Comparing Success Rates of Pulpotomy and Pulpectomy for Treating Deep Cavities in Primary Teeth of Young Children

What this Trial Is About

This research aims to compare the treatment outcomes of Pulpotomy and Pulpectomy in managing vital primary teeth affected by deep caries with irreversible pulpitis symptoms. It focuses on children aged 4 to 6 years and addresses the traditional and modern approaches to treating inflamed primary dental pulp, exploring the potential for regenerative therapies using calcium silicate-based materials like mineral trioxide aggregate MTA. Participants will receive one of two treatments the experimental MTA Pulpotomy or the active comparator Partial Pulpectomy using chlorhexidine irrigation and zinc oxide-eugenol paste for obturation. The pulpotomy involves removing the coronal pulp and placing a special MTA mix over the radicular pulp, while the pulpectomy involves extirpation of pulp tissue, canal preparation, and filling followed by a stainless steel crown restoration. During the study, children will be monitored at multiple time points up to 12 months with radiographic assessments at 6 and 12 months and clinical effectiveness checks at 3, 6, 9, and 12 months. Researchers will also observe child cooperation and record the time until the final restoration is performed. The total participation includes treatment and follow-up visits to evaluate success and safety of the procedures.

Clinical and Radiographic Success Rate of Pulpotomy Versus Pulpectomy for Management of Primary Teeth With Deep Caries