The Effect of Prognostic Factors on the Success of Full Pulpotomy in Permanent Mature Molars With Irreversible Pulpitis

Misr International University

Status: Completed

Conditions: Pulpitis - Irreversible

Treatments: Procedure: Conventional root canal treatment; Procedure: Full pulpotomy

Study type: Interventional

Funder types: Other

Identifiers

NCT06597487

MIU-IRB-2324-039

Details and patient eligibility

About

This study aims to evaluate the effect of prognostic factors, such as the degree of pulpal inflammation and the radiographic caries depth, on the success of full pulpotomy in mature permanent molars with irreversible pulpitis.

Full description

• Patients with mature permanent molars diagnosed with irreversible pulpitis will be enrolled in the study.
• The pre-operative pulpal status will be assessed using the American Association of Endodontists (AAE) classification and Wolters classification.
• Pre-operative radiographs will be taken, and radiographic caries depth will be assessed.
• An Artificial Intelligence software will process the pre-operative X-rays to assess the presence of carious pulp exposure. The diagnostic accuracy of the software will be evaluated by comparing its readings with clinical findings of pulp exposure after caries removal.
• The patients will be randomized to receive either full pulpotomy or conventional root canal treatment.
• The patients will be followed up for 1, 3 and 6 months to assess clinical and radiographic success.

Enrollment: 58 patients

Sex: All

Ages: 20 to 45 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Mature permanent molars with irreversible pulpitis.
• Presence of bleeding pulp tissues from all canals.
• The tooth is not periodontally compromised.

Exclusion criteria

• Non-vital teeth.
• Uncontrolled bleeding from any of the canals after ten minutes of application of hemostatic agent.
• Molars with immature roots.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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58 participants in 2 patient groups

Root Canal Treatment

Active Comparator group

Description:

The patients allocated to this arm will receive conventional root canal treatment. They will be followed up for 1, 3 and 6 months to assess clinical and radiographic success.

Treatment:

Procedure: Conventional root canal treatment

Full Pulpotomy

Experimental group

Description:

The patients allocated to this arm will receive full pulpotomy. They will be followed up for 1, 3 and 6 months to assess clinical and radiographic success.

Treatment:

Procedure: Full pulpotomy