Pulpotomy vs Root Canal Treatment for Teeth With Symptomatic Irreversible Pulpitis

Launched by NATIONAL UNIVERSITY HOSPITAL, SINGAPORE · Jul 19, 2023

Keywords

ClinConnect Summary

Mature permanent teeth with deep caries/restorations and symptoms indicative of irreversible pulpitis (moderate to severe spontaneous lingering pain) will be included in the study. The teeth will be randomised to receive one of two treatments: RCT or complete pulpotomy (n=35 in each group).

Baseline clinical and radiographic data will be collected at the first visit. In addition, patients (or their guardians, if relevant) will be invited to complete the acceptability and willingness to pay questionnaires for health economics analysis at both the first visit and at 12 months from the date o...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Patients aged 12 years or older
• • Mature permanent tooth with deep caries/restorations
• • Symptoms indicative of irreversible pulpitis (moderate to severe spontaneous lingering pain)
• • Tooth is responsive to cold and electric pulp test (EPT) sensibility testing
• • Tooth is restorable and can be adequately isolated during treatment
• • One tooth (molar or premolar) per patient.
• Exclusion Criteria:
• • Teeth with active periodontal disease (pocket depth \>5mm)
• • Teeth indicated for elective root canal treatment for restorative purposes
• • Teeth with apical periodontitis
• • Patients with complex medical histories that may affect their caries experience and healing ability (immunocompromised, radiotherapy etc.)
• • Patients who are unable to consent
• • History of trauma to the tooth
• • Presence of apical radiolucency
• • Patients who are pregnant or breast-feeding
• • Teeth with any evidence of purulence or excessive bleeding that cannot be controlled with a cotton pellet with 2-4% hypochlorite for 10 minutes