Evaluating Success of Partial and Total Pulpotomy Treatments in Adults Permanent Teeth with Deep Caries and Irreversible Pulpitis

What this Trial Is About

Researchers are evaluating the success of partial or complete pulpotomy treatments in adults with permanent teeth affected by deep caries lesions and symptoms of irreversible pulpitis. The study aims to preserve pulp tissue to maintain its natural functions and reduce tooth weakening compared to root canal treatment, which is more complex and time-consuming. This observational study also seeks to understand factors related to patients, treated teeth, and specific treatments that may influence pulpotomy success, along with measuring patient satisfaction. The treatments involve either partial pulpotomy, where about 2 mm of pulp tissue is removed, or full pulpotomy, which completely removes tissue from the pulp chamber. Hemostasis is achieved using sodium hypochlorite within 10 minutes, and a material called BiodentineXp is applied. Both types of pulpotomies are performed by the principal investigator in a single appointment, including the definitive restoration of the tooth. The choice between partial or total pulpotomy is made clinically during treatment rather than randomized. Participants will undergo clinical and radiographic examinations before treatment and evaluations at 1 week, 3 months, 6 months, and 12 months afterward. These follow-ups will be conducted by an examiner other than the treating clinician. Success is defined by the absence of symptoms and pathological radiographic signs indicating pulp disease. Patient perception and satisfaction with the treatment will also be surveyed. The main outcome measured is the success rate of vital pulp therapy over one year, and patient satisfaction is assessed shortly after treatment.

Effectiveness of Pulpotomy in Symptomatic Permanent Teeth With Deep Caries Lesions