Prognostic Biomarkers for Pulpotomy Outcome
NCT06514053 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 192
Last updated 2024-07-23
Summary
This study will recruit 180 molars diagnosed with irreversible pulpitis. Full pulpotomy will be performed on 120 teeth, while RCT (root canal treatment) will be conducted on another cohort of 60 teeth as the control for assessing long-term outcomes. Additionally, 12 blood samples and pulp tissues from healthy teeth receiving elective RCT will be collected as the controls. The first pulpal blood sample will be collected after caries removal and pulp exposure. Subsequently, the entire coronal pulp tissue will be removed and collected for histological examination, image-based spatial and scRNA-seq analyses. A second pulpal blood sample will be collected from the radicular pulp tissue. Both blood samples will be used to profile the inflammation-related biomarkers through multiplex immunoassays. The remaining pulp tissue will be covered by Biodentine and restored with resin-based composite. Pulpotomy treatment outcomes will be evaluated clinically and radiographically at 6 and 12 months. The biomarkers identified in the pulpal blood and histology and the single-cell transcriptomes of the coronal pulp will be compared with the treatment "success" and "failure" groups upon one year. The outcome of RCT will be compared with that of full pulpotomy at 24 months.
Conditions
- Pulpitis - Irreversible
Interventions
- PROCEDURE
-
Full pulpotomy
A full pulpotomy will be performed by removing the entire roof of the pulp chamber and the remaining pulp tissue will be covered by Biodentine.
- PROCEDURE
-
Root canal treatment
The regular procedure of root canal treatment will be performed on teeth with irreversible pulpitis
Sponsors & Collaborators
-
The University of Hong Kong
lead OTHER
Principal Investigators
-
Chengfei Zhang · The University of Hong Kong
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2024-01-01
- Primary Completion
- 2025-12-31
- Completion
- 2026-12-31
Countries
- Hong Kong
Study Locations
More Related Trials
-
Pulpotomy vs Root Canal Treatment for Teeth With Symptomatic Irreversible Pulpitis
NCT05964933 ·Status: ENROLLING_BY_INVITATION ·Phase: NA
-
Comparative Effectiveness in the Management of Irreversible Pulpitis
NCT04922229 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Comparative Evaluation of Partial and Complete Pulpotomy in Permanent Molars
NCT04397315 ·Status: UNKNOWN ·Phase: NA
-
Effectiveness of Pulpotomy in Symptomatic Permanent Teeth With Deep Caries Lesions
NCT06918639 ·Status: RECRUITING
-
Success and Quality of Life Following Complete Pulpotomy and Root Canal Treatment
NCT05190406 ·Status: UNKNOWN ·Phase: NA
-
Pulpotomy in Vital Primary Molars Diagnosed With Symptomatic Irreversible Pulpitis
NCT06149845 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Evaluation of Hemostasis Time on Partial Pulpotomy in Teeth With Clinical Signs Indicative of Irreversible Pulpitis
NCT06768567 ·Status: COMPLETED ·Phase: NA
-
Pulpotomy in Carious Permanent Mature Teeth: Pulp Survival and Risk Factors
NCT03490422 ·Status: COMPLETED ·Phase: NA
-
Pulpotomy vs.Root Canal Treatment in Managing Irreversible Pulpitis
NCT03956199 ·Status: UNKNOWN ·Phase: NA
-
Pulpotomy vs Root Canal Treatment for Teeth With Symptomatic Irreversible Pulpitis
NCT05726357 ·Status: UNKNOWN ·Phase: NA
-
Comparative Study of the Outcome of Partial and Full Pulpotomy in Irreversible Pulpits
NCT05279820 ·Status: UNKNOWN ·Phase: NA
-
Pulpotomy vs Pulpectomy Outcome.
NCT02727088 ·Status: UNKNOWN ·Phase: NA
-
To Evaluate Periapical Healing Post Full Pulpotomy in Teeth With and Without Apical Periodontitis
NCT07179835 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Intentional Pulpotomy to Preserve Hopeless Molars
NCT04385693 ·Status: COMPLETED ·Phase: NA
-
Full Pulpotomy in Mature Teeth With Symptomatic Irreversible Pulpitis as a Routine Treatment in the Primary Care Clinics
NCT05199181 ·Status: COMPLETED ·Phase: NA
-
Outcome of Direct Pulp Capping and Partial Pulpotomy in Reversible Pulpitis
NCT07300124 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Post Operative Pain of Partial Pulpotomy Using a Bioceramic Material in Patients With Symptomatic Irreversible Pulpitis
NCT05956613 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Outcome of Pulpotomy Versus Root Canal Therapy
NCT05279781 ·Status: UNKNOWN ·Phase: NA
-
Postoperative Pain and Success Rate in Pulpotomy Versus Root Canal Treatment
NCT03916900 ·Status: UNKNOWN ·Phase: NA
-
Regenerative Endodontic Therapy in Cases of Irreversible Pulpitis
NCT06525844 ·Status: RECRUITING ·Phase: NA
-
Cytokines as Diagnostic Markers of Pulpal Inflammation and Their Impact on the Outcome of Vital Pulp Therapy
NCT07261761 ·Status: COMPLETED ·Phase: NA
-
Pulpotomy as a Treatment of Irreversible Pulpitis
NCT02920606 ·Status: UNKNOWN ·Phase: NA
-
Treatment Outcomes of Pulpotomy vs. Pulpectomy in Vital Primary Molars With Symptomatic Irreversible Pulpitis
NCT06183203 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Outcome Following Endodontic Treatment Using Traditional Access Versus Conservative Access
NCT05402098 ·Status: UNKNOWN ·Phase: NA
-
The Influence of Magnification and Clinical Experience on the Outcome of Pulpotomy in Mature Adult Teeth
NCT06231290 ·Status: RECRUITING ·Phase: NA