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.
Healthy male and female children, aged 10 to 14 years
Signs and symptoms of irreversible pulpitis in carious first permanent molar.
Molars with immature roots
Non-restorable molars, with abnormal mobility or increased probing pocket depth (normal range = 1-3 mm)
Any indication of pulpal necrosis, such as sinus tract or swelling or no bleeding from orifices after access opening.
Any signs of periapical or furcal rarefaction.
Parallel
MTA Pulpotomy
Procedure/SurgeryComplete coronal MTA pulpotomy.
Root Canal Treatment
Procedure/SurgeryConventional root canal treatment.
Pain Relief
A 10 cm visual analogue scale will be used to record pain
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
Radiographic Evaluation
* No evident radiographic periapical or furcal pathosis * No evident root resorption * Normal lamina dura
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