that post-operatively they are able to receive pre-formed metal crowns.
Exclusion criteria
Exclusion criteria: The teeth which shows intensifying degree of infection/inflammation with objective signs of widespread pulpal infection like pathologic tooth mobility due to compromised periodontal status, soft tissue involvement like swelling, or even more penetration of the infection causing presence of a sinus tract are excluded out of this study. If two adjacent teeth in the same quadrant are involved and patient feels symptoms of irreversible pulpitis but clinical diagnosis between two suspected molars is not sharply defined then such case will not be undertaken for the study. No teeth will be given the benefit of doubt under selection criteria in this study. Pre-operative radiograph if shows signs of periapical radiolucency due to any pathological events occurred in tooth that have caused pathological root resorption or replacement resorption, internal/external resorption, and also, if physiological root resorption is more than third the root length will also not be the part of the study. After de-roofing of the pulp chamber, if there is no sign of bleeding or if color of the tissue found is yellowish-brownish indicating pulp necrosis/non-vital pulp, such tooth will also be excluded out of the study If bleeding is not arrested within 6 minutes of coronal pulpotomy with 5.2% of NaOCl as homeostatic agent, then the tooth is out of the criteria of selection because prolonged bleeding means the inflammation is not localised and more widespread rendering tooth less suitable for this minimal invasive procedure. If the pre-operative tooth structure of tooth is already compromised that in future after pulpotomy it won t be able to have any crown on it and thus threatening the treatment success and longevity of the tooth treated, shall also be not the part of the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| THE CLINICAL SUCCESS criteria includes the post-operative 24-h and 7-DAYS and then 6-MONTHS clinical, radiographic outcomes and pain assessmentTimepoint: 24 HRS, 7 DAYS, 6 MONTHS | — |
Secondary
| Measure | Time frame |
|---|---|
| he objective of the study is to assess the effects of potential prognostic factors like age, gender, tooth type, site of caries, haemostasis time, and furcal radiolucency on the pulpotomy treatment outcomes. The study will also assess whether pulpotomy offers immediate pain relief for primary molars presenting with clinical symptoms of irreversible pulpitis. Timepoint: 24 HRS, 7 DAYS, 6 MONTHS | — |
Countries
India
Contacts
Public ContactDr. Preetika Sharma
CHRISTIAN DENTAL COLLEGE & HOSPITAL, LUDHIANA
Outcome results
None listed