Inflammatory Biomarker Based Substantiation of Evidence for Performance of Vital Pulp Therapy asPotential Alternative to Endodontic Treatment using Quantitative light-induced Fluorescence Guided Caries Removal for Management of Symptomatic Carious Mature Teeth (Extremely Deep/Deep Carious Lesion)

Maulana Azad Institute of Dental Sciences, New Delhi0 个研究点目标入组 0 人开始时间: 待定最近更新: 2023年2月6日

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•Clinical inclusion criteria:
•The age of the patient should be 18 or above
•Patient should have non-contributory medical history
•Symptomatic permanent mature posterior tooth with deep or extremely deep Class I/II caries with symptoms indicative of irreversible pulpitis
•History of Moderate to severe pain
•History of spontaneous pain and/or nocturnal pain which aggravates on lying down.
•Patient reporting with spontaneous pain and/or with sharp and lingering pain upon
•cold testing using Endo-Ice and early exaggerated response with electric pulp testing.
•A restorable tooth with probing pocket depth ( <3mm) and mobility within normal limits.
•Complete caries removal will result in pulpal exposure.
•Pulpal bleeding can be arrested with 2.5-3% NaOCl irrigation within 10 minutes after
•inflamed pulp amputation.
•Radiological inclusion criteria:
•Deep or Extremely deep caries
•Absence of periapical or furcation changes in the radiograph.

•Clinical exclusion criteria:
•Tooth having unexposed pulp after complete caries removal.
•Tooth exhibiting uncontrolled pulpal haemorrhage during the procedure lasting more than 10 minutes.
•Exposed pulp tissue appearing necrotic, judged by absence of bleeding or presence of pale necrotic pulp tissue.
•Tooth showing negative response to cold testing or presence of sinus tract or swelling.
•Radiological exclusion criteria:
•Prominent radiolucency at the furcation or periapical regions
•Presence of apical resorption
•Presence of internal or pathologic external root resorption, calcification, or pulp canal
•obliteration.

发起方

Maulana Azad Institute of Dental Sciences, New Delhi