Comparing treatments for painful irreversible pulpitis in mature teeth

A-prf,Nanochitosan Combined With A-prf Scaffold Compared to Chitosan in Vital Pulp Therapy for Symptomatic Irreversible Pulpitis of Mature Permanent Mandibular First Molar Teeth .Randomized Controlled Trials

NA · Future University in Egypt · NCT06438523

This study is testing different treatments for painful irreversible pulpitis in adult molars to see which one helps reduce pain and improve healing the best.

Quick facts

PhaseNA
Study typeInterventional
Enrollment30 (estimated)
Ages15 Years to 30 Years
SexAll
SponsorFuture University in Egypt (other)
Locations1 site (Cairo, Fifth Settlement)
Trial IDNCT06438523 on ClinicalTrials.gov

What this trial studies

This clinical trial evaluates the effectiveness of A-prf and A-prf combined with nanochitosan compared to chitosan in treating symptomatic irreversible pulpitis in lower permanent first molars. Participants will be divided into three groups, each receiving a different treatment approach. The study will assess tooth sensitivity, radiographic changes, and pain levels over a week following pulpotomy. The goal is to determine which treatment provides better outcomes for patients suffering from this dental condition.

Who should consider this trial

Good fit: Ideal candidates are patients aged 15-30 with symptomatic irreversible pulpitis in mature mandibular molars.

Not a fit: Patients with immature roots or systemic diseases affecting healing may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to improved treatment options for patients with irreversible pulpitis, potentially reducing pain and enhancing healing.

How similar studies have performed: While there is ongoing research in dental treatments for pulpitis, the specific combination of A-prf and nanochitosan is relatively novel and has not been extensively tested in prior studies.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients suffering from Symptomatic irreversible pulpitis in mature mandibular molars only will be involved.

  * Patients of either gender aged from 15-30.
  * Tooth should give positive response to cold test.
  * Haemostasias should be achieved after total pulpotomy.
  * The tooth is restorable and free from advanced periodontal disease, cracks and splits.
  * Patients should be free from any systemic disease that may affect normal healing and predictable outcome.
  * Patients who will agree to the consent and will commit to follow-up period.
  * Patients with mature root.
  * Patients with no internal or external resorption and no periapical lesions.
  * Soft tissues around the tooth are normal with no swelling or sinus tract.

Exclusion Criteria:

* Patients with immature roots.

  * Haemostasias after 10 minutes can not be controlled after total pulpotomy
  * Patients with any systemic disease that may affect normal healing.
  * Patients with periapical lesions or infections.
  * Pregnant females.
  * Patients who could/would not participate in a 6 months follow-up.
  * Patients with fistula or swelling
  * Patients with necrotic pulp.
  * Patients with old age.

Where this trial is running

Cairo, Fifth Settlement

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.

View on ClinicalTrials.gov →

Conditions: Pulpitis - Irreversible

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.