Pulpotomy in Carious Permanent Mature Teeth: Pulp Survival and Risk Factors
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 53
- 主要终点
- Change in radiographic apical status
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 21 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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
排除标准
- •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
研究组 & 干预措施
Pulpotomy
Pulpotomy is performed in carious-exposed pulp in mature permanent teeth
干预措施: Pulpotomy (Procedure)
结局指标
主要结局
Change in radiographic apical status
时间窗: 3 years
Change from Baseline Radiographic appearance of apical tissue at 6 months, 1 year, 2 years and 3 years
次要结局
未报告次要终点
研究者
Dr Victoria Yu
Associate Professor
National University Health System, Singapore