Clinical Trials Logo
  1. Home
  2. Deep Caries
  3. NCT06293521

Clinical and Radiographic Success Rate of Pulpotomy Versus Pulpectomy for Management of Primary Teeth With Deep Caries

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

Clinical Trial Summary

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

Clinical Trial Description

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. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT06293521
Study type Interventional
Source Cairo University
Contact Nada Mostafa, B.D.S
Phone 01117311533
Email Nadamostafa@dentistry.cu.edu.eg
Status Not yet recruiting
Phase Phase 2
Start date May 16, 2024
Completion date January 1, 2025
View Details
See also
  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 Biodentine™ 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