Evaluation of the Efficacy of Indirect Pulp Therapy with Selective Removal of Carious Dentin in Permanent Teeth: An in Vivo Study with One Year Follow Up

AIM: Evaluation of the Efficacy of Indirect Pulp Therapy with Selective Removal of Carious Dentin in Permanent Teeth.

OBJECTIVE: To evaluate the remineralization in permanent teeth with selective removal of carious dentin using calcium hydroxide as a liner and to access pulp vitality after selective removal of carious dentin in permanent teeth with deep carious lesion.

METHODOLOGY: 100patients diagnosed with asymptomatic reversible pulpitis will be selected. Infected carious dentin will be removed using round diamond bur. After superficial necrotic dentin is removed, spoon excavator will be used for excavation of soft carious dentin. Infected dentin will be completely removed from lateral walls leaving thin layer of soft carious tissue over pulp to avoid exposure. A thin layer of calcium hydroxide liner will be applied on cavity floor followed by a base of colored composite. The cavity will be restored with composite resin.

Clinical follow up examination for post op sensitivity, pain, tenderness, vitality and radiographic examination was performed at 1month,6months and 12months.Criteria for successful outcome involves formation of hard tissue, positive sensibility tests, no pain on percussion and no clinical or radiographical signs and symptoms of irreversible pulpitis