Dental caries, highly prevalent amongst children, can cause pulpitis. Coronal pulpotomy provides an easier, cost-effective, conservative and biologically-driven treatment option compared to endodontic treatment in mature permanent teeth with irreversible pulpitis. The aim of the current study is to evaluate postoperative pain, clinical and radiographic outcomes of MTA pulpotomy compared to root canal treatment in children's first permanent molars suffering from irreversible pulpitis.
In this randomized controlled trial, patients aged 10-14 years suffering from irreversible pulpitis in the first permanent molar with closed apex will be randomly divided into two groups. The first group will receive complete coronal MTA pulpotomy, while the second group will receive endodontic treatment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
62
Complete coronal MTA pulpotomy.
Conventional root canal treatment.
Pain Relief
A 10 cm visual analogue scale will be used to record pain
Time frame: preoperatively, immediately postoperatively and every 24 hours for 7 days after the first appointment.
Clinical Evaluation
* Absence of pain or discomfort * Tooth is functional, with no tenderness to palpation or percussion * Normal mobility and probing depth * Soft tissues surrounding the tooth are normal, with no swelling or inflammation
Time frame: 3, 6, 12 and 18 months postoperatively
Radiographic Evaluation
* No evident radiographic periapical or furcal pathosis * No evident root resorption * Normal lamina dura
Time frame: 6, 12 and 18 months postoperatively
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