Comparative Evaluation of the Clinical Outcome of Direct Pulp Capping Treatment in Permanent Molars

Launched by KAFRELSHEIKH UNIVERSITY · Sep 13, 2024

Keywords

ClinConnect Summary

This clinical trial is studying a dental treatment called direct pulp capping, which is used to protect the inner part of a tooth (the pulp) after it has been exposed due to deep cavities. The trial will take place between June and December 2024 at Kafrelsheikh University, and it aims to compare the outcomes of this treatment in patients aged 19 to 40. Participants will be randomly divided into four groups, and before any treatment, they will receive detailed information about the procedures and possible side effects. All participants must give their written consent to join the study.

To be eligible for this trial, patients need to have a permanent tooth with a small exposed area of the pulp (between 0.5 and 1 mm) due to cavity treatment. They should not have severe decay or any other dental issues that could complicate the treatment. If you decide to participate, you can expect to share your experiences and any discomfort you might feel during and after the procedure. The study aims to ensure safe and effective treatments for managing deep dental caries while protecting vital pulp tissue.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • In all patients, the pulp had been exposed because of caries removal. Data collection included clinical pulp capping respecting the following criteria.
• Exclusion Criteria:
• • 1. Individuals who are 19 to 40 years old.
• • 2. Permanent teeth that have not been repaired and have extensive caries on their occlusal and proximal surfaces, extending more than two-thirds of the dentin near the pulp.
• • 3. Vital teeth; asymptomatic teeth (not sensitive to pressure, percussion, or palpation, and no spontaneous pain); sinus tract devoid of swelling and abscess; abnormal mobility absent; no history of spontaneous pain; mild, dull, and tolerable pain associated with eating and drinking cold drinks.
• • 4. Ethyl chloride cold tests, gutta-percha heat testing, palpation, percussion, and the lack of radiological symptoms in periapical radiographs are used to assess the life of the teeth prior to treatment. After the stimulus is removed, pain from a pulp test that is triggered by either heat or cold should subside.
• • 5. In periapical radiography, none of the following conditions should be present: normal lamina dura and periodontal ligaments, no internal or external root resorption, and no radiolucency in the furcation area or periapical region.
• • 6. The exposed area's diameter ranges from 0.5 to 1 mm.
• • 7. Participants' acceptance of the research program.