Direct Pulp Capping
Conditions
Keywords
primary dentition, MTA, Dycal, bioactive material, deciduous dentition, Direct pulp capping
Brief summary
The purpose of this study is to Assess the effect of MTA and hard setting Calcium Hydroxide (Dycal) on the clinical and radiographic outcome of direct pulp capping in primary molars and evaluate overall success rate of direct pulp capping in primary molars.
Detailed description
After informed consent, baseline clinical and radiographic assessment will be obtained and recorded in patient examination sheet. Participants who met the inclusion criteria were randomly allocated to two groups (n = 26/group, N = 52 in total) according to the capping martials using the envelope randomization method. 2 study groups according to capping material that will be used (Dycal or MTA) and each group will be divided to 2 subgroups according to site of exposure axial or pulpal. All patients were recalled and their treated molars were evaluated clinically and radiographically at 3months, 6months, 9months ,12months follow up periods.
Interventions
Materials for Vital Pulp Capping
OTHERHard setting Calcium Hydroxide (Dycal)
Materials for Vital Pulp Capping
Sponsors
Mansoura University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
capping material used
Intervention model description
After informed consent, baseline clinical and radiographic assessment will be obtained and recorded in patient examination sheet. Participants who met the inclusion criteria were randomly allocated to two groups (n = 26/group, N = 52 in total) according to the capping martials using the envelope randomization method. All patients were recalled and their treated molars were evaluated clinically and radiographically at 3months, 6months, 9months ,12months follow up periods. 2 study groups according to capping material that will be used (Dycal or MTA) and each group will be divided to 2 subgroups according to site of exposure axial or pulpal
Eligibility
Sex/Gender
ALL
Age
4 Years to 7 Years
Healthy volunteers
Yes
Inclusion criteria
* Cooperative child and compliant parent. * Complete physical and mental health. * Children who are known to be healthy and free from systemic diseases. * Primary molars with deep carious lesions leading to pathological exposure but with no signs or symptoms of irreversible pulpitis or necrosis such as spontaneous pain, tenderness to percussion, abscess, fistula, periodontal tissue swelling, or abnormal tooth mobility.
Exclusion criteria
* A deep carious lesion in close proximity to the pulp with an intact lamina dura. * Absence of widening of periodontal membrane space or radiolucency at the furcation and periapical region. * Absence of pulpal calcifications, obliteration of the pulp and root canal, or internal/external root resorption.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| clinical success of direct pulp capping treatment after 3 months follow up | 3 months | Presence of any of these clinical findings will be considered failure: pain on mastication or spontaneous pain, as reported by the patient, without clinical evidence of plaque retention around the crown margin denoting bad oral hygiene. pain on percussion on clinical examination . non-physiologic mobility. fistula or sinus tract. |
| clinical success of direct pulp capping treatment after 6 months follow up | 6 months follow up | Presence of any of these clinical findings will be considered failure: pain on mastication or spontaneous pain, as reported by the patient, without clinical evidence of plaque retention around the crown margin denoting bad oral hygiene. pain on percussion on clinical examination . non-physiologic mobility. fistula or sinus tract. |
| clinical success of direct pulp capping treatment after 9 months follow up | 9 months follow up | Presence of any of these clinical findings will be considered failure: pain on mastication or spontaneous pain, as reported by the patient, without clinical evidence of plaque retention around the crown margin denoting bad oral hygiene. pain on percussion on clinical examination . non-physiologic mobility. fistula or sinus tract. |
| clinical success of direct pulp capping treatment after 12 months follow up | 12 months follow up | Presence of any of these clinical findings will be considered failure: pain on mastication or spontaneous pain, as reported by the patient, without clinical evidence of plaque retention around the crown margin denoting bad oral hygiene. pain on percussion on clinical examination . non-physiologic mobility. fistula or sinus tract. |
| radiographic success of direct pulp capping treatment after 3 months follow up | 3 months follow up | the absence of the following radiographic findings indicate the success of capping material in pulp therapy: * pathological internal or external root resorption. * PDL widening. * inter-radicular radiolucency formation postoperatively. * periapical radiolucency formation postoperatively. |
| radiographic success of direct pulp capping treatment after 6 months follow up | 6 months follow up | the absence of the following radiographic findings indicate the success of capping material in pulp therapy: * pathological internal or external root resorption. * PDL widening. * inter-radicular radiolucency formation postoperatively. * periapical radiolucency formation postoperatively. |
| radiographic success of direct pulp capping treatment after 9 months follow up | 9 months follow up | the absence of the following radiographic findings indicate the success of capping material in pulp therapy: * pathological internal or external root resorption. * PDL widening. * inter-radicular radiolucency formation postoperatively. * periapical radiolucency formation postoperatively. |
| radiographic success of direct pulp capping treatment after 12 months follow up | 12 months follow up | the absence of the following radiographic findings indicate the success of capping material in pulp therapy: * pathological internal or external root resorption. * PDL widening. * inter-radicular radiolucency formation postoperatively. * periapical radiolucency formation postoperatively. |
Countries
Egypt
Outcome results
None listed