Comparing Pulpotomy and Root Canal Treatment for Deep Tooth Decay in Patients 12 and Older A Randomized Study in Supervised Dental Student Clinics

What this Trial Is About

Researchers are evaluating the effectiveness of two dental treatments, full pulpotomy and root canal treatment, for patients with extremely deep caries affecting permanent teeth. This randomized controlled trial is conducted in supervised undergraduate dental clinics and aims to determine if the promising results seen in previous trials can be replicated when treatments are performed by senior dental students. The study focuses on preserving vital pulp tissue as a potential alternative to root canal treatment, which may influence future dental care guidelines. Participants will undergo a clinical procedure that includes complete removal of decay under rubber dam isolation. After confirming the tooths vital pulp status by observing bleeding, they will be randomly assigned to receive either full pulpotomy or root canal treatment. Both procedures may be completed over one or two visits, involve local anesthesia, and follow detailed protocols including specific irrigation and restoration techniques. Full pulpotomy uses materials like Biodentine to preserve pulp, while root canal treatment includes canal cleaning, filling, and sealing. During the study, participants will be assessed through clinical and radiographic examinations at 12 months to evaluate treatment success or failure. Patient-reported outcomes such as pain and analgesic use will be collected in the first week after treatment. The study includes post-operative radiographs and follow-ups to monitor healing and tooth survival, with all procedures carried out under supervised training conditions to reflect real-world dental practice.

Effectiveness of Pulpotomy vs. Root Canal Treatment in Extremely Deep Caries