Clinical Trial Summary
One of our major concerns and daily challenges is the management of carious immature
permanent teeth, also known as young permanent teeth while preserving the vitality of the
dental. Preserving radicular pulp tissue in these teeth allows continuing apical maturation
and apical closure.
Diagnosis and treatment of carious immature permanent molars are considered a challenging
aspect of daily clinical routine, where constant irritation of the pulp without treatment
leads to irreversible pulpitis and necrosis, which impedes the natural root development and
its complete formation ; leading at the end to a decision of extracting the tooth .Therefore;
when treating immature permanent teeth, the main goal is to preserve the vitality of the pulp
to guarantee natural root development.
Pulpotomy is a commonly employed treatment for this procedure involving either the removal of
only the outer layer of damaged and hyperemic tissue in exposed pulps (partial pulpotomy or
Cvek pulpotomy); which is a procedure staged between pulp capping and complete pulpotomy.
Complete pulpotomy is the total removal of coronal pulp tissue and the placement of a wound
dressing on the canal orifice. Followed by the placement of a biocompatible material to
promote healing and regeneration of the remaining vital pulp tissue.
In many studies, MTA showed high success rates in treatment of carious immature permanent
molars. However, MTA is expensive and has poor handling characteristics, a long setting time
and no predictable antimicrobial activity.
Recently, new bioceramics have emerged as promising materials, showing good potential for
vital pulp therapy in immature permanent teeth due to their biocompatibility and favorable
clinical outcomes.
Both MTA and bioceramics have almost similar compositions, but bioceramics materials contain
titanium oxide and calcium phosphate, in addition to the absence of aluminum in its
composition. Besides, bioceramics can release a high percentage of calcium ions early while
maintaining this high percentage for 28 days, in contrast to the mineral trioxide, which
showed a lower ability to release calcium ions more slowly.
Therefore, this study will be conducted to compare the effectiveness bioceramic material in
partial and complete pulpotomy of immature permanent molars.
comparing the effectiveness of bioceramic material in partial and complete pulpotomy in
carious immature permanent molars.
