The Use of Portland Cement in Primary Anterior Teeth Pulpotomy.

Damascus University

Status: Completed

Conditions: Pulpotomies

Treatments: Other: Pulpotomy therapy by White Portland Cement; Other: Pulpotomy therapy by White MTA

Study type: Interventional

Funder types: Other

Identifiers

NCT04634123

UDDS-Pedo-02-2021

Details and patient eligibility

About

• The aim of this study is to evaluate the effectiveness of White Portland cement and MTA in primary anterior teeth pulpotomy and follow up after 3 , 6 , 12 months ( Clinically and Radiographically) : Group A ( Control group ) : primary anterior teeth pulpotomized by White MTA . Group B : primary anterior teeth pulpotomized by White Portland Cement .

• The aim of this study is to evaluate the effectiveness of White Portland cement and MTA in pulpotomy primary canines for serial extraction and extract them after 3 months for Histopathlogic study : Group A ( Control group ) : primary canines pulpotomized by White MTA . Group B : primary canines pulpotomized by White Portland Cement .

Full description

• Endodontic therapy for primary teeth faces several difficulties including morphology of root canals , physiological root absorption and failure to find ideal root-filling paste absorbs the same degree of root absorption .

• Pulpotomy therapy is considered easy , fast and does not include the length of canal or periapical region .

• The split mouth design will be adopted for the treated samples .

• Clinical success criteria :

  1. Absence of spontaneous or stimulant pain
  2. Absence gingival redness , swelling or fistula
  3. Physiological tooth mobility and absence sensitivity to percussion

• Radiographically success criteria :

  1. Absence periapical translucence
  2. Absence external or internal abnormal absorption

Enrollment: 35 patients

Sex: All

Ages: 4 to 9 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Age between 4 and 9 years.
2. Definitely positive or positive ratings of Frank scale.
3. Caries include maximum two surfaces
4. Pulp exposure during caries removal
5. Pulpal hemorrhage light red acceptable to hemostasis
6. Physiological root resorption no more than the apical third
7. Absence clinical and radiographic signs which indicate pulp necrosis

Exclusion criteria

1. Systematic or mental disorders.
2. Definitely negative or negative ratings of Frankel scale
3. Existence periapical translucence
4. Existence external or internal abnormal absorption
5. Existence swelling or fistula
6. Sensitivity to percussion
7. Existence of spontaneous or stimulant pain
8. Excessive movement

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Double Blind

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35 participants in 2 patient groups

Primary anterior teeth pulpotomy by White Portland Cement

Experimental group

Treatment:

Other: Pulpotomy therapy by White Portland Cement

Primary anterior teeth pulpotomy by White MTA

Other group

Treatment:

Other: Pulpotomy therapy by White MTA