Evaluation of Effect of Hemostasis Time on Partial Pulpotomy in Mature Permanent Teeth With Clinical Signs Indicative of Irreversible Pulpitis
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Irreversible Pulpitis
- Sponsor
- Postgraduate Institute of Dental Sciences Rohtak
- Enrollment
- 132
- Locations
- 1
- Primary Endpoint
- 1.Clinical success rate
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The aim of this prospective study is to investigate the influence of time taken to achieve hemostasis on outcome of partial pulpotomy in teeth with clinical signs indicative of irreversible pulpitis.
OBJECTIVE:-
- To evaluate clinical and radiographic success of time taken to achieve hemostasis on outcome of partial pulpotomy in mature permanent teeth with clinical signs indicative of irreversible pulpitis.
- To evaluate OHRQoL and pain incidence & severity after partial pulpotomy in teeth with clinical signs indicative of irreversible pulpitis.
Participants will of age group 18 to 45 years will be included and divided into two groups based on hemostasis time:
I(Intervention) - 6minutes C (Comparison) - 7-12 minutes
Detailed Description
TITLE:- Evaluation of hemostasis time on partial pulpotomy in teeth with clinical signs indicative of irreversible pulpitis. P (Population) - Mature permanent molars with clinical signs of irreversible pulpitis. I (Intervention) - 6minutes C (Comparison) - 7-12 minutes O (Outcome) - Assessment of clinical and radiographic success at 12 months of follow up . Assessment of OHRQoL at baseline, post-operatively every 24 hours for 1 week \& incidence and severity of pain at baseline and post-operatively every 24 hours till 1 week. Time taken to achieve hemostasis has been suggested as a reliable surrogate measure to determine the depth of inflammation in the pulp. In absence of any other intraoperative indicator, it serves as a useful guide to the extent of pulp tissue removal required during pulpotomy. This trial will help formulate evidence based guideline regarding time for hemostasis advisable to achieve optimum success during pulpotomy in teeth with signs indicative of irreversible pulpitis.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Mature permanent mandibular molars with carious pulp exposures and signs suggestive of irreversible pulpitis.
- •vital pulp with demonstrable bleeding upon entry.
- •The tooth is restorable.
- •Tooth with mobility and probing depth within normal limits.
- •Soft tissues around the tooth are normal with no swelling or sinus tract.
- •No evidence of chronic apical periodontitis (PAI 1,2)
Exclusion Criteria
- •patients who report history of antibiotic intake in past 1 month or analgesic intake in past 3 days.
- •pregnant women.
- •absence of opposing teeth
- •3rd molars
- •medically compromised patients .
- •Tenderness on percussion positive
- •pathologic mobility
Outcomes
Primary Outcomes
1.Clinical success rate
Time Frame: baseline to 12 months
Clinical criteria of success:- 1. No pain or discomfort except for the first few days after treatment. 2. No tenderness to palpation or percussion and the tooth is functional. 3. Normal mobility and probing pocket depth. 4. Healthy soft tissues around teeth with no swelling, sinus tract.
2.Radiographic success rate
Time Frame: baseline to 12 months
Radiographic success criteria:- 1. No pathosis such as root resorption, furcal pathosis or new periapical pathosis evident on the radiograph. 2. Complete radiographic healing
Secondary Outcomes
- Post Operative Pain(Baseline to 7 days])
- OHRQoL assessment(baseline and at 24 hours, day 2, day 3, day4, day 5, day 6 and day 7 after the treatment.)