Comparing Laser and Conventional Pulpotomy Treatments in Mature Molars with Irreversible Pulpitis A Randomized Study Using AI to Assess Healing Over One Year

What this Trial Is About

Researchers are evaluating the outcomes of laser-assisted pulpotomy compared to conventional pulpotomy in mature permanent molar teeth affected by symptomatic irreversible pulpitis. This randomized controlled clinical trial aims to assess healing progress and changes in radicular pulp volume using cone-beam computed tomography CBCT combined with artificial intelligence AI for automated segmentation. The study involves 60 mature teeth with irreversible pulpitis, focusing on clinical and radiographic healing over one year. Participants teeth will be randomly assigned to one of three groups photobiomodulation pulpotomy, photocoagulation pulpotomy, or conventional pulpotomy as the control. All groups will receive a bioceramic putty capping material after treatment. The laser treatments use a diode laser device that targets tissue precisely, while conventional pulpotomy uses sodium hypochlorite solution as a disinfectant. Follow-up visits include pain assessments, clinical exams, and radiographic evaluations at multiple intervals up to 12 months. During the study, post-operative pain will be measured at 24, 48, and 72 hours, and after one week using a numerical rating scale. Clinical and radiographic healing will be monitored at one, three, six, and twelve months. CBCT scans performed immediately after treatment and at the end of the follow-up will evaluate dentin bridge formation and radicular pulp changes using AI-based segmentation. The primary outcomes focus on healing progress, dentin bridge formation, and pulp volume changes over one year.

Evaluation Of Laser Versus Conventional Pulpotomies In Mature Molar Teeth With Irreversible Pulpitis