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The aim of this study was to compare the one-year results of selective caries removal and partial pulpotomy treatments in terms of pulp survival and the need for further endodontic treatment in deep carious lesions.Individuals aged 18-65 years with medically healthy mature permanent teeth with deep caries will be included. The included teeth will be randomly assigned to the selective caries removal or partial pulpotomy group. Follow-up evaluations will be performed at 6 months and 12 months. The main outcome is pulp survival as determined by clinical and radiographic success.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| selective caries removal | Experimental | Deep caries lesions will be treated with selective caries removal and followed up |
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| partial pulpotomy | Experimental | Deep caries lesions will be treated with partial pulpotomy and followed up |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| selective caries removal | Procedure | The caries is not completely removed but covered with a remineralizing material. Its purpose is to maintain pulp vitality. |
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| Measure | Description | Time Frame |
|---|---|---|
| Assessment of pain | Detailed medical history
| 6th and 12th month |
| Periapical pathology | Standardized digital periapical radiographs will be taken using the long cone paralleling technique to assess periapical status, presence of radiolucent lesions, and periodontal ligament space. Radiographs will be obtained at baseline, 6 months, and 12 months to monitor treatment outcomes and detect any pathological changes. | 6th and 12th month |
| Tenderness to percussion |
| 12th month |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| zeliha g bek kurklu | Contact | +905334500892 | goncabek@mynet.com |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37795835 | Result | Chua SKX, Sim YF, Wang WC, Mok BYY, Yu VSH. One-year outcome of selective caries removal versus pulpotomy treatment of deep caries: A pilot randomized controlled trial. Int Endod J. 2023 Dec;56(12):1459-1474. doi: 10.1111/iej.13978. Epub 2023 Oct 5. |
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| partial pulpotpmy | Procedure | Complete cleaning of the caries resulting in pulp expose. pulp tissue is surgically removed by 1-3 mm.The aim is to remove the inflamed superficial pulp tissue to allow healing from the underlying healthy tissue. |
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