Status:

NOT_YET_RECRUITING

Treatment Outcomes of Pulpotomy vs. Pulpectomy in Vital Primary Molars With Symptomatic Irreversible Pulpitis

Lead Sponsor:

Nebu Philip

Collaborating Sponsors:

Christian Dental College

Conditions:

Irreversible Pulpitis

Eligibility:

All Genders

4-9 years

Phase:

NA

Brief Summary

This randomised controlled trial aims to compare treatment outcomes between pulpotomy and pulpectomy when used to treat vital primary molars diagnosed with symptomatic irreversible pulpitis. Compared ...

Detailed Description

Background: Pulpectomy continues to be the standard treatment recommendation for management of vital primary molars diagnosed with symptomatic irreversible pulpitis. The recent decade has seen a parad...

Eligibility Criteria

Inclusion

  • Healthy (ASA I and II) co-operative children (Frankl Scale + and ++) between the ages of four and nine years.
  • Participants have symptoms typical of irreversible pulpitis in one of the primary molars.
  • The pulp of the affected primary molar is vital.
  • Radicular pulp health is confirmed by attainment of radicular pulp haemostasis within 8 minutes of coronal pulp amputation.
  • The affected primary molars can be restored with full coverage crowns.
  • Any physiologic root resorption, if present, is less than ⅓ the root length

Exclusion

  • Clinical examination of affected primary molar reveals signs of pulpal infection (e.g.
  • pathologic tooth mobility, parulis/fistula, or soft tissue swelling)
  • Pre-operative periapical radiograph suggests presence of periapical radiolucency.
  • Pre-operative periapical radiograph suggests presence of furcal radiolucency more than ½ the furcation to periapical area.
  • Visual examination of pulp tissue after deroofing reveals signs of necrosis (e.g. avascular/minimally bleeding pulp tissue or yellowish necrotic areas/purulent exudate).
  • Signs of extensive radicular pulp inflammation.
  • Parents not willing to place full coverage crowns post-treatment.
  • Clinical diagnosis of irreversible pulpitis between two primary molars is not sharply defined

Key Trial Info

Start Date :

February 15 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

June 30 2027

Estimated Enrollment :

50 Patients enrolled

Trial Details

Trial ID

NCT06183203

Start Date

February 15 2024

End Date

June 30 2027

Last Update

February 6 2024

Active Locations (1)

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1

Christian Dental College

Ludhiana, Punjab, India, 141008