Deep Dental Caries, Pulp Exposure, Dental
Conditions
Brief summary
The effect of selective caries cleaning and total caries cleaning on pulp health and post operative pain in teeth with deep caries will be investigated.
Interventions
PROCEDURETotal Caries Removal
Arm 1: "Total caries removal (complete excavation to hard dentin)"
PROCEDURESelective Caries Removal
Partial removal leaving affected dentin near pulp.
Sponsors
Cukurova University
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
Patients and outcome assessors were blinded to the intervention groups. The operator was not blinded due to the visible differences between total and selective caries removal techniques.
Eligibility
Sex/Gender
ALL
Age
15 Years to 55 Years
Healthy volunteers
No
Inclusion criteria
* Patients aged ≥15 years with bilateral deep carious mature permanent teeth. * Positive vitality test (cold sensitivity). * No spontaneous pain or periapical radiolucency. * Willingness to attend 6- and 12-month follow-ups
Exclusion criteria
* Uncontrolled systemic diseases Pregnancy or allergy to dental materials used Teeth with irreversible pulpitis (spontaneous pain, necrosis) Non-restorable teeth (fractures, extensive decay)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Early postoperative pain intensity (VAS) after total vs. selective excavation | first week | The patient will be asked to rate his/her pain on day 1, 3 and 7 according to VAS |
| dentin bridge formation | twelve months | no dentin bridge formation is expected in selective caries cleaning, while dentin bridge formation will be observed radiologically in total cleaning |
| pulp survival at twelve months | twelve months | The pulp is expected to remain vital, with no percussion tenderness and no spontaneous pain |
Countries
Turkey (Türkiye)
Contacts
CONTACTZehra Zehra Susgun Yıldırım, Principal investigator
Outcome results
None listed