Partial Pulpotomy vs Selective Removing in Deep Caries

N/ANot Yet RecruitingNCT07120009

Cukurova University70 enrolled

Overview

The aim of this study was to compare the one-year results of selective caries removal and partial pulpotomy treatments in terms of pulp survival and the need for further endodontic treatment in deep carious lesions.Individuals aged 18-65 years with medically healthy mature permanent teeth with deep caries will be included. The included teeth will be randomly assigned to the selective caries removal or partial pulpotomy group. Follow-up evaluations will be performed at 6 months and 12 months. The main outcome is pulp survival as determined by clinical and radiographic success.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Deep Dentin Caries in Mature Permanent Teeth

Interventions

selective caries removalPROCEDURE

The caries is not completely removed but covered with a remineralizing material. Its purpose is to maintain pulp vitality.

partial pulpotpmyPROCEDURE

Complete cleaning of the caries resulting in pulp expose. pulp tissue is surgically removed by 1-3 mm.The aim is to remove the inflamed superficial pulp tissue to allow healing from the underlying healthy tissue.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Individuals aged 18-65 * ASA I or II general health status * Deep primary or secondary caries lesion (up to 75% dentin thickness) * Restorable permanent teeth with mature apex * Teeth without clinical and radiographic periapical pathology Exclusion Criteria: * Pregnancy * Periapical lesion * Spontaneous pain or tenderness to palpation * Teeth for which pulp opening or crown/root supported prosthesis is planned * Localized severe periodontitis

Outcomes

Primary Outcomes

Assessment of pain

Detailed medical history * Is the pain constant or intermittent? * How severe is the pain? The outcome will be evaluated using the Visual Analog Scale (VAS), which ranges from 0 to 10, with higher scores indicating a worse outcome.

Time frame: 6th and 12th month

Periapical pathology

Standardized digital periapical radiographs will be taken using the long cone paralleling technique to assess periapical status, presence of radiolucent lesions, and periodontal ligament space. Radiographs will be obtained at baseline, 6 months, and 12 months to monitor treatment outcomes and detect any pathological changes.

Time frame: 6th and 12th month

Tenderness to percussion

1. Usually, the back of a dental mirror handle or the handle of a periodontal probe is used. 2. First, vertical percussion (lightly tapping the occlusal surface from above) is performed, followed by lateral percussion (lightly tapping the side of the tooth) if necessary. 3. It is compared with other teeth in the same area. If the pain is only in one tooth, it suggests pathology. 4. The patient describes the pain as "aching," "discomfort," or "severe pain." This severity indicates the severity of the inflamation

Time frame: 12th month

Central Contacts

zeliha g bek kurklu

CONTACT

+905334500892 goncabek@mynet.com

Data from ClinicalTrials.gov

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