3Mixtatin and MTA Vital Pulpotomy in Primary Molars

Inclusion Criteria: * • Children 4-8 years old * Vital deeply carious primary molars. * No history of spontaneous pain, pathologic mobility, draining sinus tract, redness or swelling of the vestibule. * Normal gingival and periodontal condition, with no sensitivity to vestibular palpation, and no pain on percussion test. * Patient and parent showing cooperation and compliance. Exclusion Criteria: * • Uncooperative children to avoid time waste and attrition bias. * Unrestorable molars * Sign of radiolucency in periapical or furcation area * Widening of PDL space or loss of lamina dura continuity * Evidence of internal/external pathologic root resorption * During operative procedure, when hemorrhage control is not achievable after pulpotomy. * Children with systemic disease as some systemic diseases may have effect on the outcome. * Unable to attend follow-up visits to avoid attrition bias by decreasing number of drop off cases. * Refusal of participation as the parent of child has the authority of participation.