Evaluation of the Success Rate of Pulpotomy Versus to Root Canal Therapy in Management of Mature First Permanent Molars With Irreversible Pulpitis

Launched by LAMIAA SAEED AHMED ELSHIEKH · Jun 23, 2025

Keywords

ClinConnect Summary

This clinical trial is comparing two different dental treatments for mature first permanent molars (the big back teeth) that have a painful condition called irreversible pulpitis, which means the nerve inside the tooth is badly inflamed and causes a toothache. The study will look at how well a newer, less invasive treatment called pulpotomy works compared to the traditional root canal therapy (RCT). Both treatments will use a special material called Bio-C-Repair to help protect the tooth’s nerve. The goal is to see which treatment is more successful in relieving pain and healing the tooth, based on clinical check-ups and X-rays.

People who might be able to join the study are young patients whose molar teeth have ongoing toothaches that come on suddenly and radiate, especially after eating or drinking hot or cold foods, and whose teeth don’t have serious damage visible on X-rays. Teeth that bleed continuously, are dead, cracked, or have advanced gum disease won’t be included. Participants can expect to receive one of the two treatments and will be monitored over time to check how well their tooth heals and if the pain goes away. This study is not yet recruiting, but it aims to help find better ways to treat painful tooth problems while keeping teeth healthy and strong.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. Molars teeth with a history of spontaneous radiating pain indicated IP
• • 2. the pain triggered by hot/cold fluids lasted for several minutes after removing of the stimulus.
• • 3. Molars teeth with no prominent radiolucency at the periapical or furcation regions
• Exclusion Criteria:
• • 1. Teeth with continuous bleeding
• • 2. necrosis
• • 3. Teeth could not be restored with direct restoration. Teeth having localized/generalized periodontal diseases (probing pocket depth more than 3 mm).
• • Teeth with crack fracture. Teeth with internal/external root resorption. Teeth with pulp chamber/canal calcification