Pulpotomy
Conditions
Keywords
teeth, pulpitis, deep caries, pulpotomy, Mineral Trioxide Aggregate (MTA)
Brief summary
Many deep carious teeth are treated unnecessarily by root canal therapy, while with using current techniques and advances in compatible dental materials in addition to better understanding of biological response of the dental pulp, many can be treated conservatively via vital pulp therapy procedures.
Detailed description
Vital pulp therapy is recommended for teeth diagnosed with reversible pulpitis or partially inflamed pulps in which the remaining healthy tissue can be conserved and protected by a biologically active material to generate a hard tissue barrier that seals and protects the pulp from future microbial insult. The aim of this in vivo study is to clinically and radiographically assess the outcome of full pulpotomy using a calcium silicate based material (NeoMTA Plus) in permanent teeth with carious exposure. Ethics approval was obtained from the institutional ethics and research committee, and the patients were informed about details of the treatment and the possible complications. An informed consent was obtained. 120 patients meeting the inclusion criteria will be selected for this study and they will be subsequently followed up clinically and radiographically after 3 months, 6 months, 1 year and yearly afterward for 5 years.
Interventions
OTHERcalcium silicate based material,
Its a dental pulp capping material which is biocompatable and induces hard tissue barrier formation
Sponsors
Jordan University of Science and Technology
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Patients with symptomatic deep caries in a permanent molar tooth will receive pulpotomy treatment and placement of a calcium silicate based material (Neo MTA plus) over the pulp and followed by restoration.
Eligibility
Sex/Gender
ALL
Age
7 Years to 80 Years
Healthy volunteers
Yes
Inclusion criteria
* Permanent teeth with mature or immature apices * Have no significant medical problems * The tooth should give positive response to cold test and electric pulp test (EPT) * Probing pocket depth and mobility within normal limits * No Signs of pulp necrosis including sinus tract or swelling * Radiographically ; caries either exposing the pulps or reaching more than 2\\3 the distance from the dentino-enamel junction (DEJ) to the pulp * The tooth can be restored via direct restoration
Exclusion criteria
* Medically compromised patients * Negative response to cold test * Mobility * Sinus tract * Swelling * Non restorable teeth or badly broken teeth
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in pain symptoms | 2-3 days after the treatment, 3 months, 6 months and 12 months and afterwards up to 5 years. | The patient is anticipated to report reduction in the pain score after receiving the treatment within 2-3 days and the tooth should continue to be asymptomatic at follow up appointments. The patient will be asked to score the pain level on visual analogue scale using a score from 0-10. The zero is no pain while 10 is the maximum level. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Periapical normalcy at follow up radiographs . | 6months , 1 year, 2, 3,4,5 years | Pr-existing pathology should heal within 6 months- 1 year and normalcy should be maintained after ward up to 5 years. no emerging pathosis should be evident in the roots or surrounding bone. |
| The tooth and restoration should be present in the mouth | 3, 6 months, 1 year, 2, 3,4,5 years | The tooth should be in the mouth and in function (not extracted) with an intact restoration at the follow up times |
Countries
Jordan
Outcome results
None listed