Selective Caries vs Stepwise Caries Removal Technique in Deep Carious Lesions

Postgraduate Institute of Dental Sciences Rohtak

Status: Unknown

Conditions: Caries

Treatments: Procedure: Stepwise caries removal; Procedure: Selective caries removal

Study type: Interventional

Funder types: Other

Identifiers

NCT04375215

VISHALPGIDS

Details and patient eligibility

About

The aim of this clinical study is to compare and evaluate the Success of Selective Caries vs Stepwise Caries Removal Techniques in treatment of dental caries.

Full description

The patient will be selected as per the pre-defined eligibility criteria. Written informed consent will be taken from each consenting participant. Initial caries excavation will be done under rubber dam isolation. The patient will then be randomly allocated to two groups: selective removal to soft dentin or stepwise caries removal. Composite restoration with glass ionomer liner will be then placed in both groups. Additional complete caries excavation will be done in the stepwise caries removal group after six months.

Enrollment: 146 estimated patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Outpatient in age range of 18yr-60yr
• Permanent mandibular posterior teeth with deep caries
• Caries extending to >3/4 of dentin with a layer of sound dentin between pulp and carious tissue as seen on radiograph
• Positive response to cold test and electric pulp test

Exclusion criteria

• Any general disease affecting the caries e.g. patient under head and neck radiotherapy
• Patients with immuno-compromised status
• Tooth with fracture line, cracks.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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146 participants in 2 patient groups

Selective caries removal to soft dentin (one step)

Active Comparator group

Description:

In selective caries removal to soft dentine, after caries excavation application of liner will be done on pulpal floor. Teeth will then be filled with composite resin material.

Treatment:

Procedure: Selective caries removal

Stepwise caries removal (two step)

Active Comparator group

Description:

The stepwise caries removal is a two step procedure. The first step is similar to selective caries removal to soft dentin group. In the second step, after 6 months lesion will be re-entered to remove remaining carious tissue till firm dentin is encountered. Once all the caries is removed from floor of cavity a liner followed by final restoration with composite will be performed.

Treatment:

Procedure: Stepwise caries removal