Comparing Bioceramic Putty and MTA for Pulpotomy in Childrens Primary Molars Covered With 3D Printed Resin or Stainless Steel Crowns

What this Trial Is About

This research aims to evaluate treatments for children aged 5 to 7 years who have deep cavities in their second primary molars that need vital pulp therapy. The study compares two materials, MTA and bioceramic putty, used for pulpotomy, followed by full coverage of the teeth with either stainless steel crowns or 3D printed resin crowns. The trial is a randomized controlled clinical study sponsored by Alexandria University. During treatment, caries will be removed from the affected molars reaching the pulp, and pulpotomy will be performed by controlling bleeding. The pulp chamber will be covered with either MTA or bioceramic putty. Resin-modified glass ionomer will then be placed, and the tooth will be prepared for a full crown. Participants will receive either stainless steel crowns or digitally designed 3D printed resin crowns created using advanced scanning and printing technology. Participants will be monitored at 1 week, 6 months, and 12 months after treatment to assess clinical and radiographic success of the pulpotomy. Crowns will be evaluated at 6 and 12 months using a standardized dental service scale. Both parental and child satisfaction regarding the appearance, color, size, durability, and overall outcome will be measured immediately and at follow-up visits. The study will track these outcomes throughout the planned observation period ending in 2027.

Bioceramic Putty Versus MTA in Pulpotomized Primary Teeth to be Covered With 3D Printed Resin Crowns Versus Stainless Steel Crown