Outcome of Partial Pulpotomy in Moderate and Severe Pulpitis
Postgraduate Institute of Dental Sciences Rohtak
120 participants
Apr 18, 2025
INTERVENTIONAL
Conditions
Summary
The aim of the study is to compare the outcome of Partial Pulpotomy in mature permanent teeth with moderate and severe pulpitis. OBJECTIVE: Primary objective- to compare the difference in clinical and radiographic outcome of partial pulpotomy in mature permanent teeth with moderate and severe Pulpitis. Secondary objective- To evaluate and compare OHRQoL and postoperative pain after Partial Pulpotomy in teeth with Moderate Pulpitis and Severe Pulpitis. Subjects of age group 15 to 40 years will be included and divided into two groups 1. Permanent mature molars with Moderate Pulpitis 2. Permanent mature molars with Severe Pulpitis
Eligibility
Inclusion Criteria8
- Patients aged 15-40 years.
- Mature permanent mandibular molars with extremely deep caries on radiograph, giving positive response to pulp sensibility test.
- For Moderate Pulpitis- strong, heightened and prolonged reaction to cold, which can last for minutes, possibly percussion sensitive and spontaneous dull pain that can be more or less suppressed with pain medication.
- For Severe Pulpitis- Severe spontaneous pain and clear pain reaction to warmth and cold stimuli, often, sharp to dull throbbing pain, patients have trouble sleeping because of the pain (gets worse when lying down). Tooth is very sensitive to touch and percussion.
- Pulpal bleeding can be controlled within 10 minutes
- Patients having normal periapical status with periapical index (PAI) score ≤ 2
- Periodontally healthy teeth
- Positive response to pulp sensibility test
Exclusion Criteria11
- Non restorable teeth
- Negative response to vitality testing
- Presence of sinus tract or soft tissue swelling
- Absence of deep carious lesions radiographically
- Radiographic signs of internal or external root resorption
- Patient had moderate to severe pain, but preferred root canal treatment
- Presence of sound dentin over pulp and pulp not exposed intraoperatively
- Pulp haemorrhage could not be arrested within 10 minutes.
- Necrotic pulp evident upon exposure
- Pregnant women
- Absence of antagonist teeth
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Interventions
Procedure/Surgery: Outcome of partial pulpotomy in teeth with clinical signs indicative of Moderate Pulpitis. After caries removal and pulp exposure pulp tissue is amputated and pulpal wound will be irrigated with 3% NaOCl, and bleeding will be controlled by placing a cotton pellet soaked with 3% NaOCl over the pulpal wound for 2 to 3 minutes and will be repeated if required. Root canal therapy will be initiated in cases in which haemostasis is not achieved even after 10 minutes. Followed by capping with 2-3mm layer of MTA. A layer of RMGIC will be placed over the MTA. Then the tooth will be permanently restored with composite resin.
Description: Procedure/Surgery: Outcome of partial pulpotomy in teeth with clinical signs indicative of Severe Pulpitis. After caries removal and pulp exposure pulp tissue is amputated and pulpal wound will be irrigated with 3% NaOCl, and bleeding will be controlled by placing a cotton pellet soaked with 3% NaOCl over the pulpal wound for 2 to 3 minutes and will be repeated if required. Root canal therapy will be initiated in cases in which haemostasis is not achieved even after 10 minutes. Followed by capping with 2-3mm layer of MTA. A layer of RMGIC will be placed over the MTA. Then the tooth will be permanently restored with composite resin
Locations(1)
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NCT07123025