Evaluating the effectiveness of pulpotomy for treating deep caries in permanent teeth

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study aims to assess the success of partial or total pulpotomy treatments in permanent teeth with irreversible pulpitis in adults over 18 years old. The study will focus on factors related to the patient, the treated tooth, and specific treatment methods to determine their association with the success of pulpotomy. Success will be defined by the absence of symptoms and maintenance of pulp vitality, with patient satisfaction recorded through surveys after the procedure. The study addresses a gap in existing research by evaluating pulpotomy outcomes in teeth with closed apexes.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Patients over 18 years of age.
* Patients in good general health, ASA I or ASA II with no contraindications to contraindications to receive a TPV procedure under local anaesthesia.
* Tooth with symptomatology of pulpitis, both reversible and irreversible, to be determined by history of spontaneous pain, exacerbation of pain with heat and cold confirmed by the cold test and radiating pain.
* Tooth without signs of pulp necrosis and absence of sinus tract and abscess.
* Tooth in occlusion with antagonist tooth and without discomfort on chewing.
* Tooth that can be directly restored.
* Tooth with pocket depth and mobility within normal limits.
* Extent of the caries lesion greater than two thirds of the amelodentine distance or which tooth or the pulp has been exposed during caries removal.

Exclusion Criteria:

* Patients with allergies or intolerance to any anaesthetic solution.
* Pregnant patients or patients who suspect pregnancy due to the impossibility of complementary radiographic tests cannot be carried out.
* Patients with systemic pathology that prevents the use of a vasoconstrictor or with a compromised immune system that may influence the response to treatment.
* Tooth with an immature apex.
* Tooth that is not restorable or not viable for preservation.
* Tooth with negative response to thermal sensitivity test or electrical test.
* Tooth in which haemostasis cannot be achieved after exposure of the pulp, or with a pulp, or with a haemostasis time exceeding 10 minutes, where there is no pulp bleeding or partial or complete tissue necrosis is observed.

Where it's running

• Rey Juan Carlos University
  Alcorcón, Madrid, Spain Recruiting

Study contacts

• Study coordinator: Olga González-Castro, Dds
• Email: olga.gonzalez.castro@clinica.urjc.es
• Phone: +34667938051

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.