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CompletedNCT06216951POPAVPTUpdated Aug 27, 2024

Post-Operative Pain After Vital Pulpotomy in Molars With Symptomatic Pulpitis

An observational study in Pulpitis, Post Operative Pain and Toothache, sponsored by Uşak University. Completed at 1 site in Turkey. Open to participants aged 7 Years to 70 Years. Per ClinicalTrials.gov, last updated 2024-08-27.

Sponsored by Uşak University · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
114
Ages
7 Years to 70 Years
Sex
All
01

Study summary

The goal of this clinical trial is to investigate post-operative pain (PEP) in teeth with symptomatic pulpitis following Vital Pulpotomy Treatments (VPT) with Calcium Silicate Cement (CSC). The main questions it aims to answer are:

  • Is the post-operative pain one week after VPT significantly lower than pre-operative pain in permanent molars with symptomatic pulpitis?
  • How does post-operative pain in these teeth correlate with patient-related factors, such as age, gender, and painkiller intake?

Participants will:

  • Undergo Vital Pulpotomy Treatment with Calcium Silicate Cement (MTA)
  • Provide pain level assessments before VPT, immediately post-treatment, and at 24, 72 hours, and 1 week after treatment.

If there is a comparison group:

Researchers will compare the post-operative pain levels in teeth with symptomatic pulpitis undergoing VPT to assess its effectiveness in reducing pain compared to a control group not undergoing the treatment.

Read the detailed description

Informed Consent:

Volunteers or parents will receive detailed information about protocols, risks, and benefits. Informed consent was obtained in writing after providing subject information, and participants could withdraw voluntarily at any time.

Sample Size Calculation:

Sample size calculation, utilizing G. Power-3.1.9.2, aimed at relationship analyses with a 95% confidence level, α=0.05, effect size of 0.30, and theoretical power of 0.80, resulting in a minimum sample size of 108.

Treatment Procedure:

Vital pulpotomy, administered by experienced professionals, involved local anesthesia, rubber dam isolation, caries removal, pulp amputation, hemostasis, application of ProRoot MTA and glass ionomer, and permanent restoration. Pain scores, assessed using the modified Wong-Baker scale, were recorded pre-treatment, at 24 and 72 hours post-procedure, along with inquiries about painkiller usage.

02

Conditions studied

  • Pulpitis
  • Post Operative Pain
  • Toothache

Keywords

  • toothache
  • pulpitis
  • pulpotomy
  • pain
  • postoperative
03

In context

Pulpitis

302 studies on the registry are indexed under Pulpitis; 67 are open to participants now.

This study's enrollment of 114 is above the median of 90 across 21 observational studies indexed under Pulpitis.

Browse Pulpitis studies →

Lead sponsor

Uşak University is the lead sponsor of 78 studies on the registry; 11 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
7 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Patients aged between 7 and 70 with a noncontributory medical history presented for endodontic treatment at the Department of Endodontics and Department of Pediatric Dentistry, Faculty of Dentistry, Usak University, Turkey

Inclusion criteria

  • Patients aged between 7 and 70 years
  • The teeth with diagnosis of irreversible symptomatic pulpitis
  • Permanent first and second molars with vital pulp
  • PAI ≤ 2 with vital pulp. (Ørstavik D, Kerekes K, \& Eriksen HM (1986) The periapical index: A scoring system for radiographic assessment of apical periodontitis Dent Traumatol 2(1) 20-34, https://doi.org/10.1111/j.1600-9657.1986.tb00119.x.)

Exclusion criteria

Exclusion Criteria:

  • Clinical or radiographic signs of a necrotic pulp
  • The presence of a sinus, buccal tenderness, pathological mobility or evidence of pathology on a periapical radiograph
  • Teeth with horizontal or vertical root fractures
  • Swelling, acute endodontic, or periodontal abscess
  • Insufficient tooth tissue for a restoration, teeth requiring a post
  • Unable to give informed consent
  • Contraindicated systemic disease
  • Allergies the local anesthesia
  • Antibiotics, biphosphonates, and corticosteroid intake during the 7 days before treatment.
  • Pregnancy or breastfeeding.
  • Patients who needed endodontic treatment on several teeth to avoid a potentially confused pain referral.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
114 participants (actual)
Patient registry
No

Groups and cohorts

  • Patients with symptomatic pulpitis

    vital permanent molars with symptomatic pulpitis in patients aged between 7-70

    Procedure: Vital Pulpotomy

Interventions

  • ProcedureVital Pulpotomy

    Vital pulpotomy involves the removal of the coronal pulp, while MTA is used to seal the root orifices. It is clear that vital pulp treatments for symptomatic pulpitis are a more reliable, cost-effective, and generally easier option than root canal treatment (RCT) once the mineral trioxide aggregate (MTA) is introduced in dentistry. In vital pulpotomy, as opposed to RCT, tooth healing and symptoms are diminished while the vitality of the tooth is maintained. Furthermore, vital pulpotomy is a significantly more practical and economical treatment alternative than RCT.

    Also known as: vital pulp amputation

06

What researchers measure

Primary outcomes

  1. Postoperative Pain Assesment

    Pain scores before and after treatment will be assessed using a modified Wong-Baker pain rating scale. The patients and parents will be given with comprehensive information and instructed to indicate their level of pain using a pain rating scale (0 = no pain, 1 = slight pain, 2 = moderate pain, 3 = severe pain) before treatment, at 24 hours, and 72 hours after the procedure. Additionally, they will be asked about the use of painkillers.

    Time frame: 1) on treatment day, before starting the treatment; 2)24 hours later; 3)72 hours later and 4) 1 week later

07

Study locations

1 site
  • Usak University School of Dentistry Department of Endodontics
    Usak, 64200, Turkey
08

References and documents

Publications

  • Lin LM, Ricucci D, Saoud TM, Sigurdsson A, Kahler B. Vital pulp therapy of mature permanent teeth with irreversible pulpitis from the perspective of pulp biology. Aust Endod J. 2020 Apr;46(1):154-166. doi: 10.1111/aej.12392. Epub 2019 Dec 21. PubMed 31865629 ↗
  • Zanini M, Hennequin M, Cousson PY. A Review of Criteria for the Evaluation of Pulpotomy Outcomes in Mature Permanent Teeth. J Endod. 2016 Aug;42(8):1167-74. doi: 10.1016/j.joen.2016.05.008. Epub 2016 Jun 20. PubMed 27339631 ↗
  • Witherspoon DE, Small JC, Harris GZ. Mineral trioxide aggregate pulpotomies: a case series outcomes assessment. J Am Dent Assoc. 2006 May;137(5):610-8. doi: 10.14219/jada.archive.2006.0256. PubMed 16739540 ↗

Individual participant data

Plan to share: No — due to possible plagiarism issues, we are kindly requesting that the study descriptions be shared only after journal publication

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 27, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06216951
Lead sponsor
Uşak University
Responsible party
Hasibe Elif Kuru (Assistant Professor, Uşak University) — Principal investigator
First posted
Jan 22, 2024
Start date
Dec 15, 2021
Primary completion
Mar 15, 2024
Completion
Mar 15, 2024
Last update
Aug 27, 2024

Study contacts

Berk Çelikkol, Dr
principal investigator · Usak University School of Dentistry

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Aug 2024. You cannot join it, but the record below documents what was studied.

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