Cariuosly exposed young permanent tooth with diameter not more than 2.5 mm. Direct pulp capping,
Conditions
Interventions
Direct pulp capping with proroot MTA,Direct pulp capping with Biodentine
Active Comparator Drug,Experimental Drug
Sponsors
Chiang Mai university
Eligibility
Sex/Gender
All
Age
6 Years to 18 Years
Inclusion criteria
Inclusion criteria: Patient inclusion criteria 1. American Society of Anesthesiologists I or II (ASA I or II) pediatric patients aged between 6 and 18 years 2. Cooperative patients 3. The legal guardians allow the child participate and the child agrees to participate in the study and sign the informed consent and assent forms, respectively Tooth clinical inclusion criteria Pre-operative clinical inclusion criteria 1. Tooth with deep caries diagnosed with normal pulp, reversible pulpitis or irreversible pulpitis 2. Tooth that has a positive response to sensibility test (cold test) 3. Tooth that is restorable with resin composite filling or stainless steel crown 4. Absence of clinical swelling, pus exudate/ fistula of soft and periodontal tissues 5. Absence of abnormal tooth mobility Intra-operative clinical inclusion criteria 1. After complete caries removal procedure, exposure of pulpal tissue occurs 2. Size of pulp exposure is < 2.5 mm. in diameter 3. Pulp tissue appears healthy judged from color and amount of bleeding 4. Bleeding from pulp exposure site can be controlled within 10 minutes Radiographic inclusion criteria Bitewing radiograph 1. The extension of the dental caries radiolucency penetrates into three fourths or more of the entire dentin thickness Paralleled periapical radiograph 1. Absence of internal and pathologic external root resorption 2. Absence of pulp calcification pulp canal obliteration 3. Absence of periapical and furcation radiolucency Note: Presence of widened PDL space or evidence of condensing osteitis are not exclusion criteria for this study
Exclusion criteria
Exclusion criteria: Patient exclusion criteria Pediatric patients who have a systemic disease that is contraindicated for vital pulp therapy, such as congenital heart disease, bleeding disorder, etc. Tooth clinical exclusion criteria Intra-operative clinical exclusion criteria 1. After caries is completely removed, no pulp exposure is detected by visual or tactile methods, or pulp exposure size is larger than 2.5 mm. 2. Bleeding from pulp exposure site cannot be controlled within 10 minutes 3. Pulp tissue appears necrotic judged on the absence of bleeding or the presence of pale pulp tissue.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| clinical and radiographic success 6, 12, 18, 24, 30, 36 months clinical and radiographic evaluation | — |
Secondary
| Measure | Time frame |
|---|---|
| survival rate 6, 12, 18, 24, 30, 36 months survival analysis | — |
Countries
Thailand
Contacts
Public ContactPapimon Chompu-inwai
Chiang Mai university
Outcome results
None listed