Comparing MTA Pulpotomy to Root Canal Treatment in Management of Permanent Molars With Irreversible Pulpitis in Children

A Comparative Study Between MTA Pulpotomy and Root Canal Treatment in Management of First Permanent Molars With Irreversible Pulpitis in Children: A Randomized Controlled Trial

Dental caries, highly prevalent amongst children, can cause pulpitis. Coronal pulpotomy provides an easier, cost-effective, conservative and biologically-driven treatment option compared to endodontic treatment in mature permanent teeth with irreversible pulpitis.

The aim of the current study is to evaluate postoperative pain, clinical and radiographic outcomes of MTA pulpotomy compared to root canal treatment in children's first permanent molars suffering from irreversible pulpitis.

In this randomized controlled trial, patients aged 10-14 years suffering from irreversible pulpitis in the first permanent molar with closed apex will be randomly divided into two groups. The first group will receive complete coronal MTA pulpotomy, while the second group will receive endodontic treatment.

Inclusion Criteria:

• Healthy male and female children, aged 10 to 14 years
• Signs and symptoms of irreversible pulpitis in carious first permanent molar.

Exclusion Criteria:

• Molars with immature roots
• Non-restorable molars, with abnormal mobility or increased probing pocket depth (normal range = 1-3 mm)
• Any indication of pulpal necrosis, such as sinus tract or swelling or no bleeding from orifices after access opening.
• Any signs of periapical or furcal rarefaction.