Deep caries, irreversible pulpitis, symptomatic apical periodontitis Oral Health Deep caries, irreversible pulpitis, symptomatic apical periodontitis
Conditions
Interventions
The following steps are included in this procedure:
1. The carious tooth will be anesthetized using local anesthesia.
2. Full pulpotomy will be performed for the tooth under rubber dam isolation.
3.
Sponsors
Jordan University of Science and Technology
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. The patient should be = 18 years old with non-contributory medical history, either male or female 2. Has a molar tooth with deep caries exposing the pulp or extending = 2/3 into dentine and subsequent clinical pulp exposure 3. Tooth should be vital on cold testing, restorable and free from advanced periodontal disease 4. Clinical diagnosis of irreversible pulpitis with /without periapical rarefaction 5. Soft tissues around the tooth are normal with no swelling or sinus tract 6. Vital bleeding pulp tissue should be present in all canals after complete pulpotomy 7. Haemostatis should be achieved after complete pulpotomy within 6 minutes
Exclusion criteria
Exclusion criteria: 1. Teeth with immature roots 2. Non restorable teeth 3. Negative response to cold testing, presence of sinus tract or swelling 4. No pulp exposure after caries excavation 5. Bleeding could not be controlled after partial pulpotomy in 6 minutes 6. Insufficient bleeding after pulp exposure, the pulp is judged necrotic or partially necrotic
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Clinical success is measured using percussion, palpation, inspection tests of the treated tooth at 6 months, 1 year, 3 years, 5 years post treatment 2. Radiographic success is measured by periapical radiograph at 6 months, 1 year, 3 years, 5 years post treatment | — |
Secondary
| Measure | Time frame |
|---|---|
| Resolution of symptoms are measured using Visual analogue scale and 0-10 scale at 2 days after treatment. | — |
Countries
Jordan
Outcome results
None listed