Concerned Growth Factor VS Miniral Trioide Aggregate in Treatment of Mature Permanent Teeth of Children With Symptomatic Irreversible Pulpitis.

Primary outcomes

1. Clinical evaluation of cases using visual analogue scale, electrical pulp testing, Sensibility testing using both hot and cold and Percussion test for the teeth

   Time frame: 12 months

   Pain assessment using visual analogue scale pre operative, 6 hours post operative, 12hours post operative, 1 day post operative, 2 days post operative, 4 days, 1week, 2 weeks, 1month, 3 months, 6months and 1 year Sensibility test using thermal both hot and cold will be done pre operative and post operative Electrical pulp testing pre operative and post operative follow ups Percussion test to define any periapical or Periodontal issues

2. Radiographic evaluation of sucess of concentrated Growth factor versus Miniral Trioide aggregate in management of Mature permanent Molar with irreversible pulpitis

   Time frame: 12 months

   Standerdized periapical x rax will be performed before treatment, 3 months, 6minths, 9 months and one year after pulpotomy in the treated teeth to evaluated radiographic sucess