Clinical and Radiographic Success Rate of Pulpotomy Versus Pulpectomy for Management of Primary Teeth With Deep Caries
- Conditions
- Deep Caries
- Interventions
- Procedure: PulpotomyProcedure: Partial Pulpectomy
- Registration Number
- NCT06293521
- Lead Sponsor
- Cairo University
- Brief Summary
This trial aims to compare treatment outcomes between Pulpotomy and Pulpectomy in treating vital primary teeth diagnosed with deep caries with symptoms of irreversible pulpits
- Detailed Description
Background: Pulpectomy is the reference treatment for vital primary molars with irreversible pulpitis.Over the past decades, dental caries has unfailingly been the most common chronic infectious disease of childhood and adults. If remained untreated, it can potentially compromise dental pulp tissue. When the dental pulp of primary teeth is irreversibly inflamed, the first treatment choice is pulpectomy, owing to the well-recognized importance of primary tooth retention for child oral/general health. Although a pulpless tooth can remain functional in the oral cavity, modern pediatric endodontics encourages regenerative approaches in primary teeth.The introduction of calcium silicate-based (CS-B) biomaterials such as mineral trioxide aggregate (MTA), along with further understanding of pulp biology and inflammatory processes, has revolutionized treatment modalities for management of irreversible pulpitis in mature permanent teeth. A growing body of evidence has revealed successful implementation of minimally invasive endodontics, that is, vital pulp therapies (VPTs) for management of permanent teeth with irreversible pulpitis even when associated with apical periodontitis. Due to the traditional notion of poorer healing capacity of primary dental pulp, such a paradigm shift has not been seen in pediatric dentistry.Recent research revealed similar vascular/immune responses of primary and permanent dental pulps to caries; therefore, indicating that their healing potential might be this in mind, a reevaluation of traditional approaches for treatment of inflamed primary pulp seems justified.
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 40
- Aged 4 to 6 years , in good general health
- The parents provided written informed consent.
- Clinical characteristics, defined as spontaneous pain and the presence of a deep carious lesion with pulp exposure and bleeding that did not halt within five minutes following removal of the coronal pulp tissue.
- Restorable teeth.
- Physical or mental disability.
- Unable to attend follow-up visits.
- Previously accessed teeth.
- Swelling, tenderness to percussion or palpation, or pathological mobility.
- Pre-operative radiographic pathology such as resorption (internal or external), per-radicular or furcation radiolucency.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description MTA Pulpotomy Pulpotomy Intervention group Chlorohexidine Pulpectomy Partial Pulpectomy Control group
- Primary Outcome Measures
Name Time Method Radiographic assessment Month 6 , Month 12 Absence of periapical radiolucency or absence of internal/ external root resorption
- Secondary Outcome Measures
Name Time Method Clinical effectiveness Month 3,Month 6,Month 9,Month 12 absence of any complication or complementary treatment: Absence of spontaneous pain \& Absence of swelling.
Child cooperation Day 0 Modified frankl scale ,Categorical rating (rating 1 is definitly negative
- Rating 5 is definitely positive )Time elapsed till final restoration performed Day 0 Stopwatch , measured in minutes
Trial Locations
- Locations (1)
Cairo University
🇪🇬Cairo, Egypt