INTRODUCTION
Early loss of primary teeth, malocclusion, pulpitis, tooth, pulpotomies
EARLY LOSS OF PRIMARY TEETH, PULPITIS, COMPLICATIONS, SECONDARY
The main objective of pulp treatment is to maintain the health and integrity of the oral tissues. Early loss of primary teeth leads to malocclusion and esthetic, phonetic, and functional problems (Evangelista et al., Root canal treatment is indicated in primary teeth that show symptoms of irreversible pulpitis, but it is a challenge, time‐consuming, and expensive, in addition to the fact that it requires definitely positive cooperation from the children, as their behavior can affect the treatment results positively or negatively. (Alzoubi et al., The dissection of the molar root canals increases complications, which may lead to tooth extraction. Excellent skills are required to perform endodontic treatment, taking into account possible damage to the permanent tooth bud during treatment due to the files used or filling materials (Pinheiro et al., Vital pulp therapy using biocompatibility materials is an option as an alternative to pulpectomy in cases of irreversible pulpitis, where studies have shown a weak correlation between the histological status of the pulp and the symptoms that the patient complains about (Ricucci et al., Use of biocompatibility materials has led to a high success rate in cases of irreversible pulpitis, such as mineral trioxides, as it was applied in many studies on permanent molars of patients with irreversible pulpitis (Koli et al., Mineral Trioxide Aggregate (MTA) and Bioceramic were presented as alternative biocompatibility materials in primary molar pulpotomy, as use of these materials showed a high success rate (Hegde & Naik, In 2007, a group of Canadian researchers introduced a ready‐to‐use, no‐mix Bioceramic based on calcium silicate. This material is available in three forms: Bioceramic Root Repair Material Putty (BC RRM Putty, fast set putty), BC RRM Past (Bioceramic Root Repair material, a syringable paste), and BC Sealer (Bioceramic sealer) (Xavier et al., Bioceramic consists of Tricalcium silicate, Dicalcium silicate, zirconium oxide, tantalum pentoxide, and Calcium phosphate monobasic as well as filler and thickening agents (Debelian & Trope, The histological pulp structure of primary teeth is similar to that of permanent ones (Fuks et al., Several studies have evaluated the efficacy of biocompatibility materials in primary molar pulpotomy with irreversible pulpitis (Asgary et al., Therefore, the main aim of this study was to evaluate the success rate of pulpotomies on primary molars with irreversible pulpitis and the secondary aim was to compare the effectiveness of MTA and BC putty.