Extensively decayed second primary molars requiring pulpotomy and full coronal restoration Oral Health
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age 6–10 years 2. Good/acceptable oral hygiene 3. Positive or definitely positive Frankl behavior rating 4. Indication for full-coverage restoration (endodontically treated teeth) 5. Absence of mobility or sinus tract 6. Healthy child (no systemic illness or medication-induced gingival overgrowth) 7. Normal occlusion, no bruxism 8. Presence of opposing and adjacent teeth 9. Signed informed consent and commitment to follow-ups
Exclusion criteria
Exclusion criteria: 1. Poor oral hygiene or presence of uncontrolled plaque or gingivitis 2. Uncooperative behavior, defined as negative or definitely negative on the Frankl behavior rating scale 3. Children with systemic illnesses or conditions that may affect gingival health (e.g., medication-induced gingival overgrowth)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The following primary clinical and photographic evaluations are carried out at 1, 6, and 12 months: 1. Oral Hygiene Index-Simplified (OHIS), defined as 0 = No debris; 3 = Debris > 2/3 of surface. Interpretation: 0–1 = Good, 1–2 = Fair, 2–3 = Poor 2. Plaque Index (PI), defined as 0 = absence of plaque, 1= Thin film of plaque, 2= moderate accumulation of plaque 3 = Large amount of Plaque 3. Gingival Index (GI), defined as 0 = Normal, 1= mild inflammation, 2= moderate inflammation 3 = Severe inflammation 4. Bleeding on Probing (BOP), defined as (-) = No bleeding, (+) = Bleeding after probing 5. Marginal integrity, defined as 0 = No gap, 2 = Visible gap | — |
Secondary
| Measure | Time frame |
|---|---|
| Contact points (0 = Normal, 2 = Open), Crown fracture (0 = Intact, 1 = Minor chipping, 2 = Cracks, 3 = Full fracture), measured using clinical and photographic evaluations to the United States Public Health Service (USPHS) Criteria at 1, 6, and 12 months | — |
Countries
Syria