Assessment of Intraoperative characteristics of dental pulp in carious primary teeth with pulpitis
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Enrollment
- 282
- Locations
- 1
- Primary Endpoint
- We will be assessing the colour of pulpal bleed and the duration within which pulpal bleeding stops as the intraoperative characteristics of pulp in the carious teeth affected by pulpitis
Study Overview
Brief Summary
The diagnosis based on history, clinical examination, and radiographic assessment has limitations especially in the pediatric population as it relies on the patient’s response (pain, sensitivity) and radiographs, which offer limited information about the pulp’s health itself. Pain perception is considered subjective and varies between individuals and is less reliable in children. Further, the percussion and sensibility tests depend on the patient’s interpretation, leading to potential inaccuracies. To sum up, there is insufficient evidence to determine whether the presence, nature, and duration of toothache offer accurate information about the extent to which dental pulp is inflamed. Therefore, this cross-sectional study will assess the intraoperative findings of dental pulp in carious primary teeth with pulpitis. These intraoperative findings will further help to serve as a standard to decide regarding the type of treatment that needs to be rendered in carious teeth with pulpitis. Simultaneously, an association can be drawn depending upon study results between the intraoperative dental findings and their preoperative diagnosis.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Masking
- None
Eligibility Criteria
- Ages
- 4.00 Year(s) to 9.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •(1) Age group 4 to 9 years.
- •(2) Primary maxillary/mandibular posterior tooth with deep occlusal and/or proximal caries exhibiting the signs of pulpitis i.e. sensitivity and/or pain and/or pulp exposure which is clinically evident [International Caries Detection and Assessment System Score 4, 5, and 6].
- •(3) Children with Frankl’s behavior rating of 3 and 4.
Exclusion Criteria
- •(1) Teeth with gingival abscess and/or extraoral swelling/sinus formation/pathological mobility (2) Patients with systemic disorders and/or a history of long-term medications that can influence the diagnosis.
- •(3) Frankl’s behavior rating of 1 and 2 [uncooperative children].
Outcomes
Primary Outcomes
We will be assessing the colour of pulpal bleed and the duration within which pulpal bleeding stops as the intraoperative characteristics of pulp in the carious teeth affected by pulpitis
Time Frame: At Baseline
Secondary Outcomes
No secondary outcomes reported
Investigators
Dr Komal Yadav
All India Institute of Medical Sciences, New Delhi
