Cytokines as Diagnostic Markers of Pulpal Inflammation and Their Impact on the Outcome of Vital Pulp Therapy

Mansoura University

Status: Completed

Conditions: Irreversible Pulpitis; Reversible Pulpitis

Treatments: Procedure: Vital pulp therapy; Procedure: blood sample collection; Procedure: Extraction

Study type: Interventional

Funder types: Other

Identifiers

NCT07261761

M05060722

Details and patient eligibility

About

intervention eligible patients with teeth diagnosed with reversible or irreversible pulpits will go for vital pulp therapy and the other group will be patients will go for extraction of caries free teeth for orthodontic reasons, blood samples will be collected from both groups to analyze the level of cytokines IL-8 and IL-10 and it's relation with the success of the pulp therapy

Enrollment: 40 patients

Sex: All

Ages: 16 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• The age ranges from 16-45 years medically free.
• Tooth should be vital on cold testing.
• Vital permanent premolar and molar on cold testing, with deep caries, subsequent pulp exposure and bleeding pulp tissue in all canals after complete pulpotomy.
• Diagnosis is either reversible or irreversible pulpitis with/ without periapical rarefaction.
• The tooth is restorable and free from advanced periodontal disease.
• Soft tissues around the tooth are normal with no swelling or sinus tract.

Exclusion criteria

• Patients over 45 years of age.
• Patients with clinical symptoms of periradicular inflammation or any periradicular radiographic lesions.
• Negative results for cold and electrical pulp testing

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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40 participants in 2 patient groups

Molars or premolars with Reversible or irreversible pulpits

Experimental group

Description:

fifteen patients with carious teeth showing signs and symptoms of pulp inflammation

Treatment:

Procedure: blood sample collection

Procedure: Vital pulp therapy

Caries free molars or premolars

Active Comparator group

Description:

fifteen patients with intact human premolars planed for extraction for orthodontic reason

Treatment:

Procedure: Extraction

Procedure: blood sample collection