Using pre-operative findings and AI to predict whether full pulpotomy will succeed in painful mature molars
Official title: The Role of Wolters Pulpitis Classification, Apical Periodontitis, and Artificial Intelligence-Assisted Diagnosis in Predicting the Success of Full Pulpotomy in Symptomatic Permanent Mature Molars: A Randomized Controlled Trial
Run by Misr International University · NCT07340606 · Data updated 2026-11-12
We will test whether pre-surgery clinical signs and an AI read of dental X-rays can predict if full pulpotomy will work for adults with irreversible pulpitis in mature molars.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 20 Years to 45 Years |
| Sex | All |
| Enrollment | 58 (estimated) |
| Sponsor | Misr International University Academic / other |
| Locations | 2 sites (Cairo and 1 other locations) |
| Status | Recruiting |
| Started | January 17, 2026 |
| Main results expected | August 1, 2026 |
| Study ends | September 1, 2026 |
| Registry record updated | January 21, 2026 |
| Trial ID | NCT07340606 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults who have mature, permanent molars with a diagnosis of irreversible pulpitis, visible bleeding from all canals, and no significant periodontal compromise are ideal candidates.
✕Probably not a fit
Patients with non-vital teeth, immature roots, uncontrolled canal bleeding despite hemostatic measures, or those unable to attend in-person follow-ups are unlikely to benefit from this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Adults with mature permanent molars diagnosed with irreversible pulpitis will be enrolled and their pre-operative pulpal status classified using the AAE and Wolters systems. Digital radiographs will be taken to measure caries depth and to record any apical periodontitis, and an AI tool will analyze the X-rays for carious pulp exposure and apical changes. Participants will be randomly assigned to receive either full pulpotomy or conventional root canal treatment, with clinical and radiographic follow-up at 1, 3, and 6 months. The study will compare treatment outcomes and the AI software’s accuracy against clinical findings after caries removal.
Why it matters
Potential benefit: If successful, this approach could help dentists choose less invasive full pulpotomy for appropriate cases, preserving more teeth and avoiding unnecessary root canals.
How similar studies have gone: Clinical reports have shown promising outcomes for full pulpotomy in permanent teeth, while applying AI to predict pulpal prognosis from radiographs is relatively new and less established.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Mature permanent molars with irreversible pulpitis. * Presence of bleeding from all canals. * The tooth is not periodontally compromised. Exclusion Criteria: * Non-vital teeth. * Uncontrolled bleeding from any of the canals after ten minutes of application of hemostatic agent. * Molars with immature roots.
Where it's running
-
Misr International University (MIU)
Cairo, Egypt Recruiting -
Misr International University
Cairo, Egypt Recruiting
Study contacts
- Principal investigator: Mayand A Amer, B.D.S. — Misr International University
- Study coordinator: Mayand A Amer, B.D.S.
- Email: mayand.amer@miuegypt.edu.eg
- Phone: 01062509703
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.