Clinical and radiographic effects of a new calcium silicate cement in vital pulp therapy in teeth with close apex
- Conditions
- irreversible pulpitis.Pulp degenerationK04.2
- Registration Number
- IRCT20220519054917N1
- Lead Sponsor
- Zahedan University of Medical Sciences
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- All
- Target Recruitment
- 90
Vital molar teeth (positive response to electrical pulp tester and cold test before treatment and objective observation of pulp bleeding after preparation of access cavity)
History of irreversible pulpitis (history of spontaneous or localized pain; irritation due to cold and heat that persists after stimulus removal; pain induced by cold test) or no clinical signs of irreversible pulpitis but with Pulp exposure after removal of caries
Patients are in the age range of 12 to 50 years
Prepared and able to attend follow-up meetings
Patients have signed a consent form
Patients with systemic diseases in which tissue repair is impaired, such as diabetes, cancer, endocrine disorders, AIDS, and those taking corticosteroids.
Patients who for any reason can not inject anesthesia containing epinephrine
Pregnant or lactating women.
Patients with mental and physical disabilities.
Patients with poor oral hygiene and periodontal disease in such a way that long-term tooth retention is not possible due to periodontal problems.
People like immigrants from other countries who have a great chance of leaving the study.
Age of patients less than 12 years (for the treatment of the first molar) and less than 15 years (for the treatment of the second molar) and more than 50 years.
Lack of control of pulpal hemorrhage in highly inflamed teeth.(Pulp bleeding can not be controlled by placing a cotton swab dipped in 5.25% sodium hypochlorite in the chamber pulp for a maximum of ten minutes).
Teeth that can not be restorated with the usual class one and two restorations with or without cusp reduction.
Teeth with localized periodontal disease in a way that the survival of the tooth is not in danger, but due to exposure of the root surface, there is a possibility of pulpal stimulation and disruption of the restoration process.
Teeth with external, internal resorption or visible pulp calcifications on periapical radiography
Traumatized teeth
Teeth with swelling of adjacent soft tissue
Teeth with open apex
Teeth with pericardial lesion (around the apex or forca area) visible on radiography
Taking antibiotics in a recent month
Taking painkillers in the last 3 days
Existence of defects in restoration in follow-up sessions
Study & Design
- Study Type
- interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method