{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T23:07:18Z","timestamp":1790723238374,"version":"4.1.0"},"reference-count":51,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2021,7,10]],"date-time":"2021-07-10T00:00:00Z","timestamp":1625875200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int Endodontic J"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To assess the influence of occlusal and proximal deep carious lesions on the outcome of full pulpotomy performed in mandibular teeth with pulpal diagnosis of symptomatic partial irreversible pulpitis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methodology<\/jats:title><jats:p>Eighty deep carious mandibular molar teeth with clinical and radiographic diagnosis of symptomatic partial irreversible pulpitis without periapical rarefaction from patients of either gender between the age of 16\u201335\u00a0years were included. Depending upon the location of deep carious lesion, the teeth were distributed equally into occlusal (<jats:italic>n<\/jats:italic>\u00a0=\u00a040) and proximal caries groups (<jats:italic>n<\/jats:italic>\u00a0=\u00a040). Full pulpotomy was performed under local anaesthesia and aseptic conditions. The pulp tissue was removed until the root canal orifices, and 2.5% sodium hypochlorite (NaOCl) was applied to arrest pulpal bleeding. Mineral trioxide aggregate (MTA) was compacted over the radicular pulp. Teeth were restored with resin\u2010modified glass ionomer cement (RMGIC) and bulk\u2010fill composite resin. Pre\u2010 and post\u2010operative pain was assessed at 24, 48 and 72\u00a0h using a 11\u2010point Numerical Rating Scale (NRS). Patients were followed at 6 and 12\u00a0months for clinical and radiographic evaluation. Asymptomatic teeth without any radiographic evidence of periapical rarefaction were considered successful. The data were analysed using the Shapiro\u2013Wilk W test, two\u2010sample Wilcoxon rank\u2010sum test, Pearson chi\u2010square test, Fisher's exact test and Kappa coefficient. The significance level was predetermined at <jats:italic>p\u00a0<\/jats:italic>&lt;\u00a0.05.<\/jats:p><\/jats:sec><jats:sec><jats:title>Result<\/jats:title><jats:p>An intergroup comparison revealed that the pre\u2010 and post\u2010operative pain scores at 24, 48 and 72\u00a0h were not significantly different (<jats:italic>p\u00a0<\/jats:italic>&gt;\u00a0.05). At the end of follow\u2010up period (12\u00a0months), success of full pulpotomy in occlusal and proximal caries group was 95% and 92.5%, respectively (<jats:italic>p\u00a0<\/jats:italic>=\u00a0.644). For both groups, the combined success rate of full pulpotomy was 93.75%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The site of carious lesions (i.e., occlusal or proximal) did not affect the clinical and radiographic outcome of full pulpotomy performed in mature permanent mandibular teeth with symptomatic partial irreversible pulpitis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/iej.13588","type":"journal-article","created":{"date-parts":[[2021,6,9]],"date-time":"2021-06-09T01:09:49Z","timestamp":1623200989000},"page":"1699-1707","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Influence of occlusal and proximal caries on the outcome of full pulpotomy in permanent mandibular molar teeth with partial irreversible pulpitis: A prospective 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