Vital Pulp Therapy to Treat Irreversible Pulpitis

Pulpitis Clinical Trial

— VPT  

Official title:

Pulpotomy Versus Root Canal Therapy to Treat Irreversible Pulpitis in Human Permanent Molars: A Multicenter Randomized Non-inferiority Trial.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00748280
• Other study ID #: C/B/4/8253
• Status: Completed
• Phase: N/A
• First received: September 4, 2008
• Last updated: April 26, 2017
• Start date: April 2008
• Est. completion date: September 2016

Study information

• Verified date: April 2017
• Source: Shahid Beheshti University of Medical Sciences
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to demonstrate non-inferiority of pulpotomy treatment (with new endodontic bio-materials) as a new treatment with one-visit root canal therapy as reference treatment in pain relief and clinical and radiographic success, for irreversible pulpitis of human permanent molar teeth.

Description:

In one visit RCT (Arm 1): The teeth were anesthetized, isolated and endodontic access and instrumentation of all canals was done. Canal preparation was conducted using a step-back technique. The working lengths were determined and confirmed by radiography. Sterile normal saline solution was used for intra-canal irrigation. Root canals were obturated with gutta-percha and sealer using lateral condensation technique. After placing a cotton pellet in the pulp chamber, the access cavity was closed with Cavit.

In pulpotomy treatment with CEM/MTA (Arm 2): The teeth were anesthetized. Pulpotomy procedure of removing inflamed pulp tissue to the stump level was done. Homeostasis was achieved by irrigating the cavity with sterile normal saline and application of small pieces of sterile cotton pellets. The pulpal wound was covered with an approximately 2-mm-thick layer of MTA/CEM cement. Pulp chambers were then covered with a wet cotton pellet and sealed with Cavit.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 615
• Est. completion date: September 2016
• Est. primary completion date: September 2008
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 9 Years to 65 Years

Eligibility

Inclusion Criteria:

• Diagnostic criteria:

1. Patient reports pain of endodontic origin

2. Diagnosis of irreversible pulpitis

• Eligibility criteria:

1. Molar tooth

2. Patient chooses to have tooth extraction for pain relief

3. Age 9-65 years

4. Both gender

5. The patient had read and thoroughly understood the questionnaires; and

6. Written informed consent

• Exclusion Criteria:

1. Moderate or severe periodontitis

2. None restorable tooth

3. Internal or external root resorption

4. Root canal calcification

5. No bleeding after access cavity preparation

6. Analgesic taken within the last 4 h

7. Active systemic disease

8. The patient was pregnant or nursing

9. History of opioid addiction or abuse

10. Temporary residency

Related Conditions & MeSH terms

• Pulpitis

Intervention

Procedure:
• One-visit root canal therapy
Teeth were isolated, caries was removed and access cavities were prepared. Canal preparation was conducted using step-back technique. The working lengths were determined and confirmed by radiographs. The minimum size file for preparing the working length was size ISO #25 K-file to within 0.5-2 mm of the radiographic apex of the root. During hand instrumentation, canals were frequently irrigated with adequate amount of sterile normal saline solution. The root canals were filled with multiple gutta-percha cones and sealer using lateral condensation technique. Placing a cotton pellet in the pulp chamber, the access cavity was temporarily filled. The treatments of all samples were performed one-visit.
• pulpotomy
Pulpotomy was performed with a large round bur in a high-speed handpiece with copious irrigation; removing inflamed pulp tissue to stump level. Hemostasis was achieved by irrigation of the cavity with sterile normal saline and application of small pieces of sterile cotton pellets. The blood clot-free pulpal wound was covered with approximately 2 mm layer of endodontic bio-materials, a sterile wet cotton pellet was then placed over the MTA/CEM cement and the cavity sealed with Cavit.

Locations

Country	Name	City	State
Iran, Islamic Republic of	Iranian Center for Endodontic research	Tehran

Sponsors (1)

Lead Sponsor	Collaborator
Shahid Beheshti University of Medical Sciences

Country where clinical trial is conducted

Iran, Islamic Republic of, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Clinical and radiographical success of pulpotomy with CEM cement		5 year
Secondary	Patient Assessment of Pain - Visual Analogue Scale		7 day