Role Of Prf With Mta And Theracal After Pulpotomy In Relieving Pain And Maintaining The Vitality Of The Remaining Radicular Pulp Tissue In Permanent Posterior Teeth With Closed Root Apices: “Randomized Controlled Trial”
DOI:
https://doi.org/10.47750/pnr.2022.13.S05.396Keywords:
Regenerative pulpotomy, vital pulp therapy, PRF, TheraCal, MTA, Dentin bridge formation, CBCT, pulpotomy.Abstract
Aim: to evaluate the effect of PRF with TheraCal and MTA in relieving pain, conserving tooth vitality and inducing a dentine bridge barrier after pulpotomy in permanent teeth with closed apices.
Methodology: 98 patients were selected with Symptomatic/ Asymptomatic pulpitis and divided into two groups where, after pulpotomy, in group A: the root stumps were dressed with PRF and MTA while in group B: the root stumps were dressed with PRF and TheraCal. Pain was recorded both preoperatively and postoperatively after 24 hrs and 7 days. Treatment outcome was evaluated after 3, 6 and 12 months clinically and radiographically. After 12 months dentin bridge formation was evaluated by CBCT.
Results: MTA showed (75%) success rate while TheraCal showed (71.43%) after 1 year follow-up.
Conclusions: MTA showed better outcome than that of TheraCal although they showed no significant difference statistically.