Vital Pulp Treatment in Mature Permanent Teeth With Irreversible Pulpitis
Conditions
Brief summary
Clinical, Radiographic and pain assessment of Vital pulp treatment in patients suffering from irreversible pulpitis in mature permanent molars. Total pulpotomy is investigated using I-prf only vs I-prf mixed with Nano-bioactive glass.
Interventions
Total pulpotomy is done in mature permanent molars followed by I-prf mixed with Nano-Bioactive glass application. Topped with BC putty for coronal seal, RMGI and restored with composite as final restoration
Sponsors
Study design
Intervention model description
Total Pulpotomy in mature permanent teeth treated with Nano-bioactive glass mixed with I-PRF
Eligibility
Inclusion criteria
* Patients suffering from Symptomatic irreversible pulpitis in mature mandibular molars only will be involved. * Tooth should give positive response to cold test * Haemostasias should be achieved after total pulpotomy * The tooth is restorable and free from advanced periodontal disease, cracks and splits. * Patients should be free from any systemic disease that may affect normal healing and predictable outcome. * Patients who will agree to the consent and will commit to follow-up period. * Patients with mature root apices * Patients with no internal or external resorption and no periapical lesions * Soft tissues around the tooth are normal with no swelling or sinus tract.
Exclusion criteria
* Patients with immature roots. * Haemostasias after 10 minutes can not be controlled after total pulpotomy * Patients with any systemic disease that may affect normal healing. * Patients with periapical lesions or infections. * Pregnant females. * Patients who could/would not participate in a 6 months follow-up. * Patients with fistula or swelling * Patients with necrotic pulp. * Patients with old age.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clinical , Radiographic and Success rate | 6 month follow up | Presence or absence of clinical signs and symptoms + Radiographic periapical assessment + success rate based on Radiographic findings |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity | Within the first 24 hrs upto the 7th day | VAS used to record daily pain intensity |
Countries
Egypt