Oral Health
Conditions
Interventions
Biodentine
Mineral Trioxide Aggregate
Sponsors
Dr. Samaila Stanley
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Adults aged 18 years and above with no known systemic medical conditions, who provide informed written consent to participate in the study. 2. Moderate-to-severe pain, symptomatic irreversible pulpitis, in a mature mandibular molar diagnosed with irreversible pulpitis secondary to caries. 3. SIP symptoms characterised by spontaneous, referred, or nocturnal pain, along with a pronounced, lingering response (over 30 seconds) to cold testing,10 using Endo-Frost (Coltene Whaledent, Altstatten, Switzerland). Participants must score at least 4 on a Visual Analogue Scale (VAS) for pain assessment. 4. Radiographic examination must show a periapical index (PAI) of less than or equal to 2. 5. Teeth with visible bleeding pulp upon accessing the pulp chamber. 6. If haemostasis is achieved within 10 minutes after coronal pulp amputation.
Exclusion criteria
Exclusion criteria: 1. Patients who do not give informed consent to participate in the study. 2. Patients below 18 years or geriatric patients (above the age of 65 years). 3. Patients with systemic conditions that could affect healing (e.g., diabetes, immunocompromised states). 4. Patients currently taking medications that could influence pain perception or healing (e.g., long-term steroid use). 5. Periapical index (PAI) greater than 2. 6. Teeth with mobility, associated sinus tracts, necrotic pulp (indicated by negative response to pulp testing, or lack of bleeding in the pulp chamber), or teeth that cannot be restored. 7. Presence of significant radiolucency in the furcation area and any evidence of internal or external root resorption, calcifications, or pulp canal obstructions. 8. If haemostasis of the pulp stump cannot be achieved within 10 minutes after coronal pulp amputation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Clinical and radiographic success of pulpotomy | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative pain intensity;Analgesic consumption | — |
Countries
Nigeria
Contacts
Public ContactSamaila Stanley
Senior Registrar
Outcome results
None listed