Comparative evaluation of step-wise caries excavation and indirect pulp capping for vitality preservation in young
Neetika Singh1, Enna Singla1, Charan Kamal Kaur2
1Department of Pedodontics and Preventive Dentistry, Bhojia Dental College and Hospital, Baddi, Himachal Pradesh, India.
Abstract:
Management of deep carious lesions in young permanent teeth poses a significant clinical challenge due to the risk of pulpal exposure and subsequent loss of vitality. Therefore, this study evaluates and compares the clinical and radiographic outcomes of Step-wise Caries Excavation (SWE) versus Indirect Pulp Capping (IPC) in young permanent molars with deep carious lesions. Hence, a randomized controlled trial was conducted with 40 children aged 8-13 years, having 40 permanent molars with deep carious lesions, randomly allocated to either SWE (n=20) or IPC (n=20) groups. Clinical and radiographic evaluations were performed at baseline, 1 week, 3 months and 6 months. At 1-week follow-up, both groups showed similar success rates (95% in SWE versus 95% in IPC, p=1.000). Thus, we show that IPC is more effective than SWE in preserving pulp vitality in young permanent teeth with deep carious lesions, offering a less invasive and more economical treatment approach.
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