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Clinical Oral Investigations

Erschienen in:

17.07.2023 | Research

Comparative evaluation of treatment outcome of partial pulpotomy using different agents in permanent teeth—a randomized controlled trial

verfasst von: Dev Veer Vikram Singh, Sonali Taneja, Sana Fatima

Erschienen in: Clinical Oral Investigations | Ausgabe 9/2023

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Abstract

Aim

To compare and evaluate the clinical and radiographic performance, post-operative pain, and anti-inflammatory intake after partial pulpotomy (PP) with calcium hydroxide (CH), mineral trioxide aggregate (MTA), Biodentine (BD), and Emdogain (EMD) as pulp capping agents in mature permanent molars with definitive diagnosis of reversible pulpitis.

Materials and methods

As part of this prospective, randomized clinical trial with four parallel arms (CTRI Registration No.: CTRI/2020/11/029329 dated 24/11/2020), hundred and ten permanent molars with a clinical diagnosis of reversible pulpitis and normal apical tissues, from patients between the ages of 15 and 45 years, were recruited and randomly assigned to four groups—CH, MTA, BD, and EMD. Operative procedure was performed under local anesthesia and dental dam isolation. After carious pulpal exposure, 2 mm of superficially inflamed coronal pulp tissue was amputated and either of the four pulp capping materials was placed. The outcome assessment was carried out at 1, 3, 6, and 12 month(s) and was categorized as success (asymptomatic patients with PAI score = 1) or failure (symptomatic patients or PAI score > 1).

Results

There was a significant difference in post-operative pain and anti-inflammatory medication intake after partial pulpotomy with Emdogain vis-à-vis other three capping agents. No difference in both clinical and radiographic performances was observed among the four capping agents.

Conclusion

Partial pulpotomy when performed following evidence-based guidelines results in high success rates regardless of capping agent employed. EMD can be considered a valid and suitable pulp capping agent in PP.

Clinical relevance

Meticulous examination and removal of superficially inflamed pulp under magnification and complete asepsis lead to successful pulpal healing regardless of capping agent employed.

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Titel: Comparative evaluation of treatment outcome of partial pulpotomy using different agents in permanent teeth—a randomized controlled trial
verfasst von: Dev Veer Vikram Singh
Sonali Taneja
Sana Fatima
Publikationsdatum: 17.07.2023
Verlag: Springer Berlin Heidelberg
Erschienen in: Clinical Oral Investigations / Ausgabe 9/2023
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-023-05136-6

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Comparative evaluation of treatment outcome of partial pulpotomy using different agents in permanent teeth—a randomized controlled trial

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