Clinical trial Recruiting at 2 sites Interventional Ages 20 to 45

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 typeInterventional
Ages20 Years to 45 Years
SexAll
Enrollment58 (estimated)
SponsorMisr International University
Academic / other
Locations2 sites (Cairo and 1 other locations)
StatusRecruiting
StartedJanuary 17, 2026
Main results expectedAugust 1, 2026
Study endsSeptember 1, 2026
Registry record updatedJanuary 21, 2026
Trial IDNCT07340606 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

Similar studies

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

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.
Last reviewed 2026-11-14 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.