Apical Periodontitis
Conditions
Brief summary
This clinical study aims to evaluate the periapical and clinical healing outcomes of full pulpotomy using MTA in mandibular permanent molars diagnosed with symptomatic irreversible pulpitis. Patients will be stratified based on the presence or absence of apical periodontitis. Clinical and radiographic assessments will be conducted at baseline, 6 months, and 12 months to compare healing outcomes between groups. The study seeks to determine the effectiveness of full pulpotomy as a less invasive alternative to root canal treatment, even in teeth with apical pathosis.
Detailed description
This prospective clinical study aims to evaluate the periapical and clinical healing outcomes of full pulpotomy using mineral trioxide aggregate (MTA) in mandibular permanent molars diagnosed with symptomatic irreversible pulpitis. Patients will be stratified based on the presence or absence of apical periodontitis. Clinical and radiographic assessments will be conducted at baseline, 6 months, and 12 months to compare healing outcomes between groups. The study seeks to determine the effectiveness of full pulpotomy as a less invasive alternative to root canal treatment, even in teeth with apical pathosis.
Interventions
PROCEDUREFull pulpotomy in adults ≥18 years with restorable mandibular first or second molars diagnosed with irreversible pulpitis, with or without apical periodontitis.
Comparison of full pulpotomy with MTA in teeth with and without apical periodontitis
Sponsors
Postgraduate Institute of Dental Sciences Rohtak
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
1. The patient should be ≥18 years of age. 2. Restorable mature permanent 1st and 2nd Mandibular molars with extremely deep caries (≥2/3 dentine involvement) 3. Tooth should give positive response to pulp sensibility testing. 4. Radiographic finding of periapical index (PAI) score \>/=3 (for test group) , score \</= 2 (for control group)
Exclusion criteria
1. Teeth with immature roots. 2. No pulp exposure after caries excavation. 3. Bleeding could not be controlled in 10 minutes. 4. Signs of pulpal necrosis, sinus tract, swelling, insufficient bleeding after pulp exposure. 5. History of analgesic intake in previous 1 week, or antibiotic intake in 1 month. 6. Internal/external resorption. 7. Contributory medical history (alcoholism, smokers, diabetic, hypertension, drug dependency, Heart or valve disease, hepatitis, herpes, immunodeficiency (HIV), infectious diseases, kidney or liver, migraine)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Success following complete pulpotomy | 12 MONTHS | Clinical-Radiographic Success After Full Pulpotomy in Mandibular Molars With and Without Apical Periodontitis |
Countries
India
Contacts
Primary ContactJigyasa Duhan, MDS
Outcome results
None listed