This randomized clinical trial aims to compare four different materials used in a dental procedure called pulpotomy. Pulpotomy is commonly performed on primary molars (back teeth in children) to treat deep cavities and preserve the tooth. Children aged 4 to 7 who need this procedure will receive one of four materials: Mineral Trioxide Aggregate (MTA), Biodentine, Ferric Sulfate, or Sodium Hypochlorite gel. The treated teeth will be checked at 6 and 12 months to evaluate the success of each material. The goal is to identify the most effective and reliable material for pulpotomy in primary molars.
Vital pulpotomy is a conservative and widely used treatment to maintain the function of primary molars affected by deep carious lesions. The choice of pulpotomy medicament plays a significant role in the long-term success of the procedure. This randomized clinical trial is designed to compare the clinical and radiographic success rates of four pulpotomy agents: Mineral Trioxide Aggregate (MTA), Biodentine, Ferric Sulfate (FS), and Sodium Hypochlorite gel (NaOCl gel). A total of 88 mandibular second primary molars in children aged 4 to 7 years will be included. After coronal pulp removal, one of the four materials will be applied to the pulp tissue. All treated teeth will be restored with stainless steel crowns. Follow-up evaluations will be performed at 6 and 12 months to assess the clinical and radiographic success of each material. The findings from this study are expected to help determine the most effective and reliable pulpotomy material for use in pediatric dentistry.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
22
Used as the capping agent after coronal pulp removal in primary molars.
Used as a bioactive pulpotomy agent following coronal pulp amputation.
15.5% Ferric Sulfate applied to pulp stumps for 15 seconds during pulpotomy procedure.
Inonu University, Faculty of Dentistry, Department of Pediatric Dentistry
Malatya, Turkey (Türkiye)
Number of participants with clinical success after pulpotomy in primary molars
Clinical success is defined as the absence of spontaneous pain, swelling, sinus tract, or abnormal mobility in the treated tooth during clinical examination.
Time frame: 12 months after pulpotomy
Number of participants with radiographic success after pulpotomy in primary molars
Radiographic success is defined as the absence of internal/external root resorption, periapical or furcal radiolucency, and periodontal ligament widening.
Time frame: 12 months after pulpotomy
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
5% NaOCl gel applied to pulp tissue during pulpotomy for its hemostatic and disinfectant effects.