Clinical Comparison between the Outcomes of One-Step versus Stepwise Indirect Pulp Capping Comparison of One-Step vs. Stepwise Pulp Capping
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Abstract
Background: Background: Dental caries is a prevalent condition that can lead to adverse pulpal outcomes if left untreated, making the preservation of pulp vitality essential. Indirect pulp capping is a conservative method designed to support pulp health.
Objective: This study aims to clinically compare the outcomes of one-step versus stepwise indirect pulp capping in maintaining pulp vitality.
Methods: Conducted at the Department of Operative Dentistry, Islamabad Dental Hospital, this study enrolled 80 patients, with 40 patients per group determined using the WHO sample size calculator. Convenience sampling was used to select patients with permanent teeth, 1.5mm-2mm remaining dentin thickness, and symptoms of reversible pulpitis. In the one-step group, infected dentin was removed, a biocompatible material was applied, and the tooth was permanently restored. In the stepwise group, caries removal was followed by a temporary restoration over biocompatible lining, with re-entry and final restoration at 12 weeks. Data were analyzed using SPSS v.22, with Fisher's exact test applied.
Results: The study included 47.5% male and 52.5% female participants, with a mean age of 29.5 ± 9.05 years. The stepwise group achieved 100% favorable outcomes versus 87.5% in the one-step group, showing statistical significance (p=0.027).
Conclusion: Stepwise indirect pulp capping significantly enhances pulp vitality preservation by fostering dentinal bridge formation and pulpal healing.
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