Evaluation of Postoperative Pain After Pulpotomy Using Calcium Silicate Cements in Permanent Molars With and Without Laser Biomodulation: A Randomized Clinical Trial

What this Trial Is About

This research focuses on children and young adolescents aged 9 to 14 years who have a severe toothache caused by an inflamed nerve in a permanent lower back molar, known as symptomatic irreversible pulpitis. The study compares two methods of vital pulp therapy, a less invasive alternative to root canal treatment, aiming to preserve healthy nerve tissue and improve healing and comfort after treatment. The trial is designed as a prospective, triple-blind, randomized controlled study to evaluate postoperative pain and healing outcomes. Participants will undergo a full pulpotomy procedure where the infected part of the nerve is removed, and the remaining healthy tissue is treated. One group will have their tooth sealed with a calcium silicate cement called EndoCem alone, while the other group will receive the same cement after an additional laser biomodulation treatment applied to the nerve tissue. This laser uses a gentle, non-surgical energy meant to stimulate healing and reduce inflammation. Both groups will have their teeth restored after treatment. During the study, participants will record their pain levels using a Visual Analogue Scale at multiple times after the procedure, specifically at 6, 12, 24, and 48 hours. Researchers will also assess clinical and radiographic success at one week and six months following treatment to monitor healing and tooth health. The trial ensures careful monitoring, blinded assessments, and aims to provide evidence on whether adding laser biomodulation improves comfort and recovery after pulpotomy in young patients.

Postoperative Pain After Pulpotomy in Children Using Calcium Silicate Cements With and Without Laser Therapy