Pulp capDirect Pulp Capping vs. Partial Pulpotomy for Carious Pulp Exposure in Mature Teeth

This clinical trial is focused on finding the best way to treat teeth with deep cavities that expose the pulp, which is the innermost part of a tooth containing nerves and blood vessels. The study aims to compare two treatment methods: direct pulp capping and partial pulpotomy, using a material called Biodentine. It targets mature teeth with symptoms that suggest the pulp inflammation can be reversed, a condition known as reversible pulpitis. The research is significant because it seeks to improve the success rates of these treatments, which can help preserve natural teeth and reduce the need for more invasive procedures like root canals. Participants in the study will have one of two procedures: direct pulp capping, where a protective layer is placed over the exposed pulp, or partial pulpotomy, which involves removing a small portion of the pulp before sealing it. The study will monitor the pain levels of participants at 48 hours and 7 days after the procedure using a pain scale. Additionally, blood from the pulp will be tested for certain substances (MMP9 levels) that might affect the treatment's success. Patients' treated teeth will be checked both clinically and with X-rays at 6 and 12 months, and then annually, to determine the long-term effectiveness of the treatments.