The Effect of Different Risk Factors on the Success Rate of Vital Pulp Therapy An Observational Prospective Cohort Study

What this Trial Is About

Researchers are investigating the effectiveness of different vital pulp therapy (VPT) methods—direct pulp capping, partial pulpotomy, and complete pulpotomy—in preserving the vitality of dental pulp after pulp exposure. This observational prospective cohort study also explores how factors such as age influence treatment success, aiming to identify if there is an age threshold that affects the choice of VPT over root canal therapy. The study involves adult patients with restorable teeth and exposed pulp chambers, tracking outcomes over a period of up to four years. The study treatments begin with local anesthesia and isolation of the tooth, followed by disinfection and removal of caries under a microscope. Depending on the severity and extent of pulp inflammation, participants receive one of three VPT methods: direct pulp capping, partial pulpotomy removing a small portion of pulp tissue, or complete pulpotomy removing all coronal pulp tissue. Materials such as Biodentine or MTA are applied to the pulp, followed by temporary and then permanent restorations. Treatments are delivered carefully with bleeding control steps and follow-up procedures at specified intervals. Participants will be monitored through clinical and radiological examinations at 7 days, 6 months, and annually up to 4 years after treatment. Data including patient complaints, clinical findings, and radiographs are recorded to assess success using standardized indexes. The study tracks healing and pulp vitality, measuring treatment success by combining patient symptoms with clinical and X-ray results. This thorough follow-up allows researchers to compare the success rates of different VPT methods and understand the influence of age and other factors on outcomes.

The Effect of Different Risk Factors on the Success Rate of VPT