Overview
Clinical, Radiographic and pain assessment of Vital pulp treatment in patients suffering from irreversible pulpitis in mature permanent molars. Total pulpotomy is investigated using I-prf only vs I-prf mixed with Nano-bioactive glass.
Eligibility
Inclusion Criteria:
- Patients suffering from Symptomatic irreversible pulpitis in mature mandibular molars only will be involved.
- Tooth should give positive response to cold test
- Haemostasias should be achieved after total pulpotomy
- The tooth is restorable and free from advanced periodontal disease, cracks and splits.
- Patients should be free from any systemic disease that may affect normal healing and predictable outcome.
- Patients who will agree to the consent and will commit to follow-up period.
- Patients with mature root apices
- Patients with no internal or external resorption and no periapical lesions
- Soft tissues around the tooth are normal with no swelling or sinus tract.
Exclusion Criteria:
- Patients with immature roots.
- Haemostasias after 10 minutes can not be controlled after total pulpotomy
- Patients with any systemic disease that may affect normal healing.
- Patients with periapical lesions or infections.
- Pregnant females.
- Patients who could/would not participate in a 6 months follow-up.
- Patients with fistula or swelling
- Patients with necrotic pulp.
- Patients with old age.