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

Launched by POSTGRADUATE INSTITUTE OF DENTAL SCIENCES ROHTAK · May 22, 2024

Keywords

ClinConnect Summary

This clinical trial is investigating two different dental procedures called indirect and direct pulp capping, which are used to treat deep cavities in back teeth (mandibular molars) that show signs of moderate pulpitis, a condition where the dental pulp (the soft tissue inside the tooth) is inflamed but not yet infected. The goal is to compare how effective these two methods are in relieving pain and promoting healing after either partial or complete removal of decay.

To participate in this study, individuals must be at least 18 years old and have mature back teeth with deep cavities that can still be restored. They should also show signs of moderate pulpitis and have healthy gums. Participants will be monitored for pain levels and healing through both clinical exams and X-rays after receiving either treatment. This trial is currently recruiting participants and aims to better understand how these procedures can improve dental care for people with similar dental issues.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. The patient should be ≥18 years of age.
• • 2. Restorable mature permanent 1st and 2nd Mandibular molars with deep caries (reaching inner quarter of dentine)
• • 3. Tooth should give positive response to pulp sensibility testing.
• • 4. Clinical diagnosis of moderate pulpitis.
• • 5. Radiographic finding of periapical index (PAI) score ≤2.
• • 6. Healthy periodontium (probing pocket depth ≤3 mm and mobility within normal limit).
• • 7. Pulp exposure after complete caries excavation.
• • 8. No pulp exposure after incomplete caries excavation
• Exclusion Criteria:
• • 1. Teeth with immature roots.
• • 2. Pulp exposure after incomplete caries excavation.
• • 3. No pulp exposure after complete caries excavation.
• • 4. Bleeding could not be controlled in 5 minutes.
• • 5. Signs of pulpal necrosis, sinus tract, swelling, insufficient bleeding after pulp exposure.
• • 6. History of analgesic intake in previous 1 week, or antibiotic intake in 1 month.
• • 7. Internal/external resorption.
• • 8. Contributory medical history (alcoholism, smokers, diabetic, hypertension, drug dependency, Heart or valve disease, hepatitis, herpes, immunodeficiency (HIV), infectious diseases, kidney or liver, migraine)