To study the effects of two medicaments (MTA and 3Mixtatin) for the treatment of carious primary molars by vital pulp therapy(pulpotomy).

Completed

Brief Summary: The study was conducted in the Department of Pediatric and Preventive Dentistry, ITS Dental

College, Hospital & Research Centre. 50 teeth were indicated

for pulpotomy in 52 children. After obtaining written consent from their parents /guardians,

75 the teeth were divided into two equal groups (N=25). MTA and 3Mixtatin were used in the two groups. In both the groups, pulpotomy was performed and Clinical and radiographic evaluation was done after three months, six months and at the end of one year. The overall success rates of 3Mixtatin and MTA were found to be similar and statistically insignificant over the period of 1 year follow up. At the end of the study, the following conclusion was drawn:

ï‚· no significant difference in the overall success rates of pulpotomy procedure

using MTA and 3Mixtatin over a follow-up period of one year when used for the

management of deeply carious primary teeth with no clinical/radio-graphic signs or

symptoms of irreversible pulp inflammation.

ï‚· no statistically significant difference in clinical and radiographic success of

MTA and 3Mixtatin at 3rd month, 6th month and at the end of one year.

ï‚· PDL widening was the common radiographic failure in both the groups i.e MTA and

3mixtatin.

ï‚· no clinically significant difference in the overall success rate between

maxillary and mandibular primary molars.

Recruitment & Eligibility

Inclusion Criteria

Clinically: 1.
History of localized pain lasting for a short duration which subsides upon elimination of causative mechanical or thermal stimulus.
2.Carious lesions involving more than half the dentin thickness.
Recent History of spontaneous pain of momentary duration not exceeding 7 days.
Hemorrhage control achievable within 3-5 minutes during the procedure.
Restorable crown structure Radiographically 1.
Carious lesion approximating pulp.
Absence of any periradicular or furcal pathology.
No pathologic external or internal root resorption.

Exclusion Criteria

Clinically: 1.
History of lingering, Spontaneous and Nocturnal pain which is continuous even after removal of the stimuli.
Sensitivity to Hot Stimulus.
Tenderness on percussion.
Pathologic tooth mobility.
Vestibular obliteration and swelling in relation to the tooth 6.
Draining sinus tract in relation to the tooth.
Grossly carious teeth with unrestorable crown structure.
Radiographically 1.
Widened PDL space.
More than 1/3rd physiologic root resorption 3.
Presence of periradicularor Periapical radiolucency.
Calcifications within pulp.

Primary Outcome Measures

Name	Time	Method
(b) Radiographic success by	3 months, 6 months and 12 months
Maintaining radicular pulp vitality and assessing it clinically by	3 months, 6 months and 12 months
(a)Absence of spontaneous pain and/or sensitivity to percussion and palpation, fistula / swelling, pathological mobility.	3 months, 6 months and 12 months
Absence of periodontal ligament space widening , radiolucency at the periapical region, internal root resorption or external root resorption.	3 months, 6 months and 12 months

Secondary Outcome Measures

Name	Time	Method
Maintenance of tooth function and asymptomatic state	At the end of 1 year ( 12 months)

Locations (1): ITS Dental college hospital and research centre
🇮🇳
Nagar, UTTAR PRADESH, India
ITS Dental college hospital and research centre
🇮🇳Nagar, UTTAR PRADESH, India
Anam Mushtaq
Principal investigator
9958257560
anam_a5@hotmail.com