Comparative Evaluation of Indirect vs. Direct Pulp Capping in Deep Carious Mandibular Molars
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorPostgraduate Institute of Dental Sciences Rohtak
About this trial
Aim: To compare the outcome of indirect and direct pulp capping after partial or complete caries removal in deeply carious mature mandibular permanent molars with clinical signs indicative of moderate pulpitis.
Objectives:
1. To evaluate the clinical and radiographic success of indirect pulp capping after partial caries removal in deeply carious mature mandibular permanent molars with clinical signs indicative of moderate pulpitis. 2. To evaluate the clinical and radiographic success of direct pulp capping after complete caries removal in deeply carious mature mandibular permanent molars with clinical signs indicative of moderate pulpitis. 3. To evaluate pain incidence and severity after indirect and direct pulp capping after partial and complete caries removal in deeply carious mature mandibular permanent molars with clinical signs indicative of moderate pulpitis.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
The patient should be ≥18 years of age.
Restorable mature permanent 1st and 2nd Mandibular molars with deep caries (reaching inner quarter of dentine)
Tooth should give positive response to pulp sensibility testing.
Clinical diagnosis of moderate pulpitis.
Disqualifiers
Teeth with immature roots.
Pulp exposure after incomplete caries excavation.
No pulp exposure after complete caries excavation.
Bleeding could not be controlled in 5 minutes.
Trial design
Design model
Parallel
Treatments tested in this trial
INDIRECT AND DIRECT PULP CAPPING AFTER PARTIAL OR COMPLETE CARIES REMOVAL IN DEEPLY CARIOUS MATURE PERMANENT MANDIBULAR MOLARS WITH MODERATE PULPITIS
Procedure/SurgeryAfter partial caries removal the cavity is disinfected, dried, and capped with a 2-3mm layer of MTA followed by a light-cured resin layer. The tooth is then definitively restored with composite. Following complete caries removal, any bleeding pulp will be controlled with sodium hypochlorite for up to 5 minutes. Exposed pulp will then be directly capped with a 2-3mm layer of MTA, followed by a light-cured resin layer and definitive composite restoration using an etch-and-rinse technique.
Treatment groups
106 Participants
are divided into 2 treatment groupsGroup A: Partial caries removal followed by Indirect pulp capping.Experimental treatment 1 intervention
Group B: Complete caries removal followed by Direct Pulp CappingActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
Clinical Success Rate
No pain or discomfort. No tenderness to palpation or percussion. Normal mobility and probing pocket depth.
Time frame
12 months2
Radiographic success
No pathology on the radiograph.
Time frame
12 monthsSecondary outcomes
1
Pain reduction
Post operative pain To assess pain postoperatively at every 24 hours till 7 days using Visual analogue Scale.
Time frame
Seven daysSponsors and contacts
Click on the lead sponsor to view all of their trials.
Source ClinicalTrials.gov