Pulpotomy in Carious Permanent Mature Teeth: Pulp Survival and Risk Factors

Study Overview
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Brief Summary
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This Trial evaluated the extent of pulp survival following pulpotomy in the permanent tooth pulp exposed by caries and identify potential risk factors for pulpal complications.

Detailed Description
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Healthy patients ≥ 21 years old were recruited with informed consent. Inclusion criteria were symptomatic and asymptomatic periodontally sound teeth, positive response to pulp sensibility tests, pulp exposure by caries with bleeding, haemostasis achieved within 10 minutes and normal apical tissues. Under local anaesthesia and rubber dam isolation, caries was removed before pulpotomy. Pain complaint, clinical and radiographic data were collected during recalls for up to 3 years.

Official Title
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Pulpotomy in Carious Permanent Mature Teeth: Pulp Survival and Risk Factors

Conditions
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Pulpitis, Pulp Exposure, Dental, Pulp and Periapical Tissue Disease

Intervention / Treatment
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* Procedure: Pulpotomy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient factors: Male and female at least 21 years of age Healthy and ambulant Mild diseases only and without substantive functional limitations Able to return for scheduled recalls Tooth factors: Deep caries leading to pulp exposure With or without pre-operative spontaneous and/or aggravated pain Positive response to Cold and Electric Pulp Tests Positive bleeding on pulp exposure Haemostasis within 10 minutes Intact and continuous periodontal ligament space and dental lamina dura on radiograph Exclusion Criteria: Patient factors: Younger than 21 years of age Pregnant female Poorly controlled systemic diseases e.g. diabetes mellitus, hypertension Tooth factors: Extensive tooth structure loss requiring post and core retained restoration Uncontrolled periodontal disease Cracked tooth Traumatized tooth Haemostasis not achieved within 10 minutes

Ages Eligible for Study
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Minimum Age: 21 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Pulpotomy<br>Pulpotomy is performed in carious-exposed pulp in mature permanent teeth | Procedure: Pulpotomy<br>* Pulpotomy in mature carious permanent teeth<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in radiographic apical status | Change from Baseline Radiographic appearance of apical tissue at 6 months, 1 year, 2 years and 3 years | 3 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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pulpotomy, permanent teeth, deep caries management, risk factors, clinical indicators for pulpotomy