This study employs saliva-based DNA analysis to investigate the effect of genetic polymorphisms, particularly SNPs in MMP, TIMP, TNF-α, and BMP genes, on the success of vital pulp therapy in permanent teeth with pulpitis, assessed through clinical follow-up.
Who can participate
Age range16 Years – 65 Years
SexALL
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Inclusion Criteria
* permanent teeth diagnosed with reversible pulpitis,
* patients diagnosed with irreversible pulpitis but without apical radiolucency, -teeth responding within normal limits to cold stimuli (using carbon dioxide snow),
* teeth with prolonged response to cold testing, diagnosed with irreversible pulpitis,
* teeth without sensitivity to percussion or chewing tests,
* teeth with bleeding time less than 5 minutes from exposed pulp tissue,
* teeth diagnosed with irreversible pulpitis with bleeding time less than 10 minutes,
* teeth without widening of the periodontal ligament space (Periapical Index \[PAI\] ≥2),
* teeth with radiographically confirmed deep dentinal caries,
* patients classified as ASA I (American Society of Anesthesiologists Physical Status Classification)
Exclusion Criteria:
* teeth showing negative response to cold testing (using carbon dioxide snow), -teeth showing negative response to electric pulp testing,
* presence of apical radiolucency (PAI \> 2),
* presence of condensing apical periodontitis in the relevant tooth,
* teeth with internal or external root resorption,
* teeth with a history of trauma,
* teeth with vertical root fractures,
* evidence of periodontal-endodontic lesion on the day of treatment,
* loss of function (e.g., tooth mobility degree 3),
* presence of swelling related to the treated tooth,
* teeth that cannot be treated with rubber dam isolation,
* patients with compromised immune systems,
* patients who are pregnant…
What they're measuring
1
DNA Analysis
Timeframe: From enrollment to the end DNA analysis at 18 months