{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T06:26:29Z","timestamp":1790922389643,"version":"4.1.0"},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,2]]},"abstract":"Abstract<\/jats:title>\n \n Context:<\/jats:title>\n This study compares one-step and two-step mineral trioxide aggregate (MTA) pulpotomy techniques in treating symptomatic irreversible pulpitis (SIP) in mature molars over 12 months.<\/jats:p>\n <\/jats:sec>\n \n Aims:<\/jats:title>\n To compare the clinical efficacy of one-step versus two-step MTA pulpotomy in mature permanent teeth with SIP.<\/jats:p>\n <\/jats:sec>\n \n Setting and Design:<\/jats:title>\n This clinical trial involved 30 patients with SIP in mandibular molars, comparing one-step and two-step MTA pulpotomy.<\/jats:p>\n <\/jats:sec>\n \n Methodology:<\/jats:title>\n \n Thirty patients (aged 15\u201335) with SIP in mandibular molars were randomly assigned to two groups: one-step MTA pulpotomy (\n n<\/jats:italic>\n = 15), with final restoration in the same visit, and two-step MTA pulpotomy (\n n<\/jats:italic>\n = 15), with interim restoration followed by final restoration after 24 h. Pain levels were assessed using the Numerical Rating Scale at 24, 48, and 72 h postoperatively. Clinical and radiographic follow-ups were performed at 3, 6, and 12 months to assess pulpal vitality, restoration quality, and treatment success.\n <\/jats:p>\n <\/jats:sec>\n \n Statistical Analysis:<\/jats:title>\n The results were analyzed statistically using the independent t-test, Fisher\u2019s exact test, and Pearson\u2019s Chi-square test.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Both groups showed significant pain reduction (\n P<\/jats:italic>\n < 0.05) and 100% success at 12 months. Electric pulp tests were positive in all teeth, with 73.33% responding to cold testing. Restoration quality showed no significant differences between groups.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Both one-step and two-step MTA pulpotomy techniques showed high success rates in treating SIP in mature molars, with no significant difference. The one-step method is an effective alternative to the two-step approach.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jcde.jcde_819_24","type":"journal-article","created":{"date-parts":[[2025,2,3]],"date-time":"2025-02-03T01:00:41Z","timestamp":1738544441000},"page":"161-167","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Evaluation of one- versus two-step technique on the outcome of mineral trioxide aggregate pulpotomy in mature permanent teeth with symptomatic irreversible pulpitis"],"prefix":"10.4103","volume":"28","author":[{"given":"Amal Singh","family":"Rana","sequence":"first","affiliation":[{"name":"Department of Dentistry, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sidhartha","family":"Sharma","sequence":"additional","affiliation":[{"name":"Division of Conservative Dentistry and Endodontics, Centre for Dental 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