Evaluating the clinical and radiographic success of partial pulpotomy compared to complete pulpotomy in vital primary second molars with reversible pulpitis using NeoPUTTY™ (MTA).
Aged 4-7 years, in good general health and medically within normal.
Restorable mandibular second primary molars.
History of reversible pulpitis.
Absence of periapical or inter-radicular radiolucency.
With systemic disorders.
Physical or mental disabilities.
Unable to attend follow-up visits.
Refusal of Participation.
Parallel
Partial Pulpotomy
Procedure/SurgeryAfter removing caries high-speed handpiece with water coolant using a round diamond bur. Once there is an exposure, the bur is changed with another sterile one with which the superficially inflamed pulp tissue will be gently removed to a depth of 1-3 mm beneath the pinpoint pulp exposure that occurred at the end of caries removal. A sterile cotton pellet with saline will be placed with light pressure for 2-3 minutes to achieve hemostasis.
Complete pulpotomy
Procedure/SurgeryAfter removing caries with a large round bur, the access cavity will be opened. Excavation of inflamed coronal pulp tissues will be done using a sharp excavator. A sterile cotton pellet with saline will be placed with light pressure for 2-3 minutes to achieve hemostasis.
Postoperative pain
Postoperative pain assessment through Visual Analog Scale (the lower the value the better).
Swelling/ Fistula
Assessment of swelling and fistula through visual examination.
Mobility
Assesment of pathological mobility using mobility test.
Radiographic success
Radiographic evaluation (Radiolucency at furcation or periapical, internal or external root resorption) through visual interpretation of digital radiograph at 0, 6 and 12 months postoperatively.
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