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Laser-Assisted vs Conventional Total Pulpotomy in Symptomatic Irreversible Pulpitis

RecruitingNAAges 12 Years - 40 YearsAllmeliksahgunduz
NCT07850258 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

his randomized controlled clinical trial will compare laser-assisted total pulpotomy with conventional total pulpotomy in permanent molar teeth diagnosed with symptomatic irreversible pulpitis. Participants will be randomly assigned to one of two treatment groups. In the conventional group, bleeding control will be achieved using sodium hypochlorite, whereas in the laser-assisted group, an Er:YAG laser will be used for hemostasis. In both groups, Biodentine will be placed over the remaining pulp tissue and the tooth will be permanently restored. Postoperative pain will be assessed using a visual analog scale at 6, 12, and 24 hours and on days 3, 5, and 7 after treatment. Clinical and radiographic outcomes will also be evaluated during follow-up to determine treatment success. The study aims to determine whether laser-assisted total pulpotomy differs from conventional total pulpotomy in

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📋 Eligibility rules (as published)
Inclusion Criteria: * Participants aged 12-40 years * Systemically healthy individuals classified as ASA I or ASA II * Permanent molar teeth * Teeth suitable for rubber dam isolation * Diagnosis of symptomatic irreversible pulpitis * Presence of spontaneous pain and/or prolonged response to thermal stimuli * Pain persisting for more than 10 seconds after cold testing * Positive pulp sensibility, supported by electric pulp testing * Normal or minimally altered periapical status with a Periapical Index (PAI) score ≤2 * Final diagnosis confirmed based on combined clinical and radiographic findings Exclusion Criteria: * Presence of sinus tract, abscess, or swelling * Internal or external root resorption * Pathological tooth mobility * Periodontally compromised teeth, including probing depth ≥4 mm and/or -clinical attachment loss * Pulp necrosis or negative pulp sensibility tests * Absence of bleeding after pulp exposure * More than one carious tooth in the same region * Anterior or premolar teeth * Antibiotic use within the previous 1 week * Immunosuppressed patients * Patients unable to provide consent * Patients younger than 12 years
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What it tests

  • Conventional Total Pulpotomy
  • Laser-Assisted Total Pulpotomy
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Where

1 site
Kutahya health sciences university faculty of dentistry
Kütahya, Turkey (Türkiye)
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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