This clinical study aims to assess the efficacy of using calcium silicate based sealer as a capping material after complete removal of coronal pulp tissue. The study will evaluate both the clinical and radiographic changes.
Vital mandibular molar teeth with mature apices.
Teeth that respond positively to cold testing.
Teeth without any signs of necrosis including sinus tract or swelling.
Teeth with caries extending ≥ 2/3 of dentine or exposing the pulp.
Non-vital teeth.
Teeth with irreversible pulpitis with apical periodontitis.
Teeth with immature apices.
Teeth with Periodontal disease or mobility grade II or III.
Parallel
Calcium silicate-based sealer full Pulpotomy
Procedure/SurgeryUsing calcium silicate-based sealer as a capping agent after full pulpotomy
Calcium silicate-based premixed putty full Pulpotomy
Procedure/SurgeryUsing calcium silicate-based premixed putty as a capping agent after full pulpotomy
Full Pulpotomy
Procedure/SurgeryUsing combination between calcium silicate-based sealer and calcium silicate-based premixed putty as a capping agent after full pulpotomy
Clinical success after full pulpotomy procedure
Clinical evaluation of the targeted tooth is performed and the treatment is considered successful in case of: absence of post-operative pain, absence of pain on percussion and palpation, absence of any swelling related to the treated tooth, absence of sinus tract or fistula and absence of tooth mobility.
Radiographic success after full pulpotomy procedure
Radiographic evaluation of the targeted tooth is performed and the treatment is considered successful in case of presence of normal periodontal ligament space, absence of internal or external root resorption, absence of canal calcification, absence of peri-radicular radiolucency and no loss or break of lamina dura.
Clinical success after full pulpotomy procedure
Clinical evaluation of the targeted tooth is performed and the treatment is considered successful in case of absence of post-operative pain, absence of pain on percussion and palpation, absence of any swelling, absence of sinus tract or fistula and absence of tooth mobility.
Cinical success after full pulpotomy procedure
Clinical evaluation of the targeted tooth is performed and the treatment is considered successful in case of: absence of post-operative pain, absence of pain on percussion and palpation, absence of any swelling related to the treated tooth, absence of sinus tract or fistula and absence of tooth mobility.
Assessment of Post-operative pain after full pulpotomy procedure
The postoperative pain was assessed by using the modified verbal descriptor Scale (mVDS). Patients were instructed to place a mark on the horizontal scale to represent the intensity of pain experienced, furthermore, they were asked to use the verbal descriptors as a guide. The level of pain was documented at the range of 0-10 numerically and verbally as no pain (0), slight pain (1, 2), moderate pain (3-5), strong pain (6, 7), severe pain (8), and maximum pain (9, 10).
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