The aim of this study is to compare the effect of new bioactive dentine substitute (Biodentine) versus glass ionomer cement in very deep carious lesions clinically and radiographically using digital radiography in the terms of postoperative pain and biocompatibility to the pulp.
Roles and responsibilities: * Omnia Magdy Moustafa (O.M.) Operator, data entry \& corresponding author; Assistant lecturer , * Mohmed Riad Farid (M.R.) Main supervisor, data monitoring \& auditing; Professor, Conservative Dentistry * Rasha Raffat (R.R.) Co-supervisor, data entry \& auditing; Lecturer, Conservative Dentistry Department * Amir Hafez Ibrahim (A.H.), \*Mohamed Refaat El-Bialy (M.E.) (A.H) Lecturer, Conservative Dentistry Department, Faculty of Oral \& Dental Medicine Cairo University,(M.E.) Assistant lecturer , Conservative Dentistry Department, Faculty of Oral \& Dental Medicine Cairo University outcome assessors and data collection. * Omar Shalaan (O.S.) Demonstrator, Conservative Dentistry Department, Faculty of Oral \& Dental Medicine Cairo University, for baseline data collection, recruitment, sequence generation, allocation concealment, patient retention and taking participants consents. Interventions: * Pre-operative clinical assessment : 1. Thermal testing using Refrigerant spray 2. percussion test 3. Palpation and clinical examination 4. peri-apical radiographs using digital radiograph * Caries removal procedure: Local anesthesia will be given to the patient then complete isolation to the tooth using rubber dame the operator O.M. will open the enamel Then in caries removal from the walls carbon-steel rose-head bur. Finally the deeper caries will be removed using spoon excavator * Intervention : Biodentine™ (Septodont, St. Maur-des-Fossés, France) The material will be applied according to manufacturer instructions * Comparator: GC Fuji IX GP (GC America Inc, Alsip, IL, USA) The material will be applied according to manufacturer instructions * Final restoration application: Filtek™ Z250 Universal Restorative (3M Canada, London, Ontario Canada) -Adhesive system: Scotchbond Universal Etchant (3M ESPE, St. Paul MN, USA) \& Single Bond Universal adhesive (3M ESPE, St. Paul MN, USA). * The material will be applied according to manufacturer instruction
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE
Enrollment
120
tricalcium silicate cement used to replace the carious dentin
high viscosity glass ionomer used as a base material
digital Xray for follow up
Omnia Magdy
Cairo, Egypt
postoperative hypersensitivity using yes or no questionnaire
Time frame: 6 months
Biocompatibility of biodentine using digital X-ray
Time frame: 6 months
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