Comparative Evaluation of Selective Caries Removal and Partial Pulpotomy Performed For Management of Extremely Deep Carious Lesion With Non-Spontaneous Symptomatic Pulpitis In Mature Permanent Teeth: A Randomized Clinical Trial
试验速览
- 阶段
- 2 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 56
- 试验地点
- 1
- 主要终点
- To assess the outcome of mature permanent teeth with extremely deep carious
研究概览
简要总结
The study is a randomized control trial with parallel study design for managing deep and extremely deep tooth decay in mature teeth, where the pulp may be at risk. It compares two treatment methods: selective caries removal, a minimally invasive approach that preserves more of the tooth and reduces pulp risks, and pulpotomy, a more invasive procedure that involves removing part of the pulp but carries higher risks. The study highlights the need for a clinical trial to determine the best approach for treating extremely deep caries while protecting the pulp. with patient follow up at 3, 6, and 122 months
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 40.00 Year(s)（—）
- 性别
- All
入选标准
- •Healthy patients of either gender belonging to 18 to 40 age with mature permanent maxillary and mandibular molar teeth • Teeth with extremely deep carious lesions i.e. carious lesion penetrating the entire thickness of the dentin, without a radio-dense zone.
- •â€¢ Teeth with established clinical diagnosis of nonspontaneous symptomatic pulpitis (initial and mild pulpitis) • Teeth with positive response to cold and electric pulp test.
排除标准
- •Deep carious lesions extending ≥3/4 of the dentine thickness, with a visible radiopaque zone separating the carious lesion from the pulp, of mature permanent teeth with spontaneous symptomatic irreversible pulpitis • Extremely deep carious lesion with periapical rarefaction.
- •â€¢ Teeth with clinical diagnosis of spontaneous symptomatic pulpitis (Moderate and severe pulpitis) • Teeth with cracks, cusp fractures, subgingival caries and poor periodontal health • Patients with systemic conditions which could compromise the healing.
- •â€¢ Patients not willing to participate in the study.
结局指标
主要结局
To assess the outcome of mature permanent teeth with extremely deep carious
时间窗: 3,6,12 months
lesion and non-spontaneous symptomatic pulpitis managed by
时间窗: 3,6,12 months
a. Indirect pulp capping with selective caries removal
时间窗: 3,6,12 months
b. Partial Pulpotomy
时间窗: 3,6,12 months
次要结局
- To compare the outcome of Indirect pulp capping with selective caries(removal and partial pulpotomy with hydraulic calcium silicate cement for)
研究者
Dr Pranav Kagane
center for dental education and research , AIIMS , new delhi