Partial Pulpotomy in Immature Permanent Molars After Carious

Exposures Using Different Hemorrhage Control and Capping Materials

Beste Özgür, DDS, PhD • Serdar Uysal, DDS, PhD • H. Cem Güngör, DDS, PhD
This RCT paper - presented by Abdullah Alqarni for the module Research Methods Ethics and statistics
DSUR5022M

Introduction Methodology
Ø The study investigates the effectiveness of partial pulpotomies in Ø The study involved 63 children aged 6 to 13 years.
treating immature permanent molars with deep occlusal caries Ø 80 immature permanent first and second molars with deep
lesions. occlusal caries lesions.
Ø The study compares the use of mineral trioxide aggregate or Ø Partial pulpotomy was performed on 20 teeth per group
calcium hydroxide after controlling hemorrhage with sodium Ø the hemorrhage control agents used were sodium
hypochlorite or sterile saline solutions. hypochlorite (SH) and saline solution (SS) with mineral
Ø It aims to provide a better understanding of the partial pulpotomy trioxide aggregate (MTA) and calcium hydroxide (CH).
technique and its success in both clinical and radiographic
aspects.

Radiographic/clinical
* Deep occlusal caries on 1st & 2nd Operative:
molar
* No pain history * 1 to 2 mm diameter pulp
Selection criteria * No moving, fistula, pain on percussion exposure during excavation
and swelling * Bleeding should be ceased
* No internal/external resorption and
periapical/furcation radiolucency within 5 min.
* Restorable tooth with CL composite

3 month
(G1) 20 20 20 19 18
SH+MTA (1 Failure 1
20 6 month Dropout)
(G2) 19 20 19 19
19
SS+MTA
( 1 Dropout)
20 12month
ENROLL ALLOCATE (G3)
FOLLOW-UP 19 20 19 19 ANALYSIS
Random 80 20
SH+CH
patient ( 1 Failure)
20 18month
(G4) 17 19 19 19
19
SS+CH
( 1 Dropout)
20 24 month
17 19 19 19

Results All methods

Ø NO statistically significant difference in partial pulpotomy
success using either MTA or calcium hydroxide as pulp-
capping materials or using sodium hypochlorite or 97.4

sterile saline as hemorrhage control agents.

Figure1: Ø The 24-month simultaneous clinical and radiographic
Show A case of radiographic failure observed survival rates of the treatment groups were high, with NO
after six months
significant difference between the groups regarding
survival probabilities.
3.2

Conclusion
success rate faliure rate
Partial pulpotomies conducted on immature Figure3:
Clinical and radiographic success rates for
Figure 2:
(a) Initial radiograph which shows a profound carious lesion permanent teeth with MTA or CH the partial pulpotomy treatment
and exposed apices; (b) Radiograph taken 24 months
(b) post-partial pulpotomy (using sterile saline and mineral
after hemostasis using either SH or SS solutions
trioxide aggregate). demonstrated
comparable and favorable outcomes.

Acknowledgement References
The authors wish to thank the Scientific Research Unit of
Hacettepe University, Ankara, Turkey, for its support of this study
via a PhD thesis grant (TDK-2015-6202).