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

Created on 18 Sep 2025

Authors

Harakh Chand Baranwal, Neelam Mittal, Vijul, Burugupalli Swetha, Gracemol Raju, Mohammad Faisal Azeez

Published in

Journal of conservative dentistry and endodontics. Volume 28. Issue 9. Pages 937-942. Epub Sep 05, 2025.

Abstract

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.
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.
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.
Success was assessed clinically and radiographically for up to 12 months using the intragroup Friedman test and the intergroup Mann-Whitney test.
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).
Partial radicular pulpotomy can be introduced as a successful new treatment option in cases of symptomatic irreversible pulpitis in mature permanent molars.

PMID:
40964643
Bibliographic data and abstract were imported from PubMed on 18 Sep 2025.

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