Clinical Research Directory

Inclusion Criteria: * Pediatric patients aged between 5 and 8 years old. * Patients exhibiting "positive" or "definitely positive" behavior according to the Frankl Behavior Rating Scale to ensure complete clinical cooperation. * Children free from any systemic health conditions, congenital disorders, or chronic diseases that could contraindicate routine dental pulp therapy or alter biological healing mechanisms. * Target primary molars requiring vital pulpotomy with sufficient residual coronal tooth structure to support a definitive, leak-free stainless steel crown (SSC). * Primary molars presenting with mechanical or carious coronal pulp exposure during excavation, with no prior history of spontaneous or nocturnal pain. * Radicular pulp stumps exhibiting bright red hemorrhage upon surgical amputation that is easily controlled via light pressure with a sterile, saline-moistened cotton pellet within a maximum window of 3 to 5 minutes. * Preoperative periapical radiographs verifying intact root structures, with physiological root resorption, if present, restricted to less than the apical third of the total root length. * Preoperative radiographs demonstrating complete absence of pulpal or periodontal pathology, specifically characterized by the absence of periapical or furcation radiolucencies, the absence of pathological internal or external root resorption, and the maintenance of an intact periodontal ligament space and lamina dura. Exclusion Criteria: * Pediatric patients demonstrating "negative" or "definitely negative" behavior on the Frankl Behavior Rating Scale, which would compromise the quality of the clinical intervention. Children with compromised systemic health, congenital disorders, or medical conditions that contraindicate routine dental pulp therapy or interfere with normal systemic healing. Target primary teeth presenting with any pre-existing clinical pathology, including abnormal tooth mobility, sensitivity to vertical or horizontal percussion, localized soft tissue swelling, or fistulous/sinus tracts. Presence of purulent exudate or suppuration discharging from the gingival sulcus or pulp chamber. History of spontaneous, nocturnal, or persistent pain indicative of irreversible pulpitis. Radicular pulp stumps demonstrating dark, profuse, or uncontrollable hemorrhage upon surgical amputation, highly suggestive of extensive radicular inflammation or partial tissue necrosis. Preoperative radiographic evidence of pulpal or periradicular pathosis, explicitly characterized by periapical radiolucency, inter-radicular furcation radiolucency, or loss of an intact periodontal ligament space and lamina dura. Radiographic evidence of pathological internal or external root resorption. Primary teeth with advanced physiological root resorption extending beyond the apical third of the total root length. Primary molars with extensive coronal destruction that renders the tooth non-restorable or unable to support a definitive preformed stainless steel crown (SSC).