Comparative Evaluation of Indirect and Direct Pulp Capping After Partial or Complete Caries Removal in Deeply Carious Mature Permanent Mandibular Molars With Moderate Pulpitis: A Randomized Clinical Trial

What this Trial Is About

Researchers are comparing two dental treatments—indirect and direct pulp capping—in adult patients with deeply decayed mature mandibular molars showing signs of moderate pulp inflammation called moderate pulpitis. This trial aims to evaluate which method better preserves tooth vitality and reduces pain. The study focuses on teeth with clinical and radiographic signs that suggest moderate pulpitis, a condition where the pulp shows prolonged sensitivity and dull pain but may still recover if treated properly. The trial involves two treatment approaches. One group will receive partial removal of the decayed tissue followed by indirect pulp capping, where a protective material called MTA is applied over the remaining dentin, then sealed with a resin and composite restoration. The other group will undergo complete caries removal, which may expose the pulp, followed by direct pulp capping where the exposed pulp is treated with MTA, sealed with resin, and restored with composite. Both treatments are performed under sterile conditions to promote healing. Participants will be monitored over 12 months to assess clinical and X-ray success of the treatments. Pain levels will be recorded daily for one week after treatment to evaluate reduction in discomfort. Follow-up visits will include pulp sensibility tests and radiographs to check tooth health and healing. This trial lasts for one year, with regular check-ups to track outcomes and treatment success in these dental procedures.

Comparative Evaluation of Indirect vs. Direct Pulp Capping in Deep Carious Mandibular Molars