The following study will be created to evaluate how the location of caries affects the effectiveness of indirect pulp treatment in primary molars. aiding in the development of evidence-based recommendations for pediatric dentists.
Children aged between 3-7 years
Children in complete physical and mental health.
Children with free medical history.
Patient with favorable attitudes, which will be assessed by using Frankl behavior rating.
Clinical symptoms or history indicating irreversible pulpitis as (spontaneous pain, throbbing pain).
Tenderness to percussion.
Soft tissue swelling, abscess, draining fistula or sinus tracts.
Pathological Tooth mobility.
Parallel
Indirect Pulp Treatment
Procedure/SurgeryIndirect pulp treatment is considered one of the most conservative pulp therapies, which preserves the pulp's vitality in teeth with reversible pulpitis. It has been chosen to be the intervention in both groups as the aim of this study is to assess the impact of caries location (proximal vs. occlusal caries) in influencing the success rate of IPT.
Clinical success rate of primary molars with deep occlusal or proximal caries treated by Indirect Pulp Treatment (IPT)
Clinical success rate will be assess through assessment of the following : Post-operative Pain (percentage of absence of pain), Presence or absence of clinical signs (e.g., swelling, abscess, sinus tract), and Pain on Percussion
Radiographic success rate of primary molars with deep occlusal or proximal caries treated by Indirect Pulp Treatment (IPT).
Radiographic Success Rate will be assess every (6, and 12 months) through assessment of the following in the x-ray film : No radiographic evidence of periapical or inter-radicular radiolucency, No internal or external root resorption, No furcation involvement, and No widening in the periodontal membrane ligament )
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