Deep Dentin Caries in Mature Permanent Teeth
Conditions
Keywords
Vital pulp therapy, Deep caries, Selective caries removal, Partial pulpotomy
Brief summary
The aim of this study was to compare the one-year results of selective caries removal and partial pulpotomy treatments in terms of pulp survival and the need for further endodontic treatment in deep carious lesions.Individuals aged 18-65 years with medically healthy mature permanent teeth with deep caries will be included. The included teeth will be randomly assigned to the selective caries removal or partial pulpotomy group. Follow-up evaluations will be performed at 6 months and 12 months. The main outcome is pulp survival as determined by clinical and radiographic success.
Interventions
PROCEDUREselective caries removal
The caries is not completely removed but covered with a remineralizing material. Its purpose is to maintain pulp vitality.
PROCEDUREpartial pulpotpmy
Complete cleaning of the caries resulting in pulp expose. pulp tissue is surgically removed by 1-3 mm.The aim is to remove the inflamed superficial pulp tissue to allow healing from the underlying healthy tissue.
Sponsors
Cukurova University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Individuals aged 18-65 * ASA I or II general health status * Deep primary or secondary caries lesion (up to 75% dentin thickness) * Restorable permanent teeth with mature apex * Teeth without clinical and radiographic periapical pathology
Exclusion criteria
* Pregnancy * Periapical lesion * Spontaneous pain or tenderness to palpation * Teeth for which pulp opening or crown/root supported prosthesis is planned * Localized severe periodontitis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of pain | 6th and 12th month | Detailed medical history * Is the pain constant or intermittent? * How severe is the pain? The outcome will be evaluated using the Visual Analog Scale (VAS), which ranges from 0 to 10, with higher scores indicating a worse outcome. |
| Periapical pathology | 6th and 12th month | Standardized digital periapical radiographs will be taken using the long cone paralleling technique to assess periapical status, presence of radiolucent lesions, and periodontal ligament space. Radiographs will be obtained at baseline, 6 months, and 12 months to monitor treatment outcomes and detect any pathological changes. |
| Tenderness to percussion | 12th month | 1. Usually, the back of a dental mirror handle or the handle of a periodontal probe is used. 2. First, vertical percussion (lightly tapping the occlusal surface from above) is performed, followed by lateral percussion (lightly tapping the side of the tooth) if necessary. 3. It is compared with other teeth in the same area. If the pain is only in one tooth, it suggests pathology. 4. The patient describes the pain as aching, discomfort, or severe pain. This severity indicates the severity of the inflamation |
Contacts
Primary Contactzeliha g bek kurklu
Outcome results
None listed