Oral Health
Conditions
Interventions
Laser
Sponsors
Ahram Canadian university
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: A. Clinical Criteria: Age & Dentition: Children aged 10-14 years. Tooth Type: Vital, mature permanent first molars. Diagnosis: Teeth diagnosed with irreversible pulpitis, presenting with signs and symptoms such as spontaneous pain, and with deep carious cavities. Restorability: The tooth must be restorable. Pulp Vitality: A positive response to a cold test (pulp sensibility test). Periodontal Health: Probing pocket depth and tooth mobility within normal physiological ranges. Absence of Infection: No clinical signs of edema (swelling) or sinus tract (gum boil). Patient Health: The patient must be in good general systemic health. B. Radiographic Criteria: Root Development: The tooth must have a mature root with a completely formed apex. Periapical Status: No evidence of a periapical lesion or radiolucency. Root Integrity: Absence of internal or external root resorption. Pulp Space: Absence of significant pulp calcification (obliteration).
Exclusion criteria
Exclusion criteria: A. Systemic Conditions: Patients with any relevant systemic disorders. B. Dental and Periodontal Conditions: 2. Presence of periodontal disease. 3. Teeth with crowns that cannot be removed. 4. Patients with poor oral hygiene. 5. Necrotic teeth (teeth with non-vital pulps). C. Intraoperative Conditions: 6. Uncontrollable bleeding after pulpotomy (bleeding that persists for greater than 5–10 minutes). 7. Absence of bleeding following pulpotomy from any canal (indicating a non-vital pulp).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Title: Clinical Success Rate Description: The proportion of patients who achieve clinical success, defined by the absence of all the following: Spontaneous pain Pain on percussion (tapping) Pathological mobility Swelling or sinus tract/fistula Gingival inflammation or bleeding;Title: Radiographic Success Rate Description: The proportion of patients who achieve radiographic success, defined by the absence of all the following: Widening of the periodontal ligament space (lamina dura) Presence of a periapical lesion Internal or external root resorption Root canal (pulp) calcification | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative Pain Description: The presence or absence of postoperative pain reported by the patient.;Time to Hemostasis Description: The time required for bleeding to stop from the radicular pulp stumps after coronal pulp removal. Method of Measurement: Recorded in minutes and seconds using a timer. Failure to achieve hemostasis within 5-10 minutes was an exclusion criterion, making this a key procedural outcome. | — |
Countries
Egypt
Contacts
Public ContactAhmed Kamal Elmotayam
Associate professor Cairo University
Outcome results
None listed