Effect of Local Anesthesia Techniques on Pulp Hemostasis in Primary Molars

Inclusion Criteria:

• Children aged 6-9 years.
• Presence of a pulpotomy indication in both mandibular primary second molars (teeth 75 and 85).
• Systemically healthy children classified as ASA physical status I or II.
• No known coagulation disorders.
• No use of analgesic, anti-inflammatory, antithrombotic, or antipyretic medications within the previous 7 days.
• Sufficient cooperation and compliance to allow completion of the planned clinical procedures.
• Written informed consent obtained from a parent or legal guardian for participation in the study.
• No history of a serious adverse reaction or complication associated with either of the local anesthesia techniques used in the study.

Exclusion Criteria:

• Children with systemic health conditions classified as ASA physical status III or higher.
• Known allergy or hypersensitivity to the local anesthetic agents or other dental materials used in the study.
• Presence of a known coagulation disorder or use of analgesic, anti-inflammatory, antithrombotic, or antipyretic medications within the previous 7 days.
• Presence of severe infection, pulp necrosis, advanced root resorption, or any other dental condition requiring a treatment approach other than pulpotomy in the mandibular primary second molars.
• Insufficient cooperation or behavioral difficulties that would prevent completion of the planned clinical procedures.
• History of a serious adverse reaction or complication associated with either of the local anesthesia techniques used in the study.
• Inability to comply with the study protocol or attend the scheduled study visits.