irreversible pulpuitis.
Conditions
Interventions
Intervention 1: Intervention group: Partial pulpotomy with MTA cement: After clinical and radiographic evaluations of patients with inclusion criteria, the profile form for each patient was completed.
3M ESPE, St Paul, MN) is placed and the tooth is permanently repaired with a resin composite. Periapical radiographs are taken after surgery. Intervention 2: Intervention group: Partial pulpotomy with
Sponsors
Zahedan University of Medical Sciences
Eligibility
Sex/Gender
All
Age
12 Years to 50 Years
Inclusion criteria
Inclusion criteria: Vital molars (positive response to electrical pulp tester and cold test before treatment and objective observation of pulp bleeding after access cavity preparation) Existence of a history of irreversible pulpitis (history of spontaneous diffuse or localized pain; irritation due to cold and heat that persists after removal of the stimulus; pain induced by cold testing) or no clinical signs of irreversible pulpitis but with Pulp exposure after removal of coronal caries Patients age between 12 and 50 years Prepared and able to attend follow-up meetings Have signed a written consent form
Exclusion criteria
Exclusion criteria: Patients with systemic diseases in which tissue repair is impaired, such as diabetes, cancer, endocrine disorders, AIDS, and those taking corticosteroids. Patients who for any reason can not inject anesthesia containing epinephrine. Pregnant or lactating women Patients with poor oral hygiene and periodontal disease in such a way that long-term retention of teeth is not possible due to periodontal problems People like immigrants from other countries who, for whatever reason, have a good chance of leaving the study Age of patients less than 12 years (for the treatment of the first molar) and less than 15 years (for the treatment of the second molar) and more than 50 years Patients with mental and physical disabilities
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain. Timepoint: 1 week , 6 month. Method of measurement: Based on the pain recorded on the Visual Analogue Scale pain index ruler.;Clinical signs of soft tissue around the roots. Timepoint: 1 week , 6 month. Method of measurement: Inflammation, redness, swelling and infection of the soft tissue adjacent to the tooth, spontaneous pain, pain on touch and percussion, fistula and abscess.;Radiographic signs of periradicular. Timepoint: 1 week , 6 month. Method of measurement: It is ranked based on the presence of dilatation and radiolucency of the periapical PDL or the absence of any reaction. Internal and external analysis, apical lesion and canal calcifications.;Type of treatment. Timepoint: 1 week , 6 month. Method of measurement: One of the three treatment protocols (partial pulpotomy with new silicate cement, partial pulpotomy with MTA, endodontic treatment).;Age. Timepoint: The beginning of the study. Method of measurement: Number of years of life based on patient's statements.;Sex. Timepoint: The beginning of the study. Method of measurement: Female-male, based on phenotype.;Jaw. Timepoint: The beginning of the study. Method of measurement: Depending on the type of jaw (maxilla or mandible).;Tooth. Timepoint: The beginning of the study. Method of measurement: Location of the tooth (first or second molars).;Follow-up of clinical and radiographic symptoms. Timepoint: Follow-up periods are one week and six months. Method of measurement: Questionnaire and clinical examination and radiography.;The pulp condition of the treated tooth. Timepoint: The beginning of the study, one week and six months. Method of measurement: Includes healthy pulp, reversible pulp, irreversible pulp and necrosis. It is determined based on EPT and cold tests performed.;Periapical conditions of the treated tooth. Timepoint: The beginning of the study, one week and six months. Method of measurement: It includes healthy, acute and chronic periodontitis. It is determined based on the response to | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactBehnam Rousta
Zahedan University of Medical Sciences
Outcome results
None listed