Symptomatic Irreversible Pulpitis
Conditions
Brief summary
This study aims to evaluate the clinical success of complete pulpotomy using Biodentine in mature permanent single-rooted teeth diagnosed with symptomatic irreversible pulpitis. Complete pulpotomy involves removal of the coronal pulp and preservation of radicular pulp vitality using a biocompatible pulp-capping material. Biodentine, a calcium silicate-based cement, has favorable biological properties, including biocompatibility, antibacterial effects, and dentin bridge formation potential. A total of 84 patients meeting the inclusion criteria will be enrolled and treated by a single operator. Clinical success will be evaluated at 7 days, 1 month, and 3 months based on absence of pain, swelling, tenderness to percussion, and radiographic signs of periapical pathology.
Interventions
PROCEDUREComplete Pulpotomy with Biodentine
Administration of local anesthesia followed by rubber dam isolation. Removal of coronal pulp tissue to perform a complete pulpotomy. Hemostasis achieved with saline-soaked cotton pellet. Placement of Biodentine as the pulp-capping agent on the radicular pulp. Temporary restoration placed immediately after Biodentine placement. Permanent composite restoration placed after 1 week. Follow-up visits at 7 days, 1 month, and 3 months for clinical and radiographic evaluation.
Sponsors
HITEC-Institute of Medical Sciences
Study design
Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
20 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Mature permanent single rooted teeth with: * Symptomatic irreversible pulpitis * Age group 20-50 years
Exclusion criteria
* • Uncontrolled pulp heamorrhage (more than 5mins) * Necrotic pulp * Periapical periodontitis * Sinus tract * Abnormal tooth mobility * Single rooted teeth with internal or external root resorption * Calcified root canals
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Success of Complete Pulpotom | Evaluated at 7 days, 1 month, and 3 months post-procedure | Clinical assessment of pain, swelling, and tenderness on percussion. Radiographic evaluation for absence of periapical lesions and root resorption. Success defined as absence of symptoms and radiographic signs of pathology, indicating maintenance of pulp vitality. |
Countries
Pakistan
Outcome results
None listed