Irreversible Pulpitis (Toothache)
Conditions
Keywords
Photobiomodulation,, photocoagulation,, pulpotomy,, segmentation,, irreversible pulpitis, artificial intelligence, bioceramic putty
Brief summary
this clinical trial is evaluating the outcome of laser assisted pulpotomy compared to conventional pulpotomy in mature teeth with symptomatic irreversible pulpitis (SIP) assessed by CBCT followed by automated segmentation using Artificial intelligence (AI).
Detailed description
Sixty human permanent molar teeth having irreversible pulpitis will be selected. Teeth will be randomly divided into 3 groups according to the type of pulpotomy; Group A: Photobiomodulation (PBM) pulpotomy, Group B: photocoagulation pulpotomy and Group C: Conventional pulpotomy which will serve as control. All 3 groups will be capped with bioceramic putty material. Post operative pain will be assessed at 24, 48 and 72 hours then after one week using numerical rating scale (NRS). Clinical and radiographic assessment using periapical radiograph of the healing progress will be done simultaneously during the follow up at one, three, six and 12 months intervals. CBCT will be done immediate postoperative and at the end of the follow up period to assess the dentin bridge formation and for automated segmentation to assess the radicular pulp volume changes.
Interventions
DEVICEDiode laser
a contact-type laser, it selectively and precisely affects only the tissues directly beneath it, thereby preserving the surrounding radicular tissue
A disinfecting agent used in conventional pulpotomy procedures
Sponsors
Alexandria University
Rana Hegaz
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
16 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Permanent molar teeth with symptomatic irreversible pulpitis. * The patient should be ≥ 16 to 50 years old. * Teeth should give positive response to cold testing and clinical diagnosis of SIP with or without periapical rarefaction. * Teeth will be selected only if they are restorable. * Patient medically healthy and free from systemic diseases. ASA I, II. * patients who agreed to participate in the study to attend the control visits. * Teeth with periapical index score (PAI) 1 and 2 will be selected
Exclusion criteria
* Teeth with necrotic pulp, resorption or subgingival caries. * Teeth with open apices. * Medically compromised patients. * Pregnant patients. * Patients with uncontrollable bleeding from the radicular pulp. * Patients with (PAI) score 3-5 will be excluded from the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Radiographic assessment of the dentin bridge formation | one year | evaluating the dentin bridge formation using periapical radiographs and CBCT |
| Automated segmentation of the radicular pulp space | one year | this will be done using CBCT imaging |
| Assessment of healing progress | one year | evaluating clinically the signs and symptoms of pain and it will be recorded as yes and no question. \- |
Countries
Egypt
Contacts
Primary ContactRana Mahmoud Hegazi, Assistant lecturer
Outcome results
None listed