compare the clinical and radiographic success of mineral trioxide aggregate (MTA) versus premixed bioceramic paste (Wellroot PT) as pulpotomy medicaments in primary molars.
Preservation of primary dentition decreases the risk of developing any occlusal abnormalities caused by premature loss of primary teeth, which are considered natural space maintainers for the successor permanent teeth, therefore vital pulp therapy is of a big concern in the research field in pediatric dentistry . One of the most commonly used regenerative materials in pulpotomies is Mineral Trioxide Aggregate (MTA) which showed a high success rate clinically and radiographically when compared to other materials due to its biocompatibility, antibacterial properties and excellent sealing ability . However it has some drawbacks such as difficult manipulation and handling because it is supplied in powder and liquid form which need mixing. Mixing is operator dependant and may be not uniform if handled wrongly, technique sensitive, potential discoloration, and long setting time. Premixed bioceramics Well-Root™ PT (Vericom, Gangwon-Do, Korea) have been introduced into the market and present with desirable properties as a pulp capping agent. Owing to good handling characteristics, biocompatibility, odontogenic property and antibacterial action, the premixed bioceramic materials are recommended for procedures such as pulp capping, pulpotomy, perforation repair, root-end filling, and obturation.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
24
Vital pulpotomy primary Molars using premixed bioceramic paste wellrootPT
Post-operative pain
Binary (present/absent) Verbal question to patient/ parent
Time frame: 1 year
Soft tissue pathology
Binary (present/absent) Visual clinical examination
Time frame: 1 year
Pain to percussion
Binary (present/absent) Percussion test by the back of the dental mirror
Time frame: 1 year
Pathologic mobility
Binary (present/absent) Mobility test (pressure using the end of two dental mirrors)
Time frame: 1 year
Absence of furcation or periapical radiolucency Absence of external or internal root resorption
Binary (present/absent) Intraoral digital periapical X-ray
Time frame: 1 year
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