Research Information System
Thesis Type: Doctorate
Institution Of The Thesis: Gazi University, Turkey
Approval Date: 2016
Thesis Language: Turkish
Student: Didem Sakaryalı
Supervisor: ALEV ALAÇAM
Abstract:The purpose of this study is clinical and radiographical evaluation of partial pulpotomy treatments with calcium hydroxide (Calsin®, Spot, Turkey), MTA (ProRoot MTA®, Dentsply, USA) and a calcium silicate based material, Biodentine® (Septodont, Saint Maur des Faussés, France) in cariously exposed young permanent teeth. 50 patients with 54 asymptomatic, cariously exposed young permanent mandibular molar teeth were included to the study. After preperation of partial pulpotomy cavity, %1,25 sodium hypochlorite had used for hemorrage control. Then, the teeth were randomly divided to three main pulpotomy material groups which were; calcium hydroxide, MTA and Biodentine® and these materials were condansed to the pulpotomy cavity without pressure. After pulpotomy fillings, cavity had been filled with glass ionomer cement and composite resin and finally restorated with stainless steel crowns as permanent fillings. The teeth were clinically evaluated at 1, 3, 6, 12 months follow-up periods. Pain, percussion sensitivity of tooth and palpation sensitivity of soft tissue around the tooth were examined as clinically and apexogenesis, presence of lesion, persistance of lamina dura were evaluated at 3, 6, 12 months follow up periods as radiographically. Also, difference between the groups about root lenght development was evaluated with Image J Software Program. The clinical results of the study showed that, MTA and Biodentine® groups had higher succes rates than calcium hydroxide group, whereas Biodentine® ve MTA groups had similar success rates. According to the evaluation of root length developments with Image J Software Program, calcium hydroxide group had the highest increase at 6 month follow-up periods for both mesial and distal roots. But, there was not significant difference between these 3 groups as statistically according to the clinical and radiographical evaluations. For material selection, Biodentine® is found as a good alternative for this treatment with high level of clinical and radiographical results. Also, according to the results, partial pulpotomy treatment showed long term success in asymptomatic cariously exposed young permanent teeth.