Health Condition 1: K032- Erosion of teeth
Conditions
Interventions
Intervention1: Partial Pulpotomy: Partial pulpotomy will be done with the removal of 2-3mm of coronal inflamed pulp, followed by replacement with bio-ceramic material.
Intervention2: Complete Pulpotom
Sponsors
Aakash Gupta
Eligibility
Inclusion criteria
Inclusion criteria: 1. Maxillary permanent teeth with clinically evident dental erosion resulting in dentin exposure. 2. Severe dentinal hypersensitivity, with Schiff Cold Air Sensitivity Scale score more than 2. 3. Teeth scoring 2 or 3 using the BEWE erosion severity index 4. Clinically vital pulp, confirmed by: a. Positive response to cold test b. Absence of spontaneous pain c. Absence of tenderness to percussion 5. Teeth that failed to respond to standardised conservative desensitising therapy after a minimum observation period of more than 3 months. 6. Absence of radiographic signs of pulpal or periapical pathology
Exclusion criteria
Exclusion criteria: 1. Dental caries, restorations, cracks, or structural fractures 2. Attrition-dominant or abrasion-dominant tooth surface loss 3. Signs or symptoms suggestive of irreversible pulp pathology 4. Previous endodontic treatment 5. Periodontal probing depths greater than 4 mm or active periodontal disease 6. Bruxism requiring occlusal splint therapy Patients with systemic conditions affecting pain perception or wound healing 7. Inability to comply with follow-up schedule
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Dentinal hypersensitivity assessed using the Schiff Cold Air Sensitivity Scale following standardised air blast stimulation (1 s duration, 40 65 psi, 1 cm distance).Timepoint: baseline, 1 month, 3 months, 6 months, and 12 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Pain intensity assessed using the Visual Analogue Scale (VAS) 2. Pulp vitality assessed using cold sensibility testing 3. Postoperative pain & complications 4. Radiographic evaluation for periapical changes 5. Need for further endodontic intervention Timepoint: baseline, 1 month, 3 months, 6 months, & 12 months. | — |
Countries
India
Contacts
Public ContactDr Aakash Gupta
All India Institute of Medical Sciences Bathinda
Outcome results
None listed