Evaluation Of Vital Pulp Therapy & Root Canal Treatment in Teeth with Irreversible Pulpitis -A Randomized Control Trial

Abstract

This randomized control trial was carried out to evaluate the treatment outcomes of vital pulp therapy using Dycal, MTA and Biodentine, comparatively as well as single visit RCT in posterior teeth having irreversible pulpitis. 

 Ninety permanent first & second mandibular molars displaying symptoms & signs indicative of irreversible pulpitis were randomly assigned equally into 2 groups. One group, consisting of 30 patients, teeth were treated with single visit root canal treatment (SVRCT). In the second group of 60 patients, vital pulp therapy (VPT) was carried out, which was further sub divided into two subgroups, in which direct and indirect pulp capping with Dycal, MTA & Biodentine was carried. Evaluation was carried out at 7 days, 1 month, 3 month, 6 month & 12 months. Success of the treatment was evaluated both clinically and radiographically. Chi-square test was used to compare the success rates between the two treatment modalities.One year success rate observed in VPT group & in SVRCT group was 84.6 % & 88% (P>0.05) respectively. On comparing SVRCT to vital pulp therapy a statistically non-significant result was obtained. Teeth displaying symptoms & signs of irreversible pulpitis, VPT & SVRCT were comparable with respect to relieving clinical symptoms. Amongst Direct pulp therapy & indirect pulp therapy first should  be preferred over. Although both VPT & SVRCT can be carried out in conditions with symptomatic irreversible pulpitis & normal periradicular tissue but in situations where RCT is preferred single visit procedure provides adequate results.