Irreversible pulpitis of primary molars
Conditions
Interventions
The active comparator arm:Pulpectomy
Experimental intervention arm:Pulpotomy
Sponsors
Shanghai Stomatological Hospital, Fudan University
Eligibility
Sex/Gender
All
Age
4 Years to 9 Years
Inclusion criteria
Inclusion criteria: 1.Healthy (ASA I and II) co-operative children (Frankl Scale + and + +) between the ages of 4 to 9 years will be invited to participate in the study; 2.Symptoms typical of irreversible pulpitis i.e., spontaneous unprovoked pain lasting few seconds to several hours in the days before the dental visit or pain that is exacerbated by hot and/or cold stimuli with the pain lingering even after removal of stimuli; 3.Post-deroofng the pulp chamber, vitality of the primary molar tooth is confrmed by visual inspection of pulpal haemorrhage (uniformly reddish pink vascular tissue indicates healthy pulp); 4.Post-coronal pulp amputation, radicular pulp health is confrmed by attainment of radicular pulp haemostasis within 10-min of compression with a 3% sodium hypochlorite (NaOCl)-dampened cotton pellet; 5.The primary molar is restorable with stainless steel crown; 6.Any physiologic root resorption, if present, is less than 1/3 the normal root length.
Exclusion criteria
Exclusion criteria: 1.Clinical examination reveals signs of pulpal infection i.e., pathologic tooth mobility, parulis/fstula, or soft tissue swelling; 2.Preoperative periapical radiograph suggests presence of furcal radiolucency; 3.Pre-operative periapical radiograph suggests presence of periapical radiolucency; 4.Pre-operative periapical radiograph suggests presence of pathological root resorption; 5.Post-deroofng the pulp chamber, visual examination of pulp tissue reveals signs of necrosis i.e., avascular/minimally bleeding pulp tissue or yellowish necrotic areas/purulent exudate; 6.Post-coronal pulp amputation, there are signs of extensive radicular pulp infammation i.e., bleeding continues even after 10-min compression with NaOCl-soaked cotton pellet; 7.Parents not willing to place full coverage crowns post-treatment; 8.If both primary molars in the quadrant are painful and clinical diagnosis of irreversible pulpitis between the teeth is not sharply defned.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Clinical outcomes and Radiographic outcomes; | — |
Secondary
| Measure | Time frame |
|---|---|
| Immediate post-treatment pain relief:; | — |
Countries
China
Contacts
Public ContactYijie Zhang
Shanghai Stomatological Hospital, Fudan University
Outcome results
None listed