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Selective Caries vs Stepwise Caries Removal Technique in Deep Carious Lesions

Not Applicable
Conditions
Caries
Registration Number
NCT04375215
Lead Sponsor
Postgraduate Institute of Dental Sciences Rohtak
Brief Summary

The aim of this clinical study is to compare and evaluate the Success of Selective Caries vs Stepwise Caries Removal Techniques in treatment of dental caries.

Detailed Description

The patient will be selected as per the pre-defined eligibility criteria. Written informed consent will be taken from each consenting participant. Initial caries excavation will be done under rubber dam isolation. The patient will then be randomly allocated to two groups: selective removal to soft dentin or stepwise caries removal. Composite restoration with glass ionomer liner will be then placed in both groups. Additional complete caries excavation will be done in the stepwise caries removal group after six months.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
146
Inclusion Criteria
  • Outpatient in age range of 18yr-60yr
  • Permanent mandibular posterior teeth with deep caries
  • Caries extending to >3/4 of dentin with a layer of sound dentin between pulp and carious tissue as seen on radiograph
  • Positive response to cold test and electric pulp test
Exclusion Criteria
  • Any general disease affecting the caries e.g. patient under head and neck radiotherapy
  • Patients with immuno-compromised status
  • Tooth with fracture line, cracks.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Clinical successBaseline to 12 months

Clinical success will be judged by following criteria

* Positive response on vitality test.

* Absence of pain on percussion and any other signs and/or symptoms of irreversible pulpitis and pulp necrosis

Criteria for failure will be

* Negative response on pulp vitality test.

* Tenderness to percussion and teeth exhibiting any clinical signs and/or symptoms of irreversible pulpitis and pulp necrosis.

Secondary Outcome Measures
NameTimeMethod
Radiographic SuccessBaseline to 12 months

Absence of periapical alterations (radiolucency at furcal or periapical region).

Trial Locations

Locations (1)

Post Graduate Institute of Dental Science

🇮🇳

Rohtak, Haryana, India

Post Graduate Institute of Dental Science
🇮🇳Rohtak, Haryana, India
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