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Full Pulpotomy in Permanent Teeth With Irreversible Pulpitis and Apical Periodontitis
Sponsor: King Abdullah University Hospital
Summary
This study will evaluate whether full pulpotomy can successfully treat mature permanent teeth with irreversible pulp inflammation and a periapical lesion. Full pulpotomy involves removing the inflamed pulp tissue from the crown of the tooth while preserving the healthy tissue inside the roots. The study will assess pain relief, patient satisfaction, and clinical and radiographic healing over time, including healing of the periapical lesion using dental X-rays and limited-field CBCT imaging. The findings may help determine whether full pulpotomy can provide a less invasive alternative to root canal treatment for selected teeth with periapical lesions.
Official title: Outcome, Quality of Life and Patient Satisfaction After Full Pulpotomy in Permanent Teeth With Irreversible Pulpitis and Apical Periodontitis: A Prospective Exploratory Clinical Study.
Key Details
Gender
All
Age Range
8 Years - 30 Years
Study Type
INTERVENTIONAL
Enrollment
30
Start Date
2026-10-07
Completion Date
2030-10
Last Updated
2026-08-17
Healthy Volunteers
Yes
Interventions
Full pulpotomy
Full pulpotomy will be performed in permanent teeth with irreversible pulpitis and apical periodontitis, with diode laser-assisted hemostasis and calcium silicate-based pulp capping. The intervention is distinguished by the treatment of teeth with radiographic evidence of apical periodontitis using a full pulpotomy approach rather than conventional root canal treatment.