Patients complaining of pain in relation to deep carious lesions while having food or drinks diagnosed clinically and radiographically to be having reversible pulpitis. Oral Health
Conditions
Interventions
The study includes 150 patients selected from the Out Patient Department Of Conservative Dentistry & Endodontics, Govt. Dental College Kozhikode with symptoms of reversible pulpitis in relation to dee
Sponsors
Government Dental College
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Teeth having deep carious lesion approximating the pulp. 2. Have symptoms of reversible pulpitis which includes provoked pain of short duration which was relieved upon removal of the stimulus in relation to the carious tooth. 3. No history of spontaneous pain or tenderness to percussion. 4. Patients in the age group of 14- 60 years who are apparently healthy and free of any systemic disease and are not under any medication. 5. Good oral health. 6. Positive response to cold test and electric pulp test 7. Periapical Index Score (PAI) = 1 indicating normal periradicular structures. 8. Teeth which are not subjected to traumatic or abnormal functional stresses. 9. Absence of any non carious destructions and developmental defects 10. No appreciable mobility to finger pressure 11. No clinical or radiographic evidence of pulp degeneration 12. Absence of profuse haemorrhage from the exposure site. 13. Absence of serous or purulent exudates from the exposure site. 14. Control of haemorrhage is possible at the exposure site in less than 5 minutes
Exclusion criteria
Exclusion criteria: 1. Patients with compromised immune status 2. Patients who are pregnant at the time of follow-up 3. Caries have extensively penetrated the pulp chamber 4. Tooth showing symptoms of irreversible pulpitis 5. Bleeding from the exposure site persists for more than 5 minutes
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The criteria for success and failure of direct pulp capping were assessed based on clinical and radiographic findings at each of the follow-up periods at 1 month,3 months, 6 months, 12 months and 18 months in comparison to the preoperative clinical and radiographic data. 1. Pain in relation to the capped tooth assessed using the Visual Analog Scale (VAS) graded from 0-10 recorded and compared in each of the follow up examinations. 2. Tenderness to percussion and palpation- present or absent 3. Measurement of probing depth in each of the follow up examinations using WHO probe. 4. Mobility of tooth assessed using blunt end of two mouth mirrors and graded as 1 to 3 5. Vitality was assessed on the tooth treated using cold test (ENDO FROST PULP TESTER) and Electric pulp tester (Gentle –Pulse Pulp vitality tester, Parkell Electronics,Farmingdale, NY, USA) and scores assigned from 0-10 in relation to adjacent and contralateral teeth and compared with the previous scores in each of the follow up examinations 6. Radiographic evaluation included assessment of the periradicular condition of the selected teeth using Peri Apical Index Scoring System (PAI Score.) | — |
Secondary
| Measure | Time frame |
|---|---|
| At 1 month,3 months, 6 months, 12 months and 18 months 1. Whether root canal therapy done in any of the follow up examinations yes/no 2. Whether extraction done in any of the follow up examinations yes/no 3. Whether sinus tract present or absent yes/no 4. Whether root resorption present or absent yes/no | — |
Countries
India
Outcome results
None listed