Pulpotomy
Conditions
Brief summary
Diode lasers could be a viable alternative to ferric sulphate in pulpotomy.
Detailed description
Ferric sulphate (FS) has recently replaced formocresol as it has comparable clinical and radiographic outcomes, and is more biocompatible, making it the current material of choice. 6,7 However, some histological studies report inflammatory response caused by FS in the remaining pulp, similar to FC, which may lead to internal resorption and eventually, premature tooth exfoliation. In contrast to ferric sulphate, diode lasers due to their better antimicrobial action, cell regenerative properties, localized/controlled, and quick mechanism of action, are now being considered as an effective method of pulpotomy in dentistry. Even with several studies that have been conducted on the efficacy and success of laser pulpotomy, there is still a need for additional data and evidence that would further advocate its use in pulpotomy. Furthermore, there hasn't been any such study conducted in this region, which also highlights the importance of this study.
Interventions
PROCEDUREGroup B (Diode Laser)
Group B (Diode Laser)
COMBINATION_PRODUCT(Ferric Sulphate)
After hemostasis was achieved a sterile cotton pellet soaked in 15.5% ferric sulphate solution (Quickstat-FS, USA) was placed over amputated root stumps for 15-20 seconds.
Sponsors
Shaheed Zulfiqar Ali Bhutto Medical University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
4 Years to 8 Years
Healthy volunteers
Yes
Inclusion criteria
* Primary molars( either mandibular or maxillary or both) of children in the age range of 4 to 8 years. * Absence of spontaneous pain, associated swelling, tenderness to percussion, pathological mobility, sinus tract
Exclusion criteria
* Periapical Abscess * Necrotic pulp * Teeth nearing exfoliation * Non cooperative patients * Patients with poor oral hygiene * Parents/patients not willing to be a part of study * Any drug allergies * Any medical history contraindicating the pulp treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Presence of Pain or tenderness or mobility | 1,3,6,9, and 12 months intervals | Teeth will be scored as clinical success if they had absence of pain, tenderness, pathological mobility, and sinus or abscess formation. Presence of any of these signs and symptoms will be scored as clinical failure. |
| Presence of resorption or periapical pathology | 1,3,6,9 and 12 months interval | Radiographic assessment included evaluation of pathological external or internal root resorption, periapical or inter-radicular radiolucency and widening of the periodontal ligament (PDL). Presence of any of these signs on the periapical radiograph will be recorded as a radiographic failure. |
Countries
Pakistan
Outcome results
None listed