This randomised controlled trial aims to compare treatment outcomes between pulpotomy and pulpectomy when used to treat vital primary molars diagnosed with symptomatic irreversible pulpitis. Compared to the standard pulpectomy treatment, pulpotomy is a technically simpler procedure, less time consuming, easier for young patients to tolerate, while retaining the proprioceptive sensation of the tooth - all important advantages when treating young children.
Healthy (ASA I and II) co-operative children (Frankl Scale + and ++) between the ages of four and nine years.
Participants have symptoms typical of irreversible pulpitis in one of the primary molars.
The pulp of the affected primary molar is vital.
Radicular pulp health is confirmed by attainment of radicular pulp haemostasis within 6 minutes of coronal pulp amputation.
Clinical examination of affected primary molar reveals signs of pulpal infection (e.g. pathologic tooth mobility, parulis/fistula, or soft tissue swelling).
Pre-operative periapical radiograph suggests presence of periapical radiolucency or pathologic root resorption.
Visual examination of pulp tissue after deroofing reveals signs of necrosis (e.g. avascular/minimally bleeding pulp tissue or yellowish necrotic areas/purulent exudate).
Signs of extensive radicular pulp inflammation i.e., root pulp bleeding continues even after 6-min.
Qatar University
Lead sponsor
Jordan University of Science and Technology
Collaborator
Primary Health Care Corporation, Qatar
Collaborator
Cairo University
Collaborator
Christian Dental College
Collaborator
Oral and Dental Teaching Hospital, Libya
Collaborator