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EFFECTIVENESS OF HEMORRHAGE CONTROL IN PULPOTOMY OF SYMPTOMATIC MATURE PERMANENT TEETH WITH BIODENTINE

Dr. Seema Naz, Dr. Chander Kumar, Dr. Sheba Ramzan, Dr. Kelash Kumar

Objective: effectiveness of hemorrhage control in pulpotomy of symptomatic mature permanent teeth with biodentine. Design of study: Cross sectional study. Methodology: Total 30 patients were included in the study. Preoperative vitality was checked with electric pulp tester (EPT). Local anesthesia was given and teeth were isolated with rubber dam. Access was made to the pulp chamber and inflamed pulp tissue was removed to the level of canal orifice. Hemostasis was achieved by application of small pieces of moist sterile cotton pellets and degree of bleeding was categorized as slight, profuse and over profuse. After control of bleeding material is mixed following manufacturer guidelines. An applicator was used to take the material at the site of placement and clot free pulp wound was covered with material. After placement of Biodentine rest of the cavity was restored with GIC. Patients were recalled after 24 hours and their pain level was recorded. Results: Among 30 patients, male and female were 37% and 63% respectively. Mean age of patietns was 30.93±7.320 with minimum age 22 years and maximum age 46 years. Preoperative pain score was recorded as moderate pain in 37% cases and severe pain in 63% cases. Degree of bleeding assessed was 80% cases having slight bleeding and 20% having profuse bleeding. Postoperative pain recorded after 24 hours 77% no pain and 23% mild pain. Association of preoperative pain and degree of bleeding was significant with slight and profuse bleeding in cases of severe pain as compared to moderate pain. Association of degree of bleeding and postoperative pain was significant after 24 hour (P= 0.04), mild pain was present more in cases of profuse bleeding as compared to slight bleeding. Conclusion: Teeth with slight bleeding during pulpotomy procedure have more successful outcome in regard of less postoperative pain after 24 hours as compared to teeth with profuse bleeding.

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