Clinical and Radiographic Assessment of Bio C Repair, Biodentine and Mineral Trioxide Aggregate

Clinical and Radiographic Assessment of Bio C Repair, Biodentine and Mineral Trioxide Aggregate Used As Pulpotomy Agents In Vital Immature Permanent Molars With Irreversible Pulpits. A Randomized Control Trial

The aim of this study is to assess Clinical and Radiographical effect of Bio C repair, Biodentine and Mineral Trioxide Aggregate when used as pulpotomy Agents in Immature Permanent Molars with Pulpits.

Inclusion Criteria:

1. Children aged 6-10 years with asymptomatic/symptomatic disease and having vital immature permanent posterior teeth with clinical exposure to dental caries of the pulp and bleeding.
2. Posterior teeth had deep caries with pulp exposure.
3. Posterior teeth that exhibited preoperative symptoms, such as referred pain, spontaneous pain or pain induced during thermal and cold sensitivity tests, with a range of symptoms that can last from seconds to hours compared to the control teeth.
4. Posterior teeth without prominent radiolucency in the furcation or periapical regions.
5. The posterior teeth could be restored.
6. Children with prior parental consent.

Exclusion Criteria:

• • (1) Patients with contraindications of the to-be-performed dental treatment.

  • (2) Teeth with completed VPT or RCT.
  • (3) Teeth with furcation, prominent radiolucency in the periapical regions, or external or internal resorption.
  • (4) Teeth with pulpitis attributed to tooth fracture, cracking, periodontitis or wedge-shaped defects.
  • (5) Teeth without any response to experiments of vitality. (
  • 6) Teeth with formed root/closed apex.
  • (7) Teeth with edema, fistula and excessive mobility not associated with periodontal disease.