PRIMARY MOLARS DIRECT PULP CAPPING VERSUS PULPOTOMY USING MTA: A SPLIT-MOUTH RANDOMIZED CLINICAL TRIAL

Helaly, Yousra Hassan; Abdelmotelb, Mahmoud Ahmed; Hamdi, Mona Nagy; ELheeny, Ahmad Abdel Hamid

doi:10.21608/edj.2024.288405.3034

	PRIMARY MOLARS DIRECT PULP CAPPING VERSUS PULPOTOMY USING MTA: A SPLIT-MOUTH RANDOMIZED CLINICAL TRIAL
Egyptian Dental Journal
Volume 70, Issue 3 - Serial Number 1, July 2024, Page 2231-2241 PDF (1.8 MB)
Document Type: Original Article
DOI: 10.21608/edj.2024.288405.3034
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Authors
Yousra Hassan Helaly ¹; Mahmoud Ahmed Abdelmotelb ²; Mona Nagy Hamdi ²; Ahmad Abdel Hamid ELheeny ³
¹Demonstrator at Pediatric Dentistry Department, Faculty of Dentistry, Assiut University, Assiut, Egypt
²Lecturer at Pediatric and Community Dentistry Department, Faculty of Dentistry, Minia University, Minya, Egypt.
³Associate professor and Head of Pediatric and Community Dentistry Department, Faculty of Dentistry, Minia University, Minya, Egypt.
Abstract
Aim: to assess the clinical and radiographic success rates of direct pulp capping versus pulpotomy using mineral trioxide aggregate (MTA) in the treatment of primary molars. Patients and methods: The current study was planned as a split-mouth randomized clinical trial. The trial included 50 healthy, cooperative children (32 boys [64%] and 18 girls [36%]) aged 4–7 years, with two deep carious lower second primary molars requiring vital pulp therapy. One hundred lower second primary molars were randomly classified into two groups according to the technique used: Group (1): direct pulp capping using MTA and Group 2: pulpotomy using MTA. Then each case was followed clinically and radiologically every 3, 6, and 12 months to detect success and failure rates. The clinical and radiographic outcome criteria were treated as binary data (present or absent) and tested using Mcnemar's chi-square test. The alpha level of significance was set to 0.05 at 95% CI. Results: Over the follow-up period, no significant statistical difference was found between the two groups (p-value > 0.05). The overall success rates were 100% for both techniques clinically and radiographically after a 12-month follow-up period. Conclusion: In cooperative patients, in well-chosen cases, both direct pulp capping and pulpotomy may be dependable options for treating deeply decayed primary molars.
Keywords
Pulpotomy; DPC; MTA; Children; follow-up


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