Deep Caries Clinical Trial
Official title:
Clinical and Radiographic Success Rate of Pulpotomy Versus Pulpectomy for Management of Primary Teeth With Deep Caries: A Randomized Clinical Trial
This trial aims to compare treatment outcomes between Pulpotomy and Pulpectomy in treating vital primary teeth diagnosed with deep caries with symptoms of irreversible pulpits
Background: Pulpectomy is the reference treatment for vital primary molars with irreversible pulpitis.Over the past decades, dental caries has unfailingly been the most common chronic infectious disease of childhood and adults. If remained untreated, it can potentially compromise dental pulp tissue. When the dental pulp of primary teeth is irreversibly inflamed, the first treatment choice is pulpectomy, owing to the well-recognized importance of primary tooth retention for child oral/general health. Although a pulpless tooth can remain functional in the oral cavity, modern pediatric endodontics encourages regenerative approaches in primary teeth.The introduction of calcium silicate-based (CS-B) biomaterials such as mineral trioxide aggregate (MTA), along with further understanding of pulp biology and inflammatory processes, has revolutionized treatment modalities for management of irreversible pulpitis in mature permanent teeth. A growing body of evidence has revealed successful implementation of minimally invasive endodontics, that is, vital pulp therapies (VPTs) for management of permanent teeth with irreversible pulpitis even when associated with apical periodontitis. Due to the traditional notion of poorer healing capacity of primary dental pulp, such a paradigm shift has not been seen in pediatric dentistry.Recent research revealed similar vascular/immune responses of primary and permanent dental pulps to caries; therefore, indicating that their healing potential might be this in mind, a reevaluation of traditional approaches for treatment of inflamed primary pulp seems justified. ;
Status | Clinical Trial | Phase | |
---|---|---|---|
Not yet recruiting |
NCT03908489 -
Evaluation of Post-operative Pain After Vital Pulpotomy in Primary Molars Using Allium Sativum Oil Versus MTA
|
N/A | |
Recruiting |
NCT03563534 -
Treatment of Primary Molars With Deep Caries Using Silver Diamine Fluoride
|
Phase 4 | |
Completed |
NCT05167123 -
Pulp Capping in Primary Molars Using TheraCal (LC)
|
Phase 4 | |
Not yet recruiting |
NCT03568474 -
Silver Diamine Fluoride After Minimal Caries Removal Technique in Asymptomatic Young Permanent Teeth With Deep Caries
|
Phase 4 | |
Completed |
NCT04005872 -
Clinical and Radiographic Evaluation of Nano Silver Fluoride Versus Calcium Hydroxide in Indirect Pulp Treatment
|
N/A | |
Completed |
NCT04052685 -
Selective Removal to Soft Dentine vs Selective Removal to Firm Dentine for Deep Posterior Caries Lesions
|
N/A | |
Not yet recruiting |
NCT06378814 -
Outcome of Selective & Nonselective Caries Removal in Permanent Teeth
|
N/A | |
Completed |
NCT03885271 -
Outcomes of the Hall Technique and Conventional Pulp Therapy for the Management of Caries in Primary Molars
|
N/A | |
Not yet recruiting |
NCT06219824 -
Clinical and Radiographic Evaluation of Bioceramic Putty MTA Versus MTA in Pulpotomy of Immature Permanent Molars
|
Phase 3 | |
Completed |
NCT04262076 -
Remineralization of Caries Affected Dentin
|
N/A | |
Active, not recruiting |
NCT03186690 -
Similar Outcomes of Vital Pulp Therapy Using Mineral Trioxide Aggregate or Biodentineā¢
|
N/A | |
Completed |
NCT03993431 -
Influence of Luting Cement on the Clinical Outcomes of Zirconia Pediatric Crowns
|
N/A | |
Recruiting |
NCT06256601 -
Clinical Investigation of Effectiveness of a Calcium Silicate Cement
|
N/A | |
Active, not recruiting |
NCT05733468 -
TheraCal LC Coronal Pulpotomy and MTA Coronal Pulpotomy in Mature Permanent Molars
|
Phase 4 | |
Completed |
NCT02084433 -
Comparison of Intraosseous Anaesthesia Using a Computerized System (QuickSleeper) to Conventional Anesthesia
|
N/A | |
Completed |
NCT03631277 -
Indirect Pulp Treatment of Young Permanent Molars Using Photo-Activated Oral Disinfection Versus Calcium Hydroxide
|
N/A | |
Active, not recruiting |
NCT06171776 -
Evaluation of Conservative Management of Teeth With Deep Cavitated Carious Lesions
|
Phase 2/Phase 3 | |
Completed |
NCT03737201 -
Influence of Ozone Application in Stepwise Excavation Procedure of Primary Molars With Deep Carious Lesion
|
N/A | |
Completed |
NCT04265833 -
Evaluation of Three Different Pulp Capping Materials in Indirect Pulp Treatment of Primary Teeth
|
N/A | |
Recruiting |
NCT02286388 -
Multicenter Trial Comparing One-step Partial Caries Removal to Complete Caries Removal for the Treatment of Deep Carious Lesions in Permanent Teeth. (DECAT : DEep CAries Treatment).
|
Phase 3 |