Partial Pulpotomy vs Selective Removing in Deep Caries
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: selective caries removal, partial pulpotpmy.
- Who it may be relevant to
- Registry conditions: Deep Dentin Caries in Mature Permanent Teeth. Basic parameters: 18 years — 65 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Center list to be confirmed — check the primary protocol.
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Selective Caries Removal Versus Partial Pulpotomy in the Treatment of Deep Caries: A Randomized Controlled Trial
Overview
The aim of this study was to compare the one-year results of selective caries removal and partial pulpotomy treatments in terms of pulp survival and the need for further endodontic treatment in deep carious lesions.Individuals aged 18-65 years with medically healthy mature permanent teeth with deep caries will be included. The included teeth will be randomly assigned to the selective caries removal or partial pulpotomy group. Follow-up evaluations will be performed at 6 months and 12 months. The main outcome is pulp survival as determined by clinical and radiographic success.
Interventions
- Procedure selective caries removal
The caries is not completely removed but covered with a remineralizing material. Its purpose is to maintain pulp vitality. - Procedure partial pulpotpmy
Complete cleaning of the caries resulting in pulp expose. pulp tissue is surgically removed by 1-3 mm.The aim is to remove the inflamed superficial pulp tissue to allow healing from the underlying healthy tissue.
Primary outcome measures
- Assessment of pain [Time frame: 6th and 12th month]
- Periapical pathology [Time frame: 6th and 12th month]
- Tenderness to percussion [Time frame: 12th month]
Eligibility criteria
Inclusion criteria
- Individuals aged 18-65
- ASA I or II general health status
- Deep primary or secondary caries lesion (up to 75% dentin thickness)
- Restorable permanent teeth with mature apex
- Teeth without clinical and radiographic periapical pathology
Exclusion criteria
- Pregnancy
- Periapical lesion
- Spontaneous pain or tenderness to palpation
- Teeth for which pulp opening or crown/root supported prosthesis is planned
- Localized severe periodontitis
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Double blind
- Primary purpose
- Treatment
Study locations
Center list to be confirmed — check the primary protocol.
Publications
- Chua SKX, Sim YF, Wang WC, Mok BYY, Yu VSH. One-year outcome of selective caries removal versus pulpotomy treatment of deep caries: A pilot randomized controlled trial. Int Endod J. 2023 Dec;56(12):1459-1474. doi: 10.1111/iej.13978. Epub 2023 Oct 5. PMID 37795835
Identifiers
NCT: NCT07120009 · cu dişhekimligi