About this trial
the study will evaluate the clinical and radiological success of mature permanent anterior teeth pulpotomy in children and adolescents with signs of pulpitis using two different Biomimetic materials (NeoPutty® and Biodentine™) as a pulp dressing material in comparison to root canal treatment at 3, 6, 9 and 12 months follow up.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Children and adolescents of both sexes aged between 9 and 14 years old.
Vital mature permanent anterior teeth with deep caries lesions that approach the pulp with signs of pulpitis and respond positive to cold pulp testing.
Vital mature permanent anterior teeth with pulpal exposure that occurred during caries excavation.
Patients presented immediately after suffering recent trauma (at the same day) to mature anterior teeth that had resulted in a crown fracture with pulp exposure.
Disqualifiers
Teeth with signs of infection such as swelling, sinus tract or pathological mobility or excessive mobility.
Teeth with excessive bleeding from amputated radicular stumps
Teeth showing radiographic evidence of pathologic root resorption, periapical pathology and calcifications in the canals.
Lack of patient/parent compliance and cooperation.
Trial design
Parallel
Treatments tested in this trial
premixed Bioceramic NeoPUTTY®
Procedure/SurgeryPulpotomy procedure will be performed after hemostasis followed by covering pulp stump with Premixed Bioceramic then final composite restoration will be applied. clinical evaluation will be done at baseline, 3, 6, 9 and 12 months.
Biodentine™
Procedure/SurgeryPulpotomy procedure will be performed after hemostasis followed by covering pulp stump with Premixed Bioceramic or Biodentine™ according to the corresponding group then final composite restoration will be applied. clinical evaluation will be done at baseline, 3, 6, 9 and 12 months.
Root canal treatment
Procedure/SurgeryRoot canal treatment will be performed to the control group followed by composite restoration. clinical evaluation will be done at baseline, 3, 6, 9 and 12 months.
Treatment groups
Trial outcomes
Primary outcomes
Clinical success
Absence of pain related to the treated teeth, including patient reported pain or sensitivity to percussion/palpation. No evidence of swelling of supporting soft tissue or presence of sinus tract. Absence of excessive mobility affecting treated teeth.
Radiographic success
No Internal or external root resorption. No Periapical radiolucency.
Secondary outcomes
Evaluation of tooth discoloration.
Evaluation of tooth discoloration using the VITA Easyshade V digital spectrophotometer.
Locations
Sponsors and contacts
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