Comparison of Mean Pain Between Pulpotomy and Pulpectomy in Patients with Symptomatic Irreversible Pulpitis: A Randomized Controlled Trial

1. Physical or Informational Materials Participants will be provided with a Visual Analogue Scale (VAS) to record their pain levels post-procedure. Standardized questionnaires will be given daily for seven days to assess post-operative discomfort. Radiographic examinations and clinical documentation will be recorded for diagnosis and treatment planning. Rubber dam, local anesthetic (Septodent- 2% Lidocaine, epinephrine 1:100000), hand K files (Mani- K Files), sodium hypochlorite (Tehnodent), EDTA (PD -EDTA 17% Gel), and absorbent paper points (Meta BioMed) will be used during intervention procedures. 2. Procedures, Activities, and Processes Pulpotomy: The complete removal of coronal pulp, followed by the placement of a biocompatible material. Pulpectomy: Complete removal of pulp tissue, working length determination, chemomechanical preparation using the Step Back technique, and root canal filling with intracanal medications. Both procedures will involve local anesthesia, rubber dam isolation, and irrigation with sodium hypochlorite. 3. Intervention Providers and Their Expertise The intervention will be carried out by qualified dental practitioners from the Department of Operative Dentistry at Saidu College of Dentistry, Swat. The practitioners will have relevant experience in endodontic procedures, ensuring standardized and professional care. 4. Mode of Delivery The interventions will be provided in a face-to-face clinical setting. Each intervention will be conducted individually for each patient. 5. Number of Sessions, Schedule, and Duration Each participant will undergo a single treatment session (either pulpotomy or pulpectomy). Postoperative pain assessment will be conducted at 12 hours, 24 hours, and daily for seven days using the VAS scale. 6. Location of Intervention The study will be conducted at the Department of Operative Dentistry, Saidu College of Dentistry, Swat. Personalization, Adaptation, and Adherence The intervention is not personalized but follows a standardized protocol for both pulpotomy and pulpectomy groups. Adherence to the intervention will be assessed through follow-up calls at 24 hours post-procedure and daily pain assessments using the questionnaire. To maintain fidelity, trained practitioners will perform the interventions, ensuring consistent procedural steps.