Regenerative Pulpotomy for Symptomatic Pulpitis of Mandibular Permanent Molars With Mature Apices
Conditions
Brief summary
The aim of this study is to assess the clinical and radiographic success and postoperative pain in mature mandibular molars following vital pulp therapy using chitosan hydrogel versus platelet rich fibrin.
Interventions
PROCEDUREFull Pulpotomy
After control of bleeding in teeth allocated to the intervention group, the gel is to be placed into the pulp chamber to a level 3 mm below the cementoenamel junction (CEJ) over the root pulp stumps.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients suffering from Symptomatic pulpitis in mature mandibular molars only will be involved. * Tooth should give positive response to cold test * Haemostasis should be achieved after full 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 cannot be controlled after full 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 |
|---|---|---|
| Success Rate | 6 months (Postoperative) | Using Radiographic success criteria by periapical index (Orstavik et al., 1986) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain | 1st day up to 7th day | Using Modified Visual Analogue Scale for pain with a straight line with one end (point 0) meaning no pain and the other end (point 10) meaning the worst pain imaginable |
| Tooth sensibility | 1,3,6 months (postoperative) | Using Electric pulp test |
Contacts
Primary ContactPerihan A Wafi, Bds
Outcome results
None listed