Postoperative Pain Intensity After Pulpotomy
Symptomatic Irreversible Pulpitis
About this trial
This is an interventional treatment trial for Symptomatic Irreversible Pulpitis focused on measuring Irreversible pulpitis, KTP laser, mineral trioxide aggregate, postoperative pain, pulpotomy, visual analog scale
Eligibility Criteria
Inclusion Criteria:
- The patient should be ≥ 18 years old, a single tooth in every patient
- Must be signs of irreversible pulpitis, such as persistent pain that begins spontaneously and/or is exacerbated by cold. This situation should be repeated with the cold test.
- Irreversible pulpitis diagnosed, with or without symptomatic apical periodontitis
- No systemic disease
- Should give a positive response to electrical and thermal tests
- Must be the opposite tooth.
- The tooth is restorable, probing pocket (3mm) depth, and mobility are within normal limits
Exclusion Criteria:
- Presence of allergies
- Using analgesics in the last 12 hours or antibiotics in the last 1 week before the procedure.
- Presence of swelling, palpation pain or sinus tract before treatment, root fracture or crack.
- Failure to control bleeding within 6 minutes,
- Presence of bruxism or open apex.
- Insufficient bleeding after pulp exposure
- Observation of advanced canal calcification
- Presence of internal or external root resorption.
Sites / Locations
- Sivas Cumhuriyet University
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Experimental
Group 1: Physiological saline (Control group) (n=30)
Group 2: Hemostasis and cavity disinfection with NaOCl (n=30)
Group 3: Hemostasis and cavity disinfection with KTP laser (n=30)
In this group, hemostasis was achieved by checking the saline soaked cotton pellet placed over canal orifices and into the pulp chamber at 2-minute intervals.
In this group, 2.5% NaOCl soaked cotton pellets were placed over canal orifices and into the pulp chamber to achieve complete hemostasis.
In this group, complete hemostasis and cavity disinfection were achieved using a KTP laser (SMARLITE D, Deka, Calenzano FI, Italy). After initial hemorrhage control, complete hemostasis was achieved by exposure to a KTP laser (532 nm wavelength) in noncontact mode at 1.5 W of power with a pulse mode (Ton 100 ms, Toff 100 ms) for 2 s. The diameter of optical fiber was 300 μm. Laser application was repeated 3 times if required. After bleeding control was achieved, cavity disinfection was performed by laser application with a noncontact circular movement for 5 s using 1 W power and 300 nm tip.