Evaluate the Effectiveness Of Vital Pulp Therapy Using Bioceramic Endosequense Root Repair Material (ERRM) compared to Enriched Mixture Cement (CEM) in Symptomatic Mature Permanent Posterior teeth: Clinical and Radiographical Study

Objective: The aim of this study was to evaluate the efficacy of vital pulp therapy using bioceramic Endosequense Root Repair Material (ERRM) compared to Enriched Mixture Cement (CEM) in Mature permanent posterior teeth suffering from symptoms of non-reversible acute pulpitis due to caries. Methods: The sample consisted of60 permanent human posterior teeth suffering from non-reversible pulpitis in 53 male and female patients aged between 18-40 years. An assessment of the dental condition was conducted clinically and radiologically before starting the treatment based on: the presence of a history of the disease (persistent spontaneous pain that does not go away with the disappearance of the cause), the results of the cold test, in addition to the radiological findings. Vital pulp therapy was performed (partial or complete pulp amputation)after haemostasis using either (ERRM) or (CEM). The final restoration was applied in the same session, then an x-ray radiograph was taken immediately after the treatment procedure. Patient were re-called after 24 hours to ensure the disappearance of symptoms and then according to the following time intervals: (a week, 3 months, 6 months, a year) to evaluate the cases clinically and radiographically. Results: This study showed that there were no statistically significant differences in the frequencies of clinically and radiographically assessment results between the CEM group and ERRM group, in each of the studied time periods (after one week, after one month, after three months, after six months, after one year) Conclusion: Vital pulp Therapy using ERRM and CEM showed a high success rate after a one-year observation period in permanent teeth suffering from non-response pulpitis, and it can be a staged alternative to traditional endodontic treatments.