Caries
Conditions
Brief summary
The aim of this clinical study is to compare and evaluate the Success of Selective Caries vs Stepwise Caries Removal Techniques in treatment of dental caries.
Detailed description
The patient will be selected as per the pre-defined eligibility criteria. Written informed consent will be taken from each consenting participant. Initial caries excavation will be done under rubber dam isolation. The patient will then be randomly allocated to two groups: selective removal to soft dentin or stepwise caries removal. Composite restoration with glass ionomer liner will be then placed in both groups. Additional complete caries excavation will be done in the stepwise caries removal group after six months.
Interventions
After caries removal restoration of tooth will be performed
After caries removal restoration of tooth will be performed
Sponsors
Study design
Intervention model description
Prospective randomized clinical study
Eligibility
Inclusion criteria
* Outpatient in age range of 18yr-60yr * Permanent mandibular posterior teeth with deep caries * Caries extending to \>3/4 of dentin with a layer of sound dentin between pulp and carious tissue as seen on radiograph * Positive response to cold test and electric pulp test
Exclusion criteria
* Any general disease affecting the caries e.g. patient under head and neck radiotherapy * Patients with immuno-compromised status * Tooth with fracture line, cracks.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clinical success | Baseline to 12 months | Clinical success will be judged by following criteria * Positive response on vitality test. * Absence of pain on percussion and any other signs and/or symptoms of irreversible pulpitis and pulp necrosis Criteria for failure will be * Negative response on pulp vitality test. * Tenderness to percussion and teeth exhibiting any clinical signs and/or symptoms of irreversible pulpitis and pulp necrosis. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Radiographic Success | Baseline to 12 months | Absence of periapical alterations (radiolucency at furcal or periapical region). |
Countries
India