Irreversible Pulpitis
Conditions
Keywords
Pulpotomy, Vital Pulp Therapy, Irreversible Pulpitis, Hemostasis, Hemostatic Agent, Propolis, MTA, Bioceramic, Full Pulpotomy, Mineral Trioxide Aggregate, Mature Permanent Molars
Brief summary
The goal of this randomized clinical trial is to assess the effectiveness of propolis as a hemostatic agent in full pulpotomy for mature permanent molars with irreversible pulpitis, compared to sodium hypochlorite (NaOCl). The study also compares how bioceramic putty performs compared to mineral trioxide aggregate (MTA) as pulpotomy dressing materials. Participants will be randomly allocated into four groups (15 patients each) according to the hemostatic agent and dressing material used: * Propolis + bioceramic putty * Propolis + MTA * Sodium hypochlorite + bioceramic putty * Sodium hypochlorite + MTA Bleeding time and postoperative pain will be recorded. Clinical and radiographic success will be evaluated at 1, 3, and 6 months following treatment.
Interventions
PROCEDUREFull pulpotomy using propolis and bioceramic putty
Full Pulpotomy for participants with mature adult molars diagnosed with irreversible pulpitis; using Propolis as a hemostatic agent and bioceramic putty as a dressing material
PROCEDUREFull pulpotomy using Propolis and MTA
Full Pulpotomy for participants with mature adult molars diagnosed with irreversible pulpitis; using Propolis as a hemostatic agent and MTA as a dressing material
PROCEDUREFull pulpotomy using sodium hypochlorite and bioceramic putty
Full Pulpotomy for participants with mature adult molars diagnosed with irreversible pulpitis; using sodium hypochlorite (NaOCl) as a hemostatic agent and bioceramic putty as a dressing material
PROCEDUREFull pulpotomy using sodium hypochlorite and MTA
Full Pulpotomy for participants with mature adult molars diagnosed with irreversible pulpitis; using sodium hypochlorite (NaOCl) as a hemostatic agent and MTA as a dressing material.
Sponsors
Misr International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* Participants of both genders falling within the age range of 20 to 45 years. * Presence of vital mature permanent molars diagnosed as irreversible pulpitis. * Confirmation of vital bleeding pulp tissue in all canals following complete pulpotomy.
Exclusion criteria
* Non-vital teeth. * Teeth with Immature roots. * Uncontrolled pulpal bleeding persisting beyond 10 minutes post-application of sodium hypochlorite as a hemostatic agent. * Insufficient bleeding post-pulp exposure, indicative of pulp degeneration.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clinical and radiographic success rate | 1, 3, 6 months | Success rate of full pulpotomy procedure using different hemostatic agents and different dressing materials using the clinical and radiographic criteria for success and failure. |
| Bleeding time | During hemostasis (0-10 minutes) | Recording the bleeding time of different participants during hemostasis. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Post-operative pain | 24 hours, 3 days, 1 week | Recording the post-operative pain using Heft-Parker visual analogue scale Minimum value: None Maximum value: Maximum possible The higher values indicate more post-operative pain |
Countries
Egypt
Outcome results
None listed