Health Condition 1: K040- Pulpitis
Conditions
Interventions
Intervention1: Mineral trioxide aggregate pulpotomy with photobiomodulation: second group will be intervened by mineral trioxide aggregate pulpotomy with photobiomodulation, outcome is assessed by cha
Sponsors
1) DHR PG thesis Grant, Department of Health Research
Eligibility
Inclusion criteria
Inclusion criteria: Patient age 18 -60 years.Non-contributory medical history (ASA1.Deep caries extending to pulp chamber.Vital mature first and second mandibular molar with symptoms of irreversible pulpitis. Tooth with positive response to pulp sensibility testing.Tooth should be restorable.Tooth with probing pocket depth and mobility should be within normal limits.
Exclusion criteria
Exclusion criteria: Teeth with immature roots. Teeth with clinical signs of pulp necrosis such as swelling or presence of sinus tract. Teeth with prominent radiolucency in the furcation area, presence of internal or external root resorption, and any calcification. Teeth with no evidence of bleeding after communication with pulp chamber. Absence of antagonist tooth. Had taken analgesics in the past 3 days or antibiotics in the past one month. Tooth with periapical lesion visible on radiograph. Teeth in which hemostasis after pulpotomy will not be achieved within 10 min.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the changes in the IL8 levels in gingival crevicular fluid (GCF) with and without photobiomodulation in MTA pulpotomy.Timepoint: To assess the changes in the IL8 levels in gingival crevicular fluid (GCF) with and without photobiomodulation in MTA pulpotomy before starting the procedure and after 7 days. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome criteria to be performed every 3,6,12 months Clinical criteria: 1. Postoperative pain assessment using VAS after 24, 48, 72 hours & 7 days. 2.No history of spontaneous pain or discomfort except for the first 2 days after treatment. 3.No tenderness to palpation or percussion & the tooth is functional. 4.Normal mobility & probing pocket depth. 5.Soft tissues around the tooth are normal with no swelling or sinus tract. Radiographic criteria: 1.No pathosis evident on the radiograph such as periapical widening, root resorption, furcation involvement, or new periapical pathosis. 2.PAI scoreTimepoint: pain assessment using VAS at baseline & after 24, 48, 72 hours & 7 days. clinical & radiographic assessment every 3,6,12 months | — |
Countries
India
Contacts
Public ContactDr Anjali Balasaheb Gayke
All India Institute of Medical Sciences , Nagpur
Outcome results
None listed