RecruitingNot ApplicableNCT06433297

Comparative Evaluation of Indirect vs. Direct Pulp Capping in Deep Carious Mandibular Molars

Comparative Evaluation of Indirect and Direct Pulp Capping After Partial or Complete Caries Removal in Deeply Carious Mature Permanent Mandibular Molars With Moderate Pulpitis: A Randomized Clinical Trial

Sponsor

Postgraduate Institute of Dental Sciences Rohtak

Enrollment

106 participants

Start Date

May 23, 2024

Study Type

INTERVENTIONAL

Conditions

Reversible Pulpitis Indirect Pulp Capping

Summary

Aim: To compare the outcome of indirect and direct pulp capping after partial or complete caries removal in deeply carious mature mandibular permanent molars with clinical signs indicative of moderate pulpitis. Objectives: 1. To evaluate the clinical and radiographic success of indirect pulp capping after partial caries removal in deeply carious mature mandibular permanent molars with clinical signs indicative of moderate pulpitis. 2. To evaluate the clinical and radiographic success of direct pulp capping after complete caries removal in deeply carious mature mandibular permanent molars with clinical signs indicative of moderate pulpitis. 3. To evaluate pain incidence and severity after indirect and direct pulp capping after partial and complete caries removal in deeply carious mature mandibular permanent molars with clinical signs indicative of moderate pulpitis.

Eligibility

Min Age: 18 Years

Inclusion Criteria8

The patient should be ≥18 years of age.
Restorable mature permanent 1st and 2nd Mandibular molars with deep caries (reaching inner quarter of dentine)
Tooth should give positive response to pulp sensibility testing.
Clinical diagnosis of moderate pulpitis.
Radiographic finding of periapical index (PAI) score ≤2.
Healthy periodontium (probing pocket depth ≤3 mm and mobility within normal limit).
Pulp exposure after complete caries excavation.
No pulp exposure after incomplete caries excavation

Exclusion Criteria8

Teeth with immature roots.
Pulp exposure after incomplete caries excavation.
No pulp exposure after complete caries excavation.
Bleeding could not be controlled in 5 minutes.
Signs of pulpal necrosis, sinus tract, swelling, insufficient bleeding after pulp exposure.
History of analgesic intake in previous 1 week, or antibiotic intake in 1 month.
Internal/external resorption.
Contributory medical history (alcoholism, smokers, diabetic, hypertension, drug dependency, Heart or valve disease, hepatitis, herpes, immunodeficiency (HIV), infectious diseases, kidney or liver, migraine)

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Interventions

PROCEDUREINDIRECT AND DIRECT PULP CAPPING AFTER PARTIAL OR COMPLETE CARIES REMOVAL IN DEEPLY CARIOUS MATURE PERMANENT MANDIBULAR MOLARS WITH MODERATE PULPITIS

After partial caries removal the cavity is disinfected, dried, and capped with a 2-3mm layer of MTA followed by a light-cured resin layer. The tooth is then definitively restored with composite. Following complete caries removal, any bleeding pulp will be controlled with sodium hypochlorite for up to 5 minutes. Exposed pulp will then be directly capped with a 2-3mm layer of MTA, followed by a light-cured resin layer and definitive composite restoration using an etch-and-rinse technique.