Selective Caries Removal Versus Partial Pulpotomy in the Treatment of Deep Caries: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 70
- 主要终点
- Assessment of pain
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •Pregnancy
- •Periapical lesion
- •Spontaneous pain or tenderness to palpation
- •Teeth for which pulp opening or crown/root supported prosthesis is planned
- •Localized severe periodontitis
研究组 & 干预措施
selective caries removal
Deep caries lesions will be treated with selective caries removal and followed up
干预措施: selective caries removal (Procedure)
partial pulpotomy
Deep caries lesions will be treated with partial pulpotomy and followed up
干预措施: partial pulpotpmy (Procedure)
结局指标
主要结局
Assessment of pain
时间窗: 6th and 12th month
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.
Periapical pathology
时间窗: 6th and 12th month
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.
Tenderness to percussion
时间窗: 12th month
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
次要结局
未报告次要终点
研究者
zeliha gonca bek kurklu
associate professor
Cukurova University