Actively Recruiting
Effectiveness of Pulpotomy in Symptomatic Permanent Teeth With Deep Caries Lesions
Led by Universidad Rey Juan Carlos · Updated on 2025-04-09
50
Participants Needed
1
Research Sites
142 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Preservation of pulp tissue would allow it to continue to exert its defensive and physiological functions and more tooth tissue would be preserved, leading to less weakening of the tooth. In addition, root canal treatment is a more complex therapeutic process that requires the use of more instruments, more time and more visits. To date, most clinical studies that have evaluated the success of pulpotomy treatments have been conducted on teeth with immature apexes. More studies are needed to evaluate VPT success in the permanent dentition in the long term. In accordance with the above, the main objective of the study will be to determine the success of partial or total pulpotomy treatment in permanent teeth (\>18 adults) with a closed apex and symptoms compatible with irreversible pulpitis. At the same time, the association of factors related to the patient, the treated tooth and specific treatment factors with the success of pulpotomies will be determined. On the other hand, the patient, perception and satisfaction with the treatment received will be evaluated. All treatments (pulpotomies and restorations) will be carried out by the principal investigator. After recording the preoperative data, clinical and radiographic examination, a diagnosis will be made according to the classification of Wolters and collaborators , which will also guide us in the choice of pulp treatment: PP o CP Partial pulpotomy or complete pulpotomy. The maximum pulp haemostasis time will be 10 minutes. In both treatments, in the same appointment, the definitive restoration of the tooth will be carried out. The evaluations will be performed at one week, 3 , 6 and 12 months postoperatively. This evaluation shall be performed by an examiner who shall be different from the one performing the treatment. The main outcome of the present study will be the determination of the success of the pulpotomies. \- Is vital pulp therapy a highly successful treatment for teeth with irreversible pulpitis?. Outcome measure 1: Success rate of vital pulp therapy \- Do patients feel satisfied with this conservative pulp treatment? Outcome measure 2: Patient´s satisfaction with vital pulp therapy
CONDITIONS
Official Title
Effectiveness of Pulpotomy in Symptomatic Permanent Teeth With Deep Caries Lesions
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Patients over 18 years of age.
- Patients in good general health, ASA I or ASA II, with no contraindications to receive vital pulp therapy under local anesthesia.
- Tooth with symptoms of pulpitis (reversible or irreversible) confirmed by history of spontaneous pain, pain with heat and cold, and radiating pain.
- Tooth without signs of pulp necrosis, sinus tract, or abscess.
- Tooth in occlusion with an opposing tooth and no discomfort when chewing.
- Tooth that can be directly restored.
- Tooth with normal pocket depth and mobility.
- Caries lesion extending more than two thirds of the amelodentine distance or pulp exposure during caries removal.
You will not qualify if you...
- Patients allergic or intolerant to any anesthetic solution.
- Pregnant patients or those who suspect pregnancy due to inability to perform necessary radiographic tests.
- Patients with systemic diseases preventing use of vasoconstrictors or with compromised immune systems.
- Tooth with an immature apex.
- Tooth that is not restorable or not viable for preservation.
- Tooth with negative responses to thermal or electrical sensitivity tests.
- Tooth where haemostasis cannot be achieved within 10 minutes after pulp exposure, or where no bleeding or tissue necrosis is observed.
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Trial Site Locations
Total: 1 location
1
Rey Juan Carlos University
Alcorcón, Madrid, Spain, 28922
Actively Recruiting
Research Team
O
OLGA GONZÁLEZ-CASTRO, DDS
CONTACT
How is the study designed?
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
1
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