To evaluate and compare postoperative pain and success rate of pulpotomy with Biodentine using diode laser and normal saline in mature cariously exposed permanent molars and premolars.

Completed

Conditions: Periodontally healthy human permanent teeth with the carious exposure of pulp having positive response to sensibility tests and a history of pain, sensitivity and presenting symptoms characteristic of symptomatic irreversible pulpitis according to AAE,in the absence of sinus tract or swelling.

Brief Summary: The purpose of the study is to evaluate and compare the clinical and radiographic responses of the pulp-dentin complex after capping the radicular pulp with a new tricalcium based cement biodentine in human permanent molars and premolars using diode laser and normal saline. 150 subjects having positive response to pulp sensibility test and presenting symptoms of irreversible pulpitis in absence of any sinus tract or fistula will be randomly divided in to 3 groups of 50 subjects each. In 2 groups, Pulpotomy with biodentine will be performed using diode laser and normal saline and group 3 is the control group in which root canal treatment will be performed. Follow up will be done at 3 months,6 months and 12 months for clinical and radiographic evaluation.

Recruitment & Eligibility

Inclusion Criteria

1.Periodontally healthy human maxillary and mandibular permanent molars and premolars with the carious exposure of pulp.
2.Age criteria- patients ranging from 18 to 69 years of age.
3.Positive response to sensibility tests and a history of pain, sensitivity and presenting symptoms characteristic of symptomatic irreversible pulpitis according to American Association of Endodontics diagnosis terminology, in the absence of sinus tract or swelling.

Exclusion Criteria

1.Immunocompromised patients.
2.Patients having negative response to vitality tests.
3.Positive history of intake of antibiotics use in the past one month or requiring antibiotic prophylaxis.
4.Tooth previously accessed.
5.Association of periapical lesion visible on the radiograph.
6.Cases in which the bleeding could not be controlled up to eight minutes (in pulpotomy cases only).

Primary Outcome Measures

Name	Time	Method
Patients will be recalled at 3 months, 6 months and 12 months for clinical and radiographic examination and evaluation of functionality of the tooth and integrity of the restoration, to check for presence of any cracks or fractures in the tooth, discoloration of the tooth.	Patients will be recalled at 3 months, 6 months and 12 months

Secondary Outcome Measures

Name	Time	Method
pain and sensitivity will be scored preoperatively at 24 hours, 48 hours and the seventh day and fourteenth day after the first appointment day on 170 mm HP VAS.	pain and sensitivity will be scored preoperatively at 24 hours, 48 hours and the seventh day and fourteenth day after the first appointment day on 170 mm HP VAS.

Locations (1): Sgt Dental College
🇮🇳
Gurgaon, HARYANA, India
Sgt Dental College
🇮🇳Gurgaon, HARYANA, India
Dr Shipra Jain
Principal investigator
9899153961
shipujain905@gmail.com