Pulpotomy of Young Permanent Molars
Conditions
Keywords
young permanent, MTA, Pulpotomy, premixed bioceramic, treated dentin matrix
Brief summary
Statement of the problem: Pulpotomy is the most popular technique for maintaining vitality and has a substantial impact on continuing root growth in vital, young permanent molars suffering from dental cavities. Biomimetic materials placement after performing pulp therapy is one of the important factors to determine healing of the pulp and continue root formation. In this study a novel material Treated Dentin Matrix is used in comparison to premixed bioceramic material and Mineral Trioxide Aggregate in pulpotomy of immature permanent molars. The Aim of the study: Is to assess the clinical and radiographic success of pulpotomized first permanent immature molars treated with three different Biomimetic materials (Treated Dentin Matrix, Premixed Bio-ceramic material and Mineral Trioxide Aggregate)
Interventions
DRUGMTA group
MTA group is considered the control group
DRUGPremixed Bioceramic material
Premixed Bioceramic material is test group B
DRUGTreated Dentin Matrix
Treated Dentin Matrix is test group C
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
7 Years to 10 Years
Healthy volunteers
Yes
Inclusion criteria
1. Children aged between 7 and 10 years-old. 2. Vital permanent first molars with deep caries lesion approaches the pulp without symptoms of irreversible pulpitis, with open apices in the radiograph. 3. Permanent first molars with pulpal exposure that occurred during caries excavation. 4. Incompletely formed roots
Exclusion criteria
* (1) Teeth with signs and symptoms of chronic infection such as swelling and mobility. (2) Teeth with excessive bleeding from amputated radicular stumps (3) Teeth showing radiographic evidence of pathologic root resorption, inter-radicular bone loss, periapical pathology and calcifications in the canals. (4) Lack of patient/parent compliance and cooperation. (5)Children who are physically or mentally disabled or having any medical condition that will complicate the treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clinical success | 18 months | * Absence of pain related to the treated teeth, Including patient reported pain or sensitivity to percussion/palpation. * No evidence of swelling of supporting soft tissue or presence of sinus tract. * Absence of excessive mobility affecting treated teeth. |
| Radiographic success | 18 months | * Radiographic criteria for success in terms of: * Progression of root formation * No Internal or external root resorption. * No Periapical or furcal radiolucency. |
Countries
Egypt
Outcome results
None listed