Irreversible Pulpitis
Conditions
Keywords
Endodontic Treatment, Vital Pulp Therapy
Brief summary
Dental caries, highly prevalent amongst children, can cause pulpitis. Coronal pulpotomy provides an easier, cost-effective, conservative and biologically-driven treatment option compared to endodontic treatment in mature permanent teeth with irreversible pulpitis. The aim of the current study is to evaluate postoperative pain, clinical and radiographic outcomes of MTA pulpotomy compared to root canal treatment in children's first permanent molars suffering from irreversible pulpitis.
Detailed description
In this randomized controlled trial, patients aged 10-14 years suffering from irreversible pulpitis in the first permanent molar with closed apex will be randomly divided into two groups. The first group will receive complete coronal MTA pulpotomy, while the second group will receive endodontic treatment.
Interventions
PROCEDUREMTA Pulpotomy
Complete coronal MTA pulpotomy.
PROCEDURERoot Canal Treatment
Conventional root canal treatment.
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
10 Years to 14 Years
Healthy volunteers
Yes
Inclusion criteria
* Healthy male and female children, aged 10 to 14 years * Signs and symptoms of irreversible pulpitis in carious first permanent molar.
Exclusion criteria
* Molars with immature roots * Non-restorable molars, with abnormal mobility or increased probing pocket depth (normal range = 1-3 mm) * Any indication of pulpal necrosis, such as sinus tract or swelling or no bleeding from orifices after access opening. * Any signs of periapical or furcal rarefaction.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Relief | preoperatively, immediately postoperatively and every 24 hours for 7 days after the first appointment. | A 10 cm visual analogue scale will be used to record pain |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinical Evaluation | 3, 6, 12 and 18 months postoperatively | * Absence of pain or discomfort * Tooth is functional, with no tenderness to palpation or percussion * Normal mobility and probing depth * Soft tissues surrounding the tooth are normal, with no swelling or inflammation |
| Radiographic Evaluation | 6, 12 and 18 months postoperatively | * No evident radiographic periapical or furcal pathosis * No evident root resorption * Normal lamina dura |
Contacts
Primary ContactAlaa A. Eissa, Msc
Outcome results
None listed