The effect of selective caries cleaning and total caries cleaning on pulp health and post operative pain in teeth with deep caries will be investigated.
Patients aged ≥15 years with bilateral deep carious mature permanent teeth.
Positive vitality test (cold sensitivity).
No spontaneous pain or periapical radiolucency.
Willingness to attend 6- and 12-month follow-ups
Uncontrolled systemic diseases Pregnancy or allergy to dental materials used Teeth with irreversible pulpitis (spontaneous pain, necrosis) Non-restorable teeth (fractures, extensive decay)
Crossover
Total Caries Removal
Procedure/SurgeryArm 1: "Total caries removal (complete excavation to hard dentin)"
Selective Caries Removal
Procedure/SurgeryPartial removal leaving affected dentin near pulp.
Early postoperative pain intensity (VAS) after total vs. selective excavation
The patient will be asked to rate his/her pain on day 1, 3 and 7 according to VAS
dentin bridge formation
no dentin bridge formation is expected in selective caries cleaning, while dentin bridge formation will be observed radiologically in total cleaning
pulp survival at twelve months
The pulp is expected to remain vital, with no percussion tenderness and no spontaneous pain
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