Health Condition 1: K040- Pulpitis
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: non-contributory medical history Deeply carious permanent molar with a preoperative provisional diagnosis of symptomatic irreversible pulpitis. History of spontaneous pain and nocturnal pain which aggravates on lying down. No history and signs of sinus tract, pus exudate, fistula, clinical swelling. Spontaneous pain and/or with sharp and lingering pain upon cold testing using Endo-Ice. Restorable tooth with probing pocket depth ( Tooth mobility within normal limits Complete caries excavation would likely result in pulpal exposure. Haemorrhage from the pulp exposure site stops with NaOCl placement within 15 minutes. The radiolucent caries penetrating the entire thickness of the dentine (extremely deep caries). Absence of periapical or furcation changes in the radiograph.
Exclusion criteria
Exclusion criteria: 1)Unexposed pulp after complete caries excavation. 2)Uncontrolled pulpal haemorrhage during the procedure lasting more than 15 minutes. 3)Absence of bleeding after pulp exposure; the pulp is judged as necrotic or partially necrotic. 4)Tooth showing negative response to cold testing or presence of sinus tract or swelling. 5)Non-restorable teeth with cracks or subgingival caries, associated sinus or swelling. 6)Tooth with poor periodontal support. 7)Prominent radiolucency at the furcation or periapical regions. 8)Presence of Immature root apices/ apical resorption. 9)Presence of internal or pathologic external root resorption, calcification or pulp canal obliteration.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| correlation between pulpotomy outcome and time to achieve pulpal haemostasis. Clinical examination: visual inspection mobility testing pulp testing Radiographic outcome: No periapical or furcation changes Absence of internal and/or external root resorption Timepoint: 3 months and 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| levels of IL-8 in pulpal blood and outcome of pulpotomyTimepoint: 3 months and 6 months | — |
Countries
India
Contacts
Maulana azad institute of dental sciences