Clinical and Radiographic Assessment of Partial Pulpotomy versus Complete Pulpotomy in Vital Primary Molars Using MTA: A Randomized Controlled Clinical Trial
Abdelraouf, F., Bardissy, A., ragab, R. (2023). Clinical and Radiographic Assessment of Partial Pulpotomy versus Complete Pulpotomy in Vital Primary Molars Using MTA: A Randomized Controlled Clinical Trial. EKB Journal Management System, 5(3), 542-553. doi: 10.21608/adjc.2023.205228.1292
Fatma Zein alabdieen Abdelraouf; Adel Bardissy; rasha adel ragab. "Clinical and Radiographic Assessment of Partial Pulpotomy versus Complete Pulpotomy in Vital Primary Molars Using MTA: A Randomized Controlled Clinical Trial". EKB Journal Management System, 5, 3, 2023, 542-553. doi: 10.21608/adjc.2023.205228.1292
Abdelraouf, F., Bardissy, A., ragab, R. (2023). 'Clinical and Radiographic Assessment of Partial Pulpotomy versus Complete Pulpotomy in Vital Primary Molars Using MTA: A Randomized Controlled Clinical Trial', EKB Journal Management System, 5(3), pp. 542-553. doi: 10.21608/adjc.2023.205228.1292
Abdelraouf, F., Bardissy, A., ragab, R. Clinical and Radiographic Assessment of Partial Pulpotomy versus Complete Pulpotomy in Vital Primary Molars Using MTA: A Randomized Controlled Clinical Trial. EKB Journal Management System, 2023; 5(3): 542-553. doi: 10.21608/adjc.2023.205228.1292

Clinical and Radiographic Assessment of Partial Pulpotomy versus Complete Pulpotomy in Vital Primary Molars Using MTA: A Randomized Controlled Clinical Trial

Advanced Dental Journal
Volume 5, Issue 3, July 2023, Page 542-553  XML PDF (273.92 K)
Document Type: Original Article
DOI: 10.21608/adjc.2023.205228.1292
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Authors
Fatma Zein alabdieen Abdelraouf email orcid 1; Adel Bardissy2; rasha adel ragab3
1Paediatric dentistry,Faculty of dentistry,Cairo university
2Pediatric dentistry,cairo university
3pediatric dentistry, faculty of dental and public health, cairo university, cairo
Abstract
Aim: The aim is to assess the clinical and radiographic effect of partial pulpotomy versus complete pulpotomy using MTA in asymptomatic vital primary molars with deep caries.
Materials and methods: A randomized controlled clinical split-mouth trial was designed, 50 mandibular molars in 25 children aged 4 to 6 years were assigned into two groups (n=25). Each patient had two deep carious non-symptomatic primary molars. Partial pulpotomy (group A) and complete pulpotomy (group B) were done for each child. After coronal pulp amputation and achieving hemostasis, MTA was placed over pulp stumps and teeth covered with stainless steel crown. All treated patients were followed-up at 1 week, and 3,6,9 months post-operatively.
Results: The partial pulpotomy (group A) showed failure in two cases (8%). The first case reported clinical failure (pain and swelling) and radiographic failure (bone resorption and root resorption) at 6 months follow-up. Complete pulpotomy (group B) showed a success rate of 100% clinically and radiographically.
Conclusions: The overall success rate of maintaining pulp vitality of 92.0% suggests that partial pulpotomy is a viable operative approach to treat primary teeth with deep carious lesions.
Keywords
Keywords: Pulpotomy; Partial; Complete; MTA; Radiographic
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