Clinical Trial Details
— Status: Not yet recruiting
Administrative data
| NCT number |
NCT04599244 |
| Other study ID # |
3-3-5 |
| Secondary ID |
|
| Status |
Not yet recruiting |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
December 1, 2020 |
| Est. completion date |
December 1, 2022 |
Study information
| Verified date |
October 2020 |
| Source |
Cairo University |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
Irreversible pulpitis is an inflammatory condition of the dental pulp, highly painful, and
one of the main reasons for seeking emergency dental treatment. Pain associated with
irreversible pulpitis represents more than 45% of emergency patients in dental clinics. A
pulpotomy has been demonstrated as an emergency intervention for effective pain relief by
removing the coronal pulp tissue without penetrating radicular pulpal tissue. Inflammation
and degeneration of the pulp usually progress apically from the point of infection, so
selective removal of this tissue in the form of pulpotomy is usually effective in controlling
pain and patient sedation.
The rationale behind emergency pulpotomy is relieving acute dental pain caused by
irreversible pulpitis. However, there is still insufficient evidence to determine whether the
presence, nature and duration of clinical symptoms gives accurate information about the
extent of pulp inflammation, as pulpotomy was found to be an effective emergency treatment
strategy with respect to relieving clinical symptoms, even in cases of irreversible pulpitis
with symptomatic apical periodontitis . Advanced diagnostic strategies are needed to
determine whether there is a correlation between clinical symptoms, actual pulpal
inflammation and achieving adequate pain relief during and after treatment. Thus, we are
conducting this study to assess the effect of emergency pulpotomy versus complete pulp
extirpation on relieving acute dental pain of symptomatic irreversible pulpitis in mandibular
molars. The expected benefit for the patients is to decrease pain during and after treatment.
we also are trying to provide an evidence for the clinician in order to provide the best
endodontic treatment without pain.
Description:
Irreversible pulpitis is an inflammatory condition of the dental pulp, highly painful, and
one of the main reasons for seeking emergency dental treatment. Pain associated with
irreversible pulpitis represents more than 45% of emergency patients in dental clinics. A
pulpotomy has been demonstrated as an emergency intervention for effective pain relief by
removing the coronal pulp tissue without penetrating radicular pulpal tissue. Inflammation
and degeneration of the pulp usually progress apically from the point of infection, so
selective removal of this tissue in the form of pulpotomy is usually effective in controlling
pain and patient sedation.
