Study on How Proximal Caries Affect Direct Pulp Capping Success in Permanent Lower Molars With Reversible Pulpitis

What this Trial Is About

Researchers are evaluating the impact of proximal caries on the success of direct pulp capping in permanent mandibular molars diagnosed with reversible pulpitis. The study focuses on comparing the clinical and radiographic outcomes of direct pulp capping in molars with occlusal versus proximal carious lesions. It also aims to assess oral health-related quality of life OHRQoL and postoperative pain in these two groups. Participants aged 15 to 40 years with mature permanent mandibular molars affected by extremely deep caries are included. The study involves two groups one receiving direct pulp capping on proximal carious lesions and the other on occlusal carious lesions. In both groups, after pulp exposure, the pulp wound is irrigated with 3% sodium hypochlorite to control bleeding for up to 6 minutes. ProRoot MTA is applied as a capping agent followed by a layer of resin-modified glass ionomer cement and permanent composite resin restoration. Postoperative periapical radiographs are taken for evaluations at 6 and 12 months. Participants will be monitored for clinical success at 7 days, 6 months, and 12 months, with radiographic success assessed at 6 and 12 months. Pain and oral health-related quality of life are evaluated at baseline and daily for one week after treatment. The primary outcome is the success rate at 12 months. The study includes detailed follow-up visits to collect clinical, radiographic, and patient-reported data over the course of 12 months to understand the effectiveness of the treatment based on lesion location.

Influence of Proximal Caries on Outcome of Direct Pulp Capping in Permanent Mandibular Molars With Reversible Pulpitis