Outcome of full pulpotomy performed with or without calcium silicate based cement in mature permanent teeth with mechanical pulp exposure- a split mouth study
试验速览
- 阶段
- 2 期
- 状态
- 招募中
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- b) Inert Material ( Gelatin Sponge)
研究概览
简要总结
Pulpotomy is the removal of the coronal portion of a vital pulp as a means of preserving the vitality of the remaining radicular portion. There are many factors affecting the success of pulpotomy, one of most critical is the sealing ability of the materials used Inspite of having higher success rate, pulpotomy procedure is not performed routinely as that of non surgical endodontic therapy asthese materials are very expensive and it may limit their use in both developing as well as developed countries..
So, in order to know the influence of calcium silicate based cements on the outcome of full pulpotomy a study was designed to evaluate clinically and radiographically the outcome of full pulpotomy performed in mature permanent teeth with mechanical pulp exposure with use of a) Mineral Trioxide Aggregate, b) Inert Material ( Gelatin Sponge)
For this study, full pulpotomy will be performed on bilateral similar teeth with mechanical pulp exposure and a suitable pulp capping agent will be place dover the remaining pulp tissue
in two groups as follows:
Group- I: Pulpotomy performed with MTA
Group- II: Pulpotomy performed with Inert material (Gelatin sponge)
In both the groups post endodontic restoration will be completed with glass ionomer cemnt and composite resin.
The patient followup will be done at 3, 6 and 12 months interval clinically and radiographically. Clinically presence or absence of symptoms will be assessed. The radiographs will be taken to observe the dentin bridge formation and to assess the periapical index(PAI) score. And the results will be statistically analyzed.
研究设计
- 研究类型
- Interventional
- 分配方式
- Computer generated randomization
- 盲法
- Participant and Outcome Assessor Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 35.00 Year(s)（—）
- 性别
- All
入选标准
- •1.Healthy patient of either gender between 18-35 years of age group.
- •2.Teeth with definitive clinical diagnosis of mechanical pulp exposure with reversible/irreversible pulpitis without symptomatic apical periodontitis.
- •3.Positive response to cold and electric pulp testing.
- •4.The tooth is restorable.
- •5.Probing pocket depth and mobility are within normal limits.
排除标准
- •1.Teeth with definitive clinical diagnosis of irreversible pulpitis which are associated with periapical rarefaction.
- •2.Teeth with immature roots.
- •3.Teeth with cracks, cusp fractures.
- •4.Teeth with poor periodontal health, probing pocket depth >3mm, furcation involvement and radiographic horizontal or vertical interdental bone loss.
- •5.Presence of sinus tract or swelling or periapical pathology on an IOPA radiograph.
- •6.Patients with systemic conditions which could compromise the healing.
- •7.Patients not willing to participate in the study 8.Bleeding cannot be controlled within 10 mins with pressure pack.
- •9.Clinical diagnosis changes from symptomatic irreversible pulpitis to pulp necrosis.
结局指标
主要结局
b) Inert Material ( Gelatin Sponge)
时间窗: 3months, 6months, 12months
a) Mineral Trioxide Aggregate
时间窗: 3months, 6months, 12months
To evaluate clinically and radiographically the outcome of full pulpotomy performed in mature permanent teeth with mechanical pulp exposure with use of,
时间窗: 3months, 6months, 12months
次要结局
- To evaluate clinically and radiographically the outcome of full pulpotomy performed in mature permanent teeth with mechanical pulp exposure with use of,(a) Mineral Trioxide Aggregate)