IADR Abstract Archives
Coronal vs Deep Pulpotomy for Irreversible Pulpitis- a Randomized Clinical Trial
Objectives: To assess the outcome of coronal and deep pulpotomy performed in mature permanent teeth with extremely deep carious lesions and symptomatic irreversible pulpitis
Methods: The study was conducted at the tertiary care center on 60 mandibular molar teeth with extremely deep carious lesions and irreversible pulpitis. All the procedures were performed under local anesthesia and rubber dam isolation. The caries were completely removed and access to pulp chamber was made. The teeth were randomly assigned to two study groups. Group I: The entire coronal pulp was removed; Group II: the pulp was removed 2-3mm deep inside the root canal orifices. Bleeding was arrested with a 2.5% NaOCl application. The residual pulp was capped with MTA and teeth were restored with composite resin during the same visit. Teeth were followed at 6 & 12-month intervals. Outcome assessment was done at a one-year follow-up using clinical and radiographic criteria.
Results: A total of 51 teeth were available for analysis at 12-month recall. The success rate in the deep pulpotomy group was 92% (23/25) and coronal pulpotomy was 92.3% (24/26). There was no statistically significant difference between the two groups.
Conclusions: The coronal pulpotomy has high success in teeth with extremely deep carious lesions where bleeding can be arrested within 10 minutes after coronal pulp amputation.
Methods: The study was conducted at the tertiary care center on 60 mandibular molar teeth with extremely deep carious lesions and irreversible pulpitis. All the procedures were performed under local anesthesia and rubber dam isolation. The caries were completely removed and access to pulp chamber was made. The teeth were randomly assigned to two study groups. Group I: The entire coronal pulp was removed; Group II: the pulp was removed 2-3mm deep inside the root canal orifices. Bleeding was arrested with a 2.5% NaOCl application. The residual pulp was capped with MTA and teeth were restored with composite resin during the same visit. Teeth were followed at 6 & 12-month intervals. Outcome assessment was done at a one-year follow-up using clinical and radiographic criteria.
Results: A total of 51 teeth were available for analysis at 12-month recall. The success rate in the deep pulpotomy group was 92% (23/25) and coronal pulpotomy was 92.3% (24/26). There was no statistically significant difference between the two groups.
Conclusions: The coronal pulpotomy has high success in teeth with extremely deep carious lesions where bleeding can be arrested within 10 minutes after coronal pulp amputation.