Vital Pulp Therapy of Mature Permanent Teeth With Irreversible Pulpitis Using Bioceramic Material

Sinai University40 enrolled

Overview

This clinical trial is designed to study and compare the effect of two different types of chelating agents on the vital pulp therapy of mature permanent teeth with irreversible pulpitis using bioceramic material.

1. The vital pulps exposed by caries process is treated by complete caries removal followed by full pulpotomy. 2. After hemostasis, application of apple vinegar and EDTA 17% will be used followed by MTA application. finally teeth will be restored with resin composite restoration.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Vital Pulp Therapy

Interventions

Apple vinegar or EDTA 17%OTHER

Application of each chelating agent for 5 minutes for dentin conditioning followed by placement of MTA on the pulp chamber.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 50 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Presence of at least one tooth with carious pulp exposure and irreversible pulpitis. * Cooperative behavior with no medical problem. * Absence of tooth mobility , tenderness on percussion. * History of pain with cold and sweets. * Radiographically, no internal or external resorption, no periapical or furcation radiolucency and no widening of the periodontal membrane space. Exclusion Criteria: * Teeth with pulp necrosis. * Presence of sinus tract. * Teeth with open apices. * Pregnant women. * History of intolerance of non- steroidal anti inflammatory drugs. * Tenderness to palpation of adjacent soft tissues

Locations (1)

Mona Rizk Abo El Wafa Ahmed

Cairo, Egypt

Outcomes

Primary Outcomes

Success rate of vital pulp therapy of mature permanent teeth with irreversible pulpitis using bioceramic material.

1. Through post operative pain assessment using Visual analogue scale (0-3) scores as 0 represents no pain, 1= mild pain, 2= moderate pain and 3= sever pain. VAS scores marked at intervals of 2,6,24,48 and 72 hours. 2. Clinical success criteria: Clinical parameters indicating successful treatment include the following criteria: * Absence of pain except for the first 24 hours. * Normal soft tissue around the tooth ( no swelling, no sinus tract).

Time frame: one year

The Pulp vitality

Pulp vitality will be assessed through pulpal response to thermal and electrical pulp tests. at 3,6,12 months

Time frame: one year

Secondary Outcomes

Radiographic success

Using digital periapical radiograph at 3,6,12 months. Radiographic success criteria include: * No periapical pathosis. * No radicular resorption defects.

Time frame: one year

Data from ClinicalTrials.gov

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