Deep Dentin Caries in Primary Teeth, Pulp Therapy in Primary Molars
Conditions
Keywords
indirect pulp treatment, direct pulp capping, Mineral trioxide aggregate, Randomized controlled trial, Primary second molars
Brief summary
The purpose of this randomized controlled clinical trial was to compare the clinical and radiographic outcomes of indirect pulp treatment (IPT) and direct pulp capping (DPC) using mineral trioxide aggregate (MTA) in deep carious primary molars. Children with deep dentin caries in primary molars were randomly assigned to receive either IPT or DPC. Clinical and radiographic evaluations were performed at 6 and 12 months to assess treatment success. The findings of this study aim to provide evidence-based guidance for the management of deep dentin caries in primary teeth.
Interventions
PROCEDUREIndirect Pulp Treatment
Selective caries removal was performed, leaving affected dentin over the pulp. Mineral trioxide aggregate (MTA) was placed, followed by restoration with a stainless steel crown (SSC).
PROCEDUREDirect Pulp Capping
After \<1 mm pulp exposure, mineral trioxide aggregate (MTA) was placed directly over the exposed pulp tissue, followed by restoration with a stainless steel crown (SSC).
Sponsors
Ankara University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
7 Years to 9 Years
Healthy volunteers
No
Inclusion criteria
* Systemically healthy children aged 7 to 9 years * Primary second molars with deep dentin caries indicated for vital pulp therapy * Absence of clinical signs or symptoms of irreversible pulpitis * No spontaneous or prolonged pain * Teeth with no tenderness to percussion or palpation * No pathological mobility, swelling, fistula, or abscess * Radiographic findings showing intact lamina dura and normal periodontal ligament space * Absence of periapical or furcation radiolucency * No evidence of pathological internal or external root resorption * Teeth considered restorable * Written informed consent obtained from parents
Exclusion criteria
* Children with systemic diseases or medical conditions affecting healing * Teeth with signs or symptoms of irreversible pulpitis * Presence of spontaneous pain, night pain, or prolonged pain * Teeth with periapical or furcation radiolucency * Teeth with pathological internal or external root resorption * Presence of pulpal calcifications or pulp stones * Non-restorable teeth * Lack of parental consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clinical success of indirect pulp treatment and direct pulp capping | 12 months | Clinical success was defined as the absence of spontaneous pain, swelling, fistula, pathological mobility, or tenderness to percussion. |
| Radiographic success of indirect pulp treatment and direct pulp capping | 12 months | Radiographic success was defined as the absence of periapical radiolucency, internal or external root resorption, pathological changes, or other radiographic signs of pulpal or periapical pathology during the follow-up period. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Effect of pulp exposure location on treatment success | 12 months | The location of pulp exposure (occlusal or proximal) was recorded and its association with clinical and radiographic success of vital pulp therapy was evaluated. |
Countries
Turkey (Türkiye)
Outcome results
None listed