Effects of Total and Selective Caries Removal - Requiring or Avoiding Vital Pulp Therapy - on Pulp Vitality and Postoperative Pain in Deep Carious Mature Permanent Teeth: A Split-Mouth Clinical Study

Çukurova University

Status: Enrolling

Conditions: Pulp Exposure, Dental; Deep Dental Caries

Treatments: Procedure: Total Caries Removal; Procedure: Selective Caries Removal

Study type: Interventional

Funder types: Other

Identifiers

NCT07041905

D-SCR-2025-01

Details and patient eligibility

About

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.

Enrollment: 15 estimated patients

Sex: All

Ages: 15 to 55 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 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

Exclusion criteria

• Uncontrolled systemic diseases Pregnancy or allergy to dental materials used Teeth with irreversible pulpitis (spontaneous pain, necrosis) Non-restorable teeth (fractures, extensive decay)

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Double Blind

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15 participants in 2 patient groups

Arm 1

Active Comparator group

Description:

Complete caries excavation

Treatment:

Procedure: Total Caries Removal

Arm 2

Experimental group

Description:

Partial caries excavation

Treatment:

Procedure: Selective Caries Removal