Direct Pulp Capping in Primary Molars

Clinical Evaluation of Direct Pulp Capping in Primary Molars

The purpose of this study is to Assess the effect of MTA and hard setting Calcium Hydroxide (Dycal) on the clinical and radiographic outcome of direct pulp capping in primary molars and evaluate overall success rate of direct pulp capping in primary molars.

After informed consent, baseline clinical and radiographic assessment will be obtained and recorded in patient examination sheet.

Participants who met the inclusion criteria were randomly allocated to two groups (n = 26/group, N = 52 in total) according to the capping martials using the envelope randomization method.

2 study groups according to capping material that will be used (Dycal or MTA) and each group will be divided to 2 subgroups according to site of exposure axial or pulpal.

All patients were recalled and their treated molars were evaluated clinically and radiographically at 3months, 6months, 9months ,12months follow up periods.

Inclusion Criteria:

• Cooperative child and compliant parent.
• Complete physical and mental health.
• Children who are known to be healthy and free from systemic diseases.
• Primary molars with deep carious lesions leading to pathological exposure but with no signs or symptoms of irreversible pulpitis or necrosis such as spontaneous pain, tenderness to percussion, abscess, fistula, periodontal tissue swelling, or abnormal tooth mobility.

Exclusion Criteria:

• A deep carious lesion in close proximity to the pulp with an intact lamina dura.
• Absence of widening of periodontal membrane space or radiolucency at the furcation and periapical region.
• Absence of pulpal calcifications, obliteration of the pulp and root canal, or internal/external root resorption.