Outcome of full pulpotomy versus partial radicular pulpotomy in mature permanent teeth with symptomatic irreversible pulpitis using Biodentine - A randomized controlled trial.

BACKGROUND

The constant demand for innovative and minimally invasive procedures aimed at preserving tooth structure challenges the effectiveness of conventional methods. One such approach is partial radicular pulpotomy, which necessitates further clinical trials to validate its efficacy over traditional full pulpectomies and root canal treatments.

AIM: This study aims to evaluate and compare the outcome of full pulpotomy and partial radicular pulpotomy using Biodentine, in mature permanent molars with symptomatic irreversible pulpitis and spontaneous pain.

METHODS

Fifty patients with exposed carious pulp and symptomatic irreversible pulpitis were included, aged 15-35 years, randomly allocated to two groups: full pulpotomy (Group I) and partial radicular pulpotomy (Group II). Both the pulpotomies were performed following standardized protocols, with Biodentine.

STATISTICAL ANALYSIS: Success was assessed clinically and radiographically for up to 12 months using the intragroup Friedman test and the intergroup Mann-Whitney test.

RESULTS

Group I exhibited 78.3%, while for Group II, it was 86.4% success at 12 months, but the results were nonsignificant (P > 0.05).

CONCLUSION

Partial radicular pulpotomy can be introduced as a successful new treatment option in cases of symptomatic irreversible pulpitis in mature permanent molars.