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Partial Pulpotomy vs Selective Removing in Deep Caries

ConditionDeep Dentin Caries in Mature Permanent Teeth
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorCukurova University

About this trial

The aim of this study was to compare the one-year results of selective caries removal and partial pulpotomy treatments in terms of pulp survival and the need for further endodontic treatment in deep carious lesions.Individuals aged 18-65 years with medically healthy mature permanent teeth with deep caries will be included. The included teeth will be randomly assigned to the selective caries removal or partial pulpotomy group. Follow-up evaluations will be performed at 6 months and 12 months. The main outcome is pulp survival as determined by clinical and radiographic success.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Individuals aged 18-65

ASA I or II general health status

Deep primary or secondary caries lesion (up to 75% dentin thickness)

Restorable permanent teeth with mature apex

Disqualifiers

Pregnancy

Periapical lesion

Spontaneous pain or tenderness to palpation

Teeth for which pulp opening or crown/root supported prosthesis is planned

Trial design

Design model

Parallel

Treatments tested in this trial

  • selective caries removal

    Procedure/Surgery

    The caries is not completely removed but covered with a remineralizing material. Its purpose is to maintain pulp vitality.

  • partial pulpotpmy

    Procedure/Surgery

    Complete cleaning of the caries resulting in pulp expose. pulp tissue is surgically removed by 1-3 mm.The aim is to remove the inflamed superficial pulp tissue to allow healing from the underlying healthy tissue.

Treatment groups

70 Participants
are divided into 2 treatment groups
Group A: selective caries removalExperimental treatment 1 intervention
Group B: partial pulpotomyExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Assessment of pain

Detailed medical history * Is the pain constant or intermittent? * How severe is the pain? The outcome will be evaluated using the Visual Analog Scale (VAS), which ranges from 0 to 10, with higher scores indicating a worse outcome.

Time frame
6th and 12th month
2

Periapical pathology

Standardized digital periapical radiographs will be taken using the long cone paralleling technique to assess periapical status, presence of radiolucent lesions, and periodontal ligament space. Radiographs will be obtained at baseline, 6 months, and 12 months to monitor treatment outcomes and detect any pathological changes.

Time frame
6th and 12th month
3

Tenderness to percussion

1. Usually, the back of a dental mirror handle or the handle of a periodontal probe is used. 2. First, vertical percussion (lightly tapping the occlusal surface from above) is performed, followed by lateral percussion (lightly tapping the side of the tooth) if necessary. 3. It is compared with other teeth in the same area. If the pain is only in one tooth, it suggests pathology. 4. The patient describes the pain as "aching," "discomfort," or "severe pain." This severity indicates the severity of the inflamation

Time frame
12th month

Secondary outcomes

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Cukurova University

Lead sponsor

Source ClinicalTrials.gov

This trial is not recruiting at the moment. You can still explore other options: