Irreversible Pulpitis
Conditions
Keywords
pulpitis, pulpotomy, single visit root canal treatment, bioceramic material
Brief summary
The purpose of this study is to compare the Success and quality of life following complete pulpotomy and root canal treatment in teeth with clinical signs indicative of irreversible pulpitis.
Detailed description
After thorough history and clinical and radiographic examination, and confirmation of eligibility for the study, risks and benefits associated with the procedure will be explained and written informed consent will be taken from the patients. Study subjects will be randomly allocated to either Complete pulpotomy or Root canal treatment Group.
Interventions
PROCEDUREPulpotomy
After achieving hemostasis, in pulpotomy group bioceramic material will be placed and then permanent restoration will be done.
PROCEDUREroot canal treatment
Single visit root canal treatment will be done according to standard protocol.
Sponsors
Postgraduate Institute of Dental Sciences Rohtak
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
outcome assessor will be blinded
Eligibility
Sex/Gender
ALL
Age
14 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
* Mature permanent restorable mandibular molar teeth. * Tooth should give positive response to pulp sensibility testing. * Clinical diagnosis of irreversible pulpitis with PAI score≤2. * Tooth with probing pocket depth and mobility are within normal limits. * Non-contributory medical history.
Exclusion criteria
* Teeth with immature roots. * No pulp exposure after caries excavation. * Bleeding could not be controlled in 6 minutes. * Insufficient bleeding after pulp exposure, the pulp is judged necrotic or partially necrotic. * Absence of antagonist tooth. * Positive history of antibiotic use in the past 1 month or requiring antibiotic prophylaxis * Had taken analgesic in past 3 days. * Tooth with periapical lesion visible on radiograph
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clinical success rate | 6 months and one year | Clinical success criteria No history of spontaneous pain No tenderness to palpation or percussion Normal mobility and probing pocket depth. Soft tissues around tooth are normal with no swelling or sinus tract. |
| Radiographic success rate | 6 months and one year | Radiographic success criteria No pathosis evident on the radiograph Periapical Index score 1 or 2 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Oral Health related quality of Life | baseline to one week, 6 months and one year | Oral Health Impact Profile-14 questionnaire of score 0-4 will be used to assess the quality of life. Score 0 means never and 4 means very often affected the quality of life. |
| Pain assessment | baseline to one week | Visual analogue Scale of 0 to 10 Centimetere line will be used to assess pain. Score 0 means no pain and Score 10 means maximum pain. |
Countries
India
Contacts
Primary ContactDR. Pankaj Sangwan, MDS
Backup ContactKanagadurga R, MDS
Outcome results
None listed