Comparison of Direct Pulp Capping Outcomes in Deep Versus Extremely Deep Caries in Mature Permanent Lower Molars with Reversible Pulpitis

What this Trial Is About

The research investigates the clinical and radiographic results of direct pulp capping in mature permanent mandibular molars with reversible pulpitis, focusing on comparing outcomes between deep and extremely deep carious lesions. The study aims to assess the success of this treatment in teeth with different depths of caries and to evaluate pain after the procedure, involving adults aged 18 to 40 years. There is a need to clarify how caries depth affects treatment success, as current data are limited and show varying success rates. Participants will receive direct pulp capping treatment after a clinical diagnosis of reversible pulpitis is confirmed. The procedure includes cleaning and controlling bleeding at the pulp exposure site with 3% sodium hypochlorite, applying a layer of ProRoot MTA over the lesion followed by resin-modified glass ionomer cement, and final restoration with composite resin. Two groups are studied one with deep carious lesions and one with extremely deep lesions. Follow-up includes clinical and radiographic assessments at 7 days, 6 months, and 12 months to evaluate treatment success. During the study, participants will be monitored for pain levels at baseline and daily for one week after treatment. Radiographic images will be taken at 6 and 12 months to assess the tooths condition. Success rates will be measured at 12 months, with researchers tracking bleeding control time during treatment and ensuring healthy periodontal status. The total participation period may last up to one year, with regular evaluations to monitor healing and any complications.

Comparative Evaluation of Direct Pulp Capping Between Deep and Extremely Deep Caries in Mature Permanent Mandibular Molars .