Pulp therapy for management of deep caries in primary molar teeth

INTERVENTION: Invasive pulp therapy, or pulpotomy is a standard dental procedure carried out to remove infected/ and or inflammed dental pulp, followed by a pulp agent that is placed over the remaining healthy pulp. Indirect Pulp Therapy (IPT) is carried out for teeth with no pulp exposure, and the base of the cavity is lined with an agent. This procedure can take approximately half an hour, depending on child co‐operation. There are two pulp agents that will be evaluated against the control. 1‐ MTA (Mineral Trioxide Aggregate) which is a repair/ regeneration agent 2‐ Ledermix which is a mixture of antibiotic and steroid. Treatment options are: 1) Pulpotomy with MTA, in which MTA is placed on the pulp after pulpotomy 2) Pulpotomy with Ledermix, in which Ledermix is placed on the pulp after pulpotomy 3) IPT (Indirect Pulp therapy) with MTA 4) IPT with Ledermix CONDITION: Management of deep caries in children PRIMARY OUTCOME: Success rates of the pulp therapy. ; ; This will be assessed by clinical and radiographic assessment where the absence of signs of infection and/or inflammation will be looked for. These include pain, redness, swelling, abscess, non‐physiologic mobility and pathologic radiolucency on radiographs. ; ; Moreover, a subjective interrogation to the parent or guardian of the child will be carried out to determine any signs and/or symptoms experienced by the patient. ; ; Moreover, any other signs and symptoms that may not be accounted for, and are experienced by the child due to pulp therapy will also be noted. SECONDARY OUTCOME: Clinical and radiographic assessment Signs and Symptoms ; ; For example, signs of infection and/or inflammation such as pain, redness, swelling, abscess and non‐physiologic mobility INCLUSION CRITERIA: Healthy children attending Logan‐Beaudesert Area Oral Health Program for routine dental treatment, and requiring management of deep caries.