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The aim of this study is to assess the clinical and radiographic success and postoperative pain in mature mandibular molars following vital pulp therapy using chitosan hydrogel versus platelet rich fibrin.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Chitosan Hydrogel after full pulpotomy | Experimental | Chitosan used as a medicament for pulpotomy as it is non-toxic biocompatible, bioadhesive, biodegradable, has wound healing ability and possesses antimicrobial activity. In addition, it encourages the odontogenic development of dental pulp stem cells. |
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| Platelet Rich Fibrin after full pulpotomy | Active Comparator | Platelet-rich fibrin (PRF) is strictly autologous, biocompatible and kind toward pulp, and hence elicits minimal or nil inflammatory response when placed directly over the severed pulp. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Full Pulpotomy | Procedure | After control of bleeding in teeth allocated to the intervention group, the gel is to be placed into the pulp chamber to a level 3 mm below the cementoenamel junction (CEJ) over the root pulp stumps. |
| Measure | Description | Time Frame |
|---|---|---|
| Success Rate | Using Radiographic success criteria by periapical index (Orstavik et al., 1986) | 6 months (Postoperative) |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative pain | Using Modified Visual Analogue Scale for pain with a straight line with one end (point 0) meaning no pain and the other end (point 10) meaning the worst pain imaginable | 1st day up to 7th day |
| Tooth sensibility |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Perihan A Wafi, Bds | Contact | 01006150247 | 002 | perihan.adel@dentistry.cu.edu.eg |
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Using Electric pulp test
| 1,3,6 months (postoperative) |