Nagi, P., Marzaban, N., Elkhadem, A. (2024). EFFECTIVENESS OF THERACAL LC VERSUS MTA IN VITAL PULP THERAPY OF CARIOUSLY-EXPOSED YOUNG PERMANENT MOLARS: FIVE-YEAR FOLLOW UP OF A RANDOMISED CLINICAL TRIAL. Alexandria Dental Journal, 49(1), 170-180. doi: 10.21608/adjalexu.2024.260039.1459
Passant Nagi; Nouran N. Marzaban; Ahmed Elkhadem. "EFFECTIVENESS OF THERACAL LC VERSUS MTA IN VITAL PULP THERAPY OF CARIOUSLY-EXPOSED YOUNG PERMANENT MOLARS: FIVE-YEAR FOLLOW UP OF A RANDOMISED CLINICAL TRIAL". Alexandria Dental Journal, 49, 1, 2024, 170-180. doi: 10.21608/adjalexu.2024.260039.1459
Nagi, P., Marzaban, N., Elkhadem, A. (2024). 'EFFECTIVENESS OF THERACAL LC VERSUS MTA IN VITAL PULP THERAPY OF CARIOUSLY-EXPOSED YOUNG PERMANENT MOLARS: FIVE-YEAR FOLLOW UP OF A RANDOMISED CLINICAL TRIAL', Alexandria Dental Journal, 49(1), pp. 170-180. doi: 10.21608/adjalexu.2024.260039.1459
Nagi, P., Marzaban, N., Elkhadem, A. EFFECTIVENESS OF THERACAL LC VERSUS MTA IN VITAL PULP THERAPY OF CARIOUSLY-EXPOSED YOUNG PERMANENT MOLARS: FIVE-YEAR FOLLOW UP OF A RANDOMISED CLINICAL TRIAL. Alexandria Dental Journal, 2024; 49(1): 170-180. doi: 10.21608/adjalexu.2024.260039.1459
EFFECTIVENESS OF THERACAL LC VERSUS MTA IN VITAL PULP THERAPY OF CARIOUSLY-EXPOSED YOUNG PERMANENT MOLARS: FIVE-YEAR FOLLOW UP OF A RANDOMISED CLINICAL TRIAL
1Paediatric dentistry departement, Faculty of dentistry, Cairo University, Egypt
2Lecturer, Oral and Maxillofacial Radiology, Faculty of Dentistry, Cairo University, Egypt
3Associate Professor of Pediatric Dentistry and Dental Public Health Department, Faculty of Dentistry, Cairo University, Egypt
Abstract
Introduction: Carious pulp exposure of young-vital first permanent molars (FPMs) is a widespread unfortunate event. Pulpotomy treatment is a treatment option; however, choosing capping materials is crucial. Objectives: To compare tooth clinical/radiographic (survival) rate after one/five years following pulpotomy of cariously-exposed vital FPMs using TheraCal-LC (TLC) and Mineral-Trioxide-Aggregate (MTA). Methodology: This was Randomised Clinical Trial (RCT), single-blinded, equivalence-framework. Twenty-two FPMs in children aged 6-8.5 years were randomly allocated to TLC/MTA groups. Pulpotomy was performed, followed by capping material and final restoration. Immediately, post-operative periapical radiographs were taken. A preliminary report was published after 1-year, and now this is the 5-years follow-up. Results: Average age of participants was 7.7 years. Using Absolute-risk/Absolute-risk reduction (ARR), Relative-Risk (RR) and their 95% confidence intervals (95% CI), following results were obtained: Clinically, risk of spontaneous pain/swelling was 7-times/5-times, more in TLC group respectively at 1-year and 2.6-times/5-times, more in TLC group respectively after 5-years. Radiographically, risk of periapical radiolucency/root resorption occurrence was 9-times/2-times more in TLC group, respectively, both after 1-year and 5-years. The probability of root maturation was 20% and 10% less in TLC group at 1-year/5-years, respectively. Surprisingly, 90% of teeth show complete apical closure even if pulp necrosis occurred. The final survival rate (clinical and radiographic) MTA was 90.9% /72.72% after 1-year/5-years respectively. The final survival rate (clinical and radiographic) for TLC was 18.18% after both 1-year and 5-year. Conclusion: Within current study's limitations, TLC results were less promising than MTA in pulpotomy of young permanent molars.
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