COMPARISON of MINERAL TRIOXIDE AGGREGATE and CALCIUM HYDROXIDE AS INDIRECT PULP CAPPING AGENTS in PRIMARY MOLARS

Shaheed Zulfiqar Ali Bhutto Medical University

Status and phase: Completed; Phase 4

Conditions: Indirect Pulp Cap

Treatments: Drug: MTA pulp dressing material; Drug: Calcium Hydroxide (Ca(OH)2)

Study type: Interventional

Funder types: Other

Identifiers

NCT06807320

F.1-1/2015/ERB/SZABMU/ERB

Details and patient eligibility

About

The study is designed as randomized clinical trial performed at the Department of Pediatric Dentistry , Pakistan Institute of Medical Sciences (PIMS) , Islamabad on primary molars requiring indirect pulp treatment in patients aged 5 to 9 years. Two groups , I and II of 40 teeth each will be selected according to inclusion criteria . In Group I , indirect pulp capping will be done with Calcium hydroxide while in Group II , it will be done with MTA . Both the groups will be evaluated clinically and radiographically at 0, 3 and 6 months . Results were compiled and analyzed using standard statistical techniques.

Enrollment: 40 patients

Sex: All

Ages: 4 to 8 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Clinical Criteria :

  • Primary molars with deep carious lesions
  • No H/O spontaneous pain
  • No associated swelling
  • No tenderness to percussion
  • Absence of pathological mobility
  • No sinus tract
  • Restorable

Radiographic Criteria :

• No periapical radiolucency
• No loss of lamina dura
• No physiological root resorption
• Teeth with radiographic evidence of more than 0.25mm remaining dentin thickness
• No furcal radiolucency

Exclusion criteria

• Non restorable teeth

  • Teeth with pathological mobility
  • Teeth with extensive external/internal root resorption.
  • Teeth with pulp canal calcifications
  • Subjects inability to tolerate any of the dental products being used
  • Systemic disease or severe medical complications ; Lack of compliance

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: Single Blind

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40 participants in 2 patient groups

Group I patients, Calcium hydroxide

Active Comparator group

Description:

For Group I patients, Calcium hydroxide (Dycal_ Ivory,Dentsply Caulk, Dentsply, L.D. Caulk, Milford, DE,USA ) was used. The catalyst and paste were mixed as per the manufacturer's recommendations.

Treatment:

Drug: Calcium Hydroxide (Ca(OH)2)

Group II patients, MTA

Experimental group

Description:

MTA powder ( ProRoot; Dentsply ⁄ Tulsa Dental, Tulsa, OK,USA) was added to sterile water. The mixture was left to achieve a sandy consistency for about thirty seconds. Then, the material was applied to the cavity using a ball condenser.

Treatment:

Drug: MTA pulp dressing material