The Use of Portland Cement in Primary Anterior Teeth Pulpotomy.

Study Overview
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Brief Summary
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- The aim of this study is to evaluate the effectiveness of White Portland cement and MTA in primary anterior teeth pulpotomy and follow up after 3 , 6 , 12 months ( Clinically and Radiographically) : Group A ( Control group ) : primary anterior teeth pulpotomized by White MTA . Group B : primary anterior teeth pulpotomized by White Portland Cement . - The aim of this study is to evaluate the effectiveness of White Portland cement and MTA in pulpotomy primary canines for serial extraction and extract them after 3 months for Histopathlogic study : Group A ( Control group ) : primary canines pulpotomized by White MTA . Group B : primary canines pulpotomized by White Portland Cement .

Detailed Description
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Endodontic therapy for primary teeth faces several difficulties including morphology of root canals , physiological root absorption and failure to find ideal root-filling paste absorbs the same degree of root absorption . Pulpotomy therapy is considered easy , fast and does not include the length of canal or periapical region . The split mouth design will be adopted for the treated samples . Clinical success criteria : Absence of spontaneous or stimulant pain Absence gingival redness , swelling or fistula Physiological tooth mobility and absence sensitivity to percussion Radiographically success criteria : Absence periapical translucence Absence external or internal abnormal absorption

Official Title
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Evaluation Using of White Portland Cement and MTA in Pulpotomy Primary Anterior Teeth

Conditions
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Pulpotomies

Intervention / Treatment
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* Other: Pulpotomy therapy by White Portland Cement
* Other: Pulpotomy therapy by White MTA


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age between 4 and 9 years. Definitely positive or positive ratings of Frank scale. Caries include maximum two surfaces Pulp exposure during caries removal Pulpal hemorrhage light red acceptable to hemostasis Physiological root resorption no more than the apical third Absence clinical and radiographic signs which indicate pulp necrosis Exclusion Criteria: Systematic or mental disorders. Definitely negative or negative ratings of Frankel scale Existence periapical translucence Existence external or internal abnormal absorption Existence swelling or fistula Sensitivity to percussion Existence of spontaneous or stimulant pain Excessive movement

Ages Eligible for Study
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Minimum Age: 4 Years
Maximum Age: 9 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Crossover Assignment
Interventional Model Description: Split mouth design
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Primary anterior teeth pulpotomy by White Portland Cement<br> | Other: Pulpotomy therapy by White Portland Cement<br>* Carious asymptomatic primary anterior teeth will be removed of dental caries likely to produce vital pulp exposure . The access will be refined using a sterile no. 4 or 6 round bur in a slow-speed handpiece . The remaining pulp will be treated using pulpotomy therapy by White Portland Cement<br>|
| Other: Primary anterior teeth pulpotomy by White MTA<br> | Other: Pulpotomy therapy by White MTA<br>* Carious asymptomatic primary anterior teeth will be removed of dental caries likely to produce vital pulp exposure . The access will be refined usinga sterile no. 4 or 6 round bur in a slow-speed handpiece . The remaining pulp will be treated using pulpotomy therapy by White MTA<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Clinical evaluation of White Portland Cement pulpotomies 3 months after treatment | Clinical evaluation of White Portland Cement pulpotomies was performed 3 months after treatment using the preset clinical criteria. The pulpotomy procedure was decided a clinical success if the tooth fulfilled the following criteria: (1) No pain, (2) No swelling, (3) No tenderness to percussion, (4) No abscess or fistula, and (5) No abnormal tooth mobility | 3 months | 
| Clinical evaluation of White Portland Cement pulpotomies 6 months after treatment | Clinical evaluation of White Portland Cement pulpotomies was performed 6 months after treatment using the preset clinical criteria. The pulpotomy procedure was decided a clinical success if the tooth fulfilled the following criteria: (1) No pain, (2) No swelling, (3) No tenderness to percussion, (4) No abscess or fistula, and (5) No abnormal tooth mobility | 6 months | 
| Clinical evaluation of White Portland Cement pulpotomies 12 months after treatment | Clinical evaluation of White Portland Cement pulpotomies was performed 12 months after treatment using the preset clinical criteria. The pulpotomy procedure was decided a clinical success if the tooth fulfilled the following criteria: (1) No pain, (2) No swelling, (3) No tenderness to percussion, (4) No abscess or fistula, and (5) No abnormal tooth mobility | 12 months | 
| Clinical evaluation of White MTA pulpotomies 3 months after treatment | Clinical evaluation of White MTA pulpotomies was performed 3 months after treatment using the preset clinical criteria. The pulpotomy procedure was decided a clinical success if the tooth fulfilled the following criteria: (1) No pain, (2) No swelling, (3) No tenderness to percussion, (4) No abscess or fistula, and (5) No abnormal tooth mobility | 3 months | 
| Clinical evaluation of White MTA pulpotomies 6 months after treatment | Clinical evaluation of White MTA pulpotomies was performed 6 months after treatment using the preset clinical criteria. The pulpotomy procedure was decided a clinical success if the tooth fulfilled the following criteria: (1) No pain, (2) No swelling, (3) No tenderness to percussion, (4) No abscess or fistula, and (5) No abnormal tooth mobility | 6 months | 
| Clinical evaluation of White MTA pulpotomies 12 months after treatment | Clinical evaluation of White MTA pulpotomies was performed 12 months after treatment using the preset clinical criteria. The pulpotomy procedure was decided a clinical success if the tooth fulfilled the following criteria: (1) No pain, (2) No swelling, (3) No tenderness to percussion, (4) No abscess or fistula, and (5) No abnormal tooth mobility | 12 months | 
| Radiographic evaluation of White Portland Cement pulpotomies 3 months after treatment | Radiographic evaluation of White Portland Cement pulpotomies was performed 3 months after treatment using periapical radiographs. The pulpotomized tooth was judged to be radiographically successful if it demonstrated the following criteria: (1) Normal periodontal ligament space (2) No periapical and furcation pathosis, and (3) No internal resorption. If pulp canal obliteration (PCO) happened, it was recorded but not considered as a treatment failure | 3 months | 
| Radiographic evaluation of White Portland Cement pulpotomies 6 months after treatment | Radiographic evaluation of White Portland Cement pulpotomies was performed 6 months after treatment using periapical radiographs. The pulpotomized tooth was judged to be radiographically successful if it demonstrated the following criteria: (1) Normal periodontal ligament space (2) No periapical and furcation pathosis, and (3) No internal resorption. If pulp canal obliteration (PCO) happened, it was recorded but not considered as a treatment failure | 6 months | 
| Radiographic evaluation of White Portland Cement pulpotomies 12 months after treatment | Radiographic evaluation of White Portland Cement pulpotomies was performed 12 months after treatment using periapical radiographs. The pulpotomized tooth was judged to be radiographically successful if it demonstrated the following criteria: (1) Normal periodontal ligament space (2) No periapical and furcation pathosis, and (3) No internal resorption. If pulp canal obliteration (PCO) happened, it was recorded but not considered as a treatment failure | 12 months | 
| Radiographic evaluation of White MTA pulpotomies 3 months after treatment | Radiographic evaluation of White MTAt pulpotomies was performed 3 months after treatment using periapical radiographs. The pulpotomized tooth was judged to be radiographically successful if it demonstrated the following criteria: (1) Normal periodontal ligament space (2) No periapical and furcation pathosis, and (3) No internal resorption. If pulp canal obliteration (PCO) happened, it was recorded but not considered as a treatment failure | 3 months | 
| Radiographic evaluation of White MTA pulpotomies 6 months after treatment | Radiographic evaluation of White MTAt pulpotomies was performed 6 months after treatment using periapical radiographs. The pulpotomized tooth was judged to be radiographically successful if it demonstrated the following criteria: (1) Normal periodontal ligament space (2) No periapical and furcation pathosis, and (3) No internal resorption. If pulp canal obliteration (PCO) happened, it was recorded but not considered as a treatment failure | 6 months | 
| Radiographic evaluation of White MTA pulpotomies 12 months after treatment | Radiographic evaluation of White MTAt pulpotomies was performed 12 months after treatment using periapical radiographs. The pulpotomized tooth was judged to be radiographically successful if it demonstrated the following criteria: (1) Normal periodontal ligament space (2) No periapical and furcation pathosis, and (3) No internal resorption. If pulp canal obliteration (PCO) happened, it was recorded but not considered as a treatment failure | 12 months | 
| Histopathlogic evaluation of White Portland Cement 3 months after treatment | Histopathlogical evaluation of White Portland Cement pulpotomies was performed 3 months after treatment using the preset histopathlogical criteria. The pulpotomy procedure was decided a histopathlogical success if the tooth fulfilled the following criteria: (1) Normal soft tissue, (2) Formulation dentin bridge, (3) Normal bleeding from pulp tissue, (4) No fibrosis, and (5) No pulp calcification | 3 months | 
| Histopathlogic evaluation of White MTA 3 months after treatment | Histopathlogical evaluation of White MTA pulpotomies was performed 3 months after treatment using the preset histopathlogical criteria. The pulpotomy procedure was decided a histopathlogical success if the tooth fulfilled the following criteria: (1) Normal soft tissue, (2) Formulation dentin bridge, (3) Normal bleeding from pulp tissue, (4) No fibrosis, and (5) No pulp calcification | 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pulpotomy, Portland cement, Primary Anterior Teeth